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Diabetes, Vol 36, Issue 1 106-113, Copyright © 1987 by American Diabetes Association
Apparent epidemic of insulin-dependent diabetes mellitus in Midwestern Poland
M Rewers, RE LaPorte, M Walczak, K Dmochowski and E Bogaczynska
There is no information concerning the risk of developing insulin-dependent
diabetes mellitus (IDDM) in eastern Europe. An IDDM registry has been
developed in Midwest Poland for 1970-1984. The risk of developing IDDM in
Polish children was determined through utilization of the registry. The
incidence of IDDM in Polish children was very low compared with other
Caucasian populations. There was a major increase in risk beginning in
1982; the incidence almost doubled from 3.5/100,000 in 1970-1981 to
6.6/100,000 in 1982-1984. The pattern of IDDM in the high-risk period was
different from that in the low-risk period, with an altered seasonal
pattern and unusual increased incidence in younger children. The rapid
increase in incidence as well as altered epidemiologic patterns during this
period suggest that major alterations of environmental factors were
responsible for the change in risk.

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Copyright © 1987 by the American Diabetes Association.
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