Type 1 and Type 2 Diabetes in Asian and Pacific Islander U.S. Youth

Type 1 and Type 2 Diabetes in Asian and Pacific Islander U.S. Youth The SEARCH for Diabetes in Youth Study Lenna L. Liu , MD, MPH 1 , Joyce P. Yi , PHD 1 , Jennifer Beyer , MS 2 , Elizabeth J. Mayer-Davis , PHD 3 4 , Lawrence M. Dolan , MD 5 , Dana M. Dabelea , MD, PHD 6 , Jean M. Lawrence , SCD, MP...

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Veröffentlicht in:Diabetes care 2009-03, Vol.32 (Supplement 2), p.S133-S140
Hauptverfasser: Liu, Lenna L., Yi, Joyce P., Beyer, Jennifer, Mayer-Davis, Elizabeth J., Dolan, Lawrence M., Dabelea, Dana M., Lawrence, Jean M., Rodriguez, Beatriz L., Marcovina, Santica M., Waitzfelder, Beth E., Fujimoto, Wilfred Y.
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container_end_page S140
container_issue Supplement 2
container_start_page S133
container_title Diabetes care
container_volume 32
creator Liu, Lenna L.
Yi, Joyce P.
Beyer, Jennifer
Mayer-Davis, Elizabeth J.
Dolan, Lawrence M.
Dabelea, Dana M.
Lawrence, Jean M.
Rodriguez, Beatriz L.
Marcovina, Santica M.
Waitzfelder, Beth E.
Fujimoto, Wilfred Y.
description Type 1 and Type 2 Diabetes in Asian and Pacific Islander U.S. Youth The SEARCH for Diabetes in Youth Study Lenna L. Liu , MD, MPH 1 , Joyce P. Yi , PHD 1 , Jennifer Beyer , MS 2 , Elizabeth J. Mayer-Davis , PHD 3 4 , Lawrence M. Dolan , MD 5 , Dana M. Dabelea , MD, PHD 6 , Jean M. Lawrence , SCD, MPH, MSSA 7 , Beatriz L. Rodriguez , MD 8 , Santica M. Marcovina , PHD, SCD 9 , Beth E. Waitzfelder , PHD 8 , Wilfred Y. Fujimoto , MD 8 and for the SEARCH for Diabetes in Youth Study Group 1 Department of Pediatrics, Seattle Children's Hospital, Seattle, Washington 2 Department of Public Health Sciences, Wake Forest University Health Sciences, Winston-Salem, North Carolina 3 Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 4 Center for Research in Nutrition and Health Disparities and Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, South Carolina 5 Department of Pediatrics, Cincinnati Children's Hospital, Cincinnati, Ohio 6 Department of Preventive Medicine and Biometrics, University of Colorado, Denver, Colorado 7 Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California 8 Pacific Health Research Institute, Honolulu, Hawaii 9 Northwest Lipid Metabolism and Diabetes Research Laboratories, University of Washington, Seattle, Washington Corresponding author: Lenna L. Liu, lennall{at}u.washington.edu Abstract OBJECTIVE —Given limited reports on diabetes among U.S. Asian and Pacific Islander youth, we describe the clinical characteristics, incidence, and prevalence of diabetes among Asian, Pacific Islander, and mixed Asian–Pacific Islander youth. RESEARCH DESIGN AND METHODS —Data were collected from 245 Asian, Pacific Islander, and Asian–Pacific Islander participants in the SEARCH for Diabetes in Youth Study, a population-based study of diabetes in youth (aged 33 kg/m 2 . In those with type 1 diabetes, Pacific Islanders were more likely to be obese, with a mean BMI of 26 vs. 20 kg/m 2 for Asian and Asian–Pacific Islander youth ( P < 0.0001). The incidence of type 1 diabetes for youth aged 0–9 years was 6.4 per 100,000 person-years and 7.4 per 100,000 person-year
