Abstract

Introduction: Diabetes mellitus (DM) is one of the most common chronic diseases in children and adolescents. The clinical presentations of youth onset diabetes (

<30 year) in Tropical Countries differ from those in Western Countries in some respect. Apart from Type 1 and type 2 diabetes some others type of diabetes seen only in Tropical country like Malnutrition modulated diabetes Mellitus (MMDM) and Fibrocalculous pancreatic diabetes (FCPD). Aim and Objective: To document the prevalence of young diabetes (><30 year of age at onset among the diabetic patient, to categorised the patient, find out the associations and complications as the worldwide prevalence of diabetes has raised dramatically over the past two decades and around 10% of diabetic in India have onset below 30 years of age. Material and methods: This institution based cross sectional study was conducted on consecutive 63 cases of diabetic patients whose onset of diabetes was less than 30 years, who attended the the outpatient department of the Endocrine, Nutrition and Metabolic diseases in Calcutta school of tropical medicine (CSTM) and in patient of Carmichael hospital for Tropical disease (CHTD), Kolkata from January 2012 to January 2013. Results: Among 63 patients the most commonly identified diabetes was T1DM (68.25%). The other types of diabetes seen are T2DM (14.28%), FCPD(14.28%), MMDM(03.17%). Most of the patients (69.84%) were rural population and majority (52.38%) had disease onset between the age of 10 -20 years of age. Major group of study subject (n = 29) presented with general weakness whereas Polyuria, Polydipsia with these presenting symptoms were 14 and 10 subjects respectively. The most common association was infection which was detected in 27 people. Dyslipidemia, Dimness of vision, Heart disease, HTN and Thyroid dysfunction were detected 22, 23, 03, 13 and 8 subjects respectively. Diabetic Retinopathy was detected in 18, nephropathy in 10, neuropathy in 22 and coronary artery disease were seen in 2 study subjects. Conclusion: Type 1 diabetes still the most prevalent form of young onset diabetes of India. Prevalence of type 2 diabetes is increasing among young Indian with metabolic syndrome. There is sharp decline of prevalence of MMDM but FCPD is still persisting. >