Publication, Part of National Diabetes Audit

Young People with Type 2 Diabetes, 2019-20

Audit, Survey, Other reports and statistics

Publication Date:: 12 Aug 2021
Geographic Coverage:: England, Wales
Geographical Granularity:: NHS Trusts, GP practices, Integrated Care Boards, Regions
Date Range:: 01 Jan 2019 to 31 Mar 2020

Summary

The National Diabetes Audit (NDA) and the National Paediatric Diabetes Audit (NPDA) provide a comprehensive view of diabetes care in England and Wales. They measure the effectiveness of diabetes healthcare against NICE Clinical Guidelines and NICE Quality Standards. This is the first Young People with Type 2 Diabetes report. It aims to document the number of people with type 2 diabetes up to the age of 40 years, their characteristics and the diabetes care they receive. This is important because adverse diabetes and cardiovascular outcomes are more common in people who develop diabetes at an early age and it is thought the numbers are increasing.

NDA data (people of all ages) has been linked to NPDA data (children attending specialist paediatric diabetes clinics) to create a cohort of young people with type 2 diabetes from both data sets. Where necessary, to confirm the diagnosis and type of diagnosis, HbA1c and prescription information were used.

•There are 122,780 children and young adults under the age of 40 years with type 2 diabetes; of whom 1,560 (around 1.3 per cent) are under the age of 19 years.

•Compared with people aged 40 years and over who have type 2 diabetes, young people under the age of 40 years with type 2 diabetes are more likely to:

•Be female;

•Be of minority ethnicity (particularly Asian);

•Be living in an area of social deprivation;

•Be classified as overweight or obese.

•Compared with people aged 40 years and over who have type 2 diabetes, young people with type 2 diabetes aged 19 to 39 years are less likely to have:

•All annual care processes;

•An HbA1c less than or equal to the NICE standard of 58mmol/mol (7.5%*);

There is better attainment of the above in those aged under 19 years.