Invited Commentary

Commentary on “Prevalence and Impact of Initial Misclassification of Pediatric Type 1 Diabetes Mellitus”

Authors: Robyn C. Reed. MD, PhD

Abstract

“Prevalence and Impact of Initial Misclassification of Pediatric Type 1 Diabetes Mellitus” addresses an interesting and timely topic: the frequency and consequences of misdiagnosing type 1 diabetes mellitus in the pediatric population.1 The study breaks new ground by reviewing International Classification of Diseases-9 diagnoses from a state Medicaid database, permitting the examination of a much larger population than previously studied. The main goals of the study were to determine how often type 1 diabetes mellitus is initially misdiagnosed as type 2 or unclassified diabetes mellitus and to determine whether any complications occur more frequently in this “misclassified” population.

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References

1. Tripathi A, Rizvi AA, Knight LM, et al. Prevalence and impact of initial misclassification of pediatric type 1 diabetes mellitus. South Med J 2012; 105: 513–517.
 
2. Low JC, Felner EI, Muir AB, et al. Do obese children with diabetic ketoacidosis have type 1 or type 2 diabetes? Prim Care Diabetes 2012; 6: 61–65.
 
3. Verbeeten KC, Elks CE, Daneman D, et al. Association between childhood obesity and subsequent type 1 diabetes: a systematic review and meta-analysis. Diabet Med 2011; 28: 10–18.
 
4. Conway B, Miller RG, Costacou T, et al.. Temporal patterns in overweight and obesity in type 1 diabetes. Diabet Med 2010; 27: 398–404.