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Liu , MD, MPH 1 , Joyce P. Yi , PHD 1 , Jennifer Beyer , MS 2 , Elizabeth J. Mayer-Davis , PHD 3 4 , Lawrence M. Dolan , MD 5 , Dana M. Dabelea , MD, PHD 6 , Jean M. Lawrence , SCD, MPH, MSSA 7 , Beatriz L. Rodriguez , MD 8 , Santica M. Marcovina , PHD, SCD 9 , Beth E. Waitzfelder , PHD 8 , Wilfred Y. Fujimoto , MD 8 and for the SEARCH for Diabetes in Youth Study Group 1 Department of Pediatrics, Seattle Children's Hospital, Seattle, Washington 2 Department of Public Health Sciences, Wake Forest University Health Sciences, Winston-Salem, North Carolina 3 Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 4 Center for Research in Nutrition and Health Disparities and Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, South Carolina 5 Department of Pediatrics, Cincinnati Children's Hospital, Cincinnati, Ohio 6 Department of Preventive Medicine and Biometrics, University of Colorado, Denver, Colorado 7 Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California 8 Pacific Health Research Institute, Honolulu, Hawaii 9 Northwest Lipid Metabolism and Diabetes Research Laboratories, University of Washington, Seattle, Washington Corresponding author: Lenna L. Liu, lennall{at}u.washington.edu Abstract OBJECTIVE —Given limited reports on diabetes among U.S. Asian and Pacific Islander youth, we describe the clinical characteristics, incidence, and prevalence of diabetes among Asian, Pacific Islander, and mixed Asian–Pacific Islander youth. RESEARCH DESIGN AND METHODS —Data were collected from 245 Asian, Pacific Islander, and Asian–Pacific Islander participants in the SEARCH for Diabetes in Youth Study, a population-based study of diabetes in youth (aged &lt;20 years). Additionally, we estimated the incidence and prevalence of type 1 and type 2 diabetes for Asian, Pacific Islander, and Asian–Pacific Islander youth combined. RESULTS —Most participants with type 2 diabetes were obese (range Asian 71% to Pacific Islander 100%) with mean BMI &gt;33 kg/m 2 . In those with type 1 diabetes, Pacific Islanders were more likely to be obese, with a mean BMI of 26 vs. 20 kg/m 2 for Asian and Asian–Pacific Islander youth ( P &lt; 0.0001). The incidence of type 1 diabetes for youth aged 0–9 years was 6.4 per 100,000 person-years and 7.4 per 100,000 person-years for youth aged 10–19 years. The incidence of type 2 diabetes was 12.1 per 100,000 person-years for youth aged 10–19 years. CONCLUSIONS —While Asian and Asian–Pacific Islanders with type 1 and type 2 diabetes had lower mean BMIs than Pacific Islanders, all Asian, Pacific Islander, and Asian–Pacific Islanders with type 2 diabetes had mean BMIs above adult ethnicity-specific definitions of obesity. While the majority of Asian, Pacific Islander, and Asian–Pacific Islander youth had type 1 diabetes, older Asian, Pacific Islander, and Asian–Pacific Islander youth (aged 10–19 years) have an incidence of type 2 diabetes almost double that of type 1 diabetes. Public health efforts to prevent type 2 diabetes and obesity in Asian, Pacific Islander, and Asian–Pacific Islander adolescents are needed. Footnotes The contents of this report are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention and the National Institute of Diabetes and Digestive and Kidney Diseases. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ for details. DIABETES CARE</description><identifier>ISSN: 0149-5992</identifier><identifier>EISSN: 1935-5548</identifier><identifier>DOI: 10.2337/dc09-S205</identifier><identifier>PMID: 19246578</identifier><identifier>CODEN: DICAD2</identifier><language>eng</language><publisher>Alexandria: American Diabetes Association</publisher><subject>Children &amp; youth ; Diabetes ; Ethnicity ; Health Insurance Portability &amp; Accountability Act 1996-US ; Hispanic people ; Hospitals ; Kidney diseases ; Medical research ; Physical examinations ; Review boards ; Risk factors</subject><ispartof>Diabetes care, 2009-03, Vol.32 (Supplement 2), p.S133-S140</ispartof><rights>Copyright American Diabetes Association Mar 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3185-47f3cd2ce2e1a867b69881faebb64859e7a31c348bce2eec64741cefa3b267eb3</citedby><cites>FETCH-LOGICAL-c3185-47f3cd2ce2e1a867b69881faebb64859e7a31c348bce2eec64741cefa3b267eb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Liu, Lenna L.