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Diabetes 54:563-569, 2005
© 2005 by the American Diabetes Association, Inc.

Cumulative Incidence of Type 1 Diabetes in 10,168 Siblings of Finnish Young-Onset Type 1 Diabetic Patients

Valma Harjutsalo1, Toomas Podar2, and Jaakko Tuomilehto1,3,4

1 Diabetes and Genetic Epidemiology Unit, Department of Epidemiology and Health Promotion, National Public Health Institute, Helsinki, Finland
2 Endocrinology Center, Tartu, Estonia
3 Department of Public Health, University of Helsinki, Helsinki, Finland
4 South Ostrobotnia Central Hospital, Seinäjoki, Finland

The aims of our analysis were to obtain the empirical risk estimates for type 1 diabetes in the siblings of a Finnish population-based cohort of childhood-onset diabetic patients and search for demographic and other factors predicting the risk of type 1 diabetes in siblings. We defined the diabetes status of all siblings of all probands who are included in the nationwide register of Finnish cases for whom type 1 diabetes was diagnosed before age 18 years between 1965 and 1979. Siblings’ diabetes status was ascertained by a record search of nationwide registries through 2001, and the type of diabetes and date of its manifestation were obtained from medical records. The total number of person-years during the follow-up was 405,685. Of the 10,168 siblings at risk, 647 (6.4%) had been diagnosed with type 1 diabetes by 2001. The cumulative incidence of type 1 diabetes by ages 10, 20, 30, 40, and 50 years in all siblings was 1.5, 4.1, 5.5, 6.4, and 6.9%, respectively. A young age at diagnosis in the index case, paternal young-onset diabetes, male sex, and older parental age at delivery considerably increased the risk of type 1 diabetes for siblings. This large prospective family study of type 1 diabetes in siblings of childhood-onset diabetic patients provides reliable empirical estimates for the sibling recurrence risk.


Address correspondence and reprint requests to Valma Harjutsalo, National Public Health Institute, Mannerheimintie 166, FIN-00300, Helsinki, Finland. E-mail: valma.harjutsalo{at}ktl.fi

Abbreviations: CDR, Central Drug Register; CPR, Central Population Registry; HDR, National Hospital Discharge Register


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Copyright © 2005 by the American Diabetes Association.