</creatorcontrib><creatorcontrib>Yi, Joyce P.</creatorcontrib><creatorcontrib>Beyer, Jennifer</creatorcontrib><creatorcontrib>Mayer-Davis, Elizabeth J.</creatorcontrib><creatorcontrib>Dolan, Lawrence M.</creatorcontrib><creatorcontrib>Dabelea, Dana M.</creatorcontrib><creatorcontrib>Lawrence, Jean M.</creatorcontrib><creatorcontrib>Rodriguez, Beatriz L.</creatorcontrib><creatorcontrib>Marcovina, Santica M.</creatorcontrib><creatorcontrib>Waitzfelder, Beth E.</creatorcontrib><creatorcontrib>Fujimoto, Wilfred Y.</creatorcontrib><creatorcontrib>for the SEARCH for Diabetes in Youth Study Group</creatorcontrib><title>Type 1 and Type 2 Diabetes in Asian and Pacific Islander U.S. Youth</title><title>Diabetes care</title><description>Type 1 and Type 2 Diabetes in Asian and Pacific Islander U.S. Youth The SEARCH for Diabetes in Youth Study Lenna L. Liu , MD, MPH 1 , Joyce P. Yi , PHD 1 , Jennifer Beyer , MS 2 , Elizabeth J. Mayer-Davis , PHD 3 4 , Lawrence M. Dolan , MD 5 , Dana M. Dabelea , MD, PHD 6 , Jean M. Lawrence , SCD, MPH, MSSA 7 , Beatriz L. Rodriguez , MD 8 , Santica M. Marcovina , PHD, SCD 9 , Beth E. Waitzfelder , PHD 8 , Wilfred Y. Fujimoto , MD 8 and for the SEARCH for Diabetes in Youth Study Group 1 Department of Pediatrics, Seattle Children's Hospital, Seattle, Washington 2 Department of Public Health Sciences, Wake Forest University Health Sciences, Winston-Salem, North Carolina 3 Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 4 Center for Research in Nutrition and Health Disparities and Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, South Carolina 5 Department of Pediatrics, Cincinnati Children's Hospital, Cincinnati, Ohio 6 Department of Preventive Medicine and Biometrics, University of Colorado, Denver, Colorado 7 Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California 8 Pacific Health Research Institute, Honolulu, Hawaii 9 Northwest Lipid Metabolism and Diabetes Research Laboratories, University of Washington, Seattle, Washington Corresponding author: Lenna L. Liu, lennall{at}u.washington.edu Abstract OBJECTIVE —Given limited reports on diabetes among U.S. Asian and Pacific Islander youth, we describe the clinical characteristics, incidence, and prevalence of diabetes among Asian, Pacific Islander, and mixed Asian–Pacific Islander youth. RESEARCH DESIGN AND METHODS —Data were collected from 245 Asian, Pacific Islander, and Asian–Pacific Islander participants in the SEARCH for Diabetes in Youth Study, a population-based study of diabetes in youth (aged &lt;20 years). Additionally, we estimated the incidence and prevalence of type 1 and type 2 diabetes for Asian, Pacific Islander, and Asian–Pacific Islander youth combined. RESULTS —Most participants with type 2 diabetes were obese (range Asian 71% to Pacific Islander 100%) with mean BMI &gt;33 kg/m 2 . In those with type 1 diabetes, Pacific Islanders were more likely to be obese, with a mean BMI of 26 vs. 20 kg/m 2 for Asian and Asian–Pacific Islander youth ( P &lt; 0.0001). The incidence of type 1 diabetes for youth aged 0–9 years was 6.4 per 100,000 person-years and 7.4 per 100,000 person-years for youth aged 10–19 years. The incidence of type 2 diabetes was 12.1 per 100,000 person-years for youth aged 10–19 years. CONCLUSIONS —While Asian and Asian–Pacific Islanders with type 1 and type 2 diabetes had lower mean BMIs than Pacific Islanders, all Asian, Pacific Islander, and Asian–Pacific Islanders with type 2 diabetes had mean BMIs above adult ethnicity-specific definitions of obesity. While the majority of Asian, Pacific Islander, and Asian–Pacific Islander youth had type 1 diabetes, older Asian, Pacific Islander, and Asian–Pacific Islander youth (aged 10–19 years) have an incidence of type 2 diabetes almost double that of type 1 diabetes. Public health efforts to prevent type 2 diabetes and obesity in Asian, Pacific Islander, and Asian–Pacific Islander adolescents are needed. Footnotes The contents of this report are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention and the National Institute of Diabetes and Digestive and Kidney Diseases. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ for details. DIABETES CARE</description><subject>Children &amp; youth</subject><subject>Diabetes</subject><subject>Ethnicity</subject><subject>Health Insurance Portability &amp; Accountability Act 1996-US</subject><subject>Hispanic people</subject><subject>Hospitals</subject><subject>Kidney diseases</subject><subject>Medical research</subject><subject>Physical examinations</subject><subject>Review boards</subject><subject>Risk factors</subject><issn>0149-5992</issn><issn>1935-5548</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNotkMtOwzAQRS0EoqWw4A8sdixS_I69rMqrUiWQ2i5YWY4zoanaJNiJUP-epGU1984czWguQveUTBnn6VPuiUlWjMgLNKaGy0RKoS_RmFBhEmkMG6GbGHeEECG0vkYjaphQMtVjNF8fG8AUuyrHJ8nwc-kyaCHissKzWLrqNPx0vixKjxdx31sIeDNdTfFX3bXbW3RVuH2Eu_86QZvXl_X8PVl-vC3ms2XiOdUyEWnBfc48MKBOqzRTRmtaOMgyJbQ0kDpOPRc6GxDwSqSCeigcz5hKIeMT9HDe24T6p4PY2l3dhao_aRnjhEmlZA89niEf6hgDFLYJ5cGFo6XEDmnZIS07pNWz8sxuy-_tbxnA5v-_D8K7vsGZXXVNs4cDVK3tDeWc_wE8e2uo</recordid><startdate>20090301</startdate><enddate>20090301</enddate><creator>Liu, Lenna L.</creator><creator>Yi, Joyce P.</creator><creator>Beyer, Jennifer</creator><creator>Mayer-Davis, Elizabeth J.</creator><creator>Dolan, Lawrence M.</creator><creator>Dabelea, Dana M.</creator><creator>Lawrence, Jean M.</creator><creator>Rodriguez, Beatriz L.</creator><creator>Marcovina, Santica M.</creator><creator>Waitzfelder, Beth E.</creator><creator>Fujimoto, Wilfred Y.</creator><general>American Diabetes Association</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0K</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>S0X</scope></search><sort><creationdate>20090301</creationdate><title>Type 1 and Type 2 Diabetes in Asian and Pacific Islander U.S. Youth</title><author>Liu, Lenna L. ; Yi, Joyce P. ; Beyer, Jennifer ; Mayer-Davis, Elizabeth J. ; Dolan, Lawrence M. ; Dabelea, Dana M. ; Lawrence, Jean M. ; Rodriguez, Beatriz L. ; Marcovina, Santica M. ; Waitzfelder, Beth E. ; Fujimoto, Wilfred Y.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3185-47f3cd2ce2e1a867b69881faebb64859e7a31c348bce2eec64741cefa3b267eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Children &amp; youth</topic><topic>Diabetes</topic><topic>Ethnicity</topic><topic>Health Insurance Portability &amp; Accountability Act 1996-US</topic><topic>Hispanic people</topic><topic>Hospitals</topic><topic>Kidney diseases</topic><topic>Medical research</topic><topic>Physical examinations</topic><topic>Review boards</topic><topic>Risk factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Lenna L.</creatorcontrib><creatorcontrib>Yi, Joyce P.</creatorcontrib><creatorcontrib>Beyer, Jennifer</creatorcontrib><creatorcontrib>Mayer-Davis, Elizabeth J.</creatorcontrib><creatorcontrib>Dolan, Lawrence M.</creatorcontrib><creatorcontrib>Dabelea, Dana M.</creatorcontrib><creatorcontrib>Lawrence, Jean M.</creatorcontrib><creatorcontrib>Rodriguez, Beatriz L.</creatorcontrib><creatorcontrib>Marcovina, Santica M.</creatorcontrib><creatorcontrib>Waitzfelder, Beth E.</creatorcontrib><creatorcontrib>Fujimoto, Wilfred Y.</creatorcontrib><creatorcontrib>for the SEARCH for Diabetes in Youth Study Group</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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Liu , MD, MPH 1 , Joyce P. Yi , PHD 1 , Jennifer Beyer , MS 2 , Elizabeth J. Mayer-Davis , PHD 3 4 , Lawrence M. Dolan , MD 5 , Dana M. Dabelea , MD, PHD 6 , Jean M. Lawrence , SCD, MPH, MSSA 7 , Beatriz L. Rodriguez , MD 8 , Santica M. Marcovina , PHD, SCD 9 , Beth E. Waitzfelder , PHD 8 , Wilfred Y. Fujimoto , MD 8 and for the SEARCH for Diabetes in Youth Study Group 1 Department of Pediatrics, Seattle Children's Hospital, Seattle, Washington 2 Department of Public Health Sciences, Wake Forest University Health Sciences, Winston-Salem, North Carolina 3 Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 4 Center for Research in Nutrition and Health Disparities and Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, South Carolina 5 Department of Pediatrics, Cincinnati Children's Hospital, Cincinnati, Ohio 6 Department of Preventive Medicine and Biometrics, University of Colorado, Denver, Colorado 7 Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California 8 Pacific Health Research Institute, Honolulu, Hawaii 9 Northwest Lipid Metabolism and Diabetes Research Laboratories, University of Washington, Seattle, Washington Corresponding author: Lenna L. Liu, lennall{at}u.washington.edu Abstract OBJECTIVE —Given limited reports on diabetes among U.S. Asian and Pacific Islander youth, we describe the clinical characteristics, incidence, and prevalence of diabetes among Asian, Pacific Islander, and mixed Asian–Pacific Islander youth. RESEARCH DESIGN AND METHODS —Data were collected from 245 Asian, Pacific Islander, and Asian–Pacific Islander participants in the SEARCH for Diabetes in Youth Study, a population-based study of diabetes in youth (aged &lt;20 years). Additionally, we estimated the incidence and prevalence of type 1 and type 2 diabetes for Asian, Pacific Islander, and Asian–Pacific Islander youth combined. RESULTS —Most participants with type 2 diabetes were obese (range Asian 71% to Pacific Islander 100%) with mean BMI &gt;33 kg/m 2 . In those with type 1 diabetes, Pacific Islanders were more likely to be obese, with a mean BMI of 26 vs. 20 kg/m 2 for Asian and Asian–Pacific Islander youth ( P &lt; 0.0001). The incidence of type 1 diabetes for youth aged 0–9 years was 6.4 per 100,000 person-years and 7.4 per 100,000 person-years for youth aged 10–19 years. The incidence of type 2 diabetes was 12.1 per 100,000 person-years for youth aged 10–19 years. CONCLUSIONS —While Asian and Asian–Pacific Islanders with type 1 and type 2 diabetes had lower mean BMIs than Pacific Islanders, all Asian, Pacific Islander, and Asian–Pacific Islanders with type 2 diabetes had mean BMIs above adult ethnicity-specific definitions of obesity. While the majority of Asian, Pacific Islander, and Asian–Pacific Islander youth had type 1 diabetes, older Asian, Pacific Islander, and Asian–Pacific Islander youth (aged 10–19 years) have an incidence of type 2 diabetes almost double that of type 1 diabetes. Public health efforts to prevent type 2 diabetes and obesity in Asian, Pacific Islander, and Asian–Pacific Islander adolescents are needed. Footnotes The contents of this report are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention and the National Institute of Diabetes and Digestive and Kidney Diseases. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ for details. DIABETES CARE</abstract><cop>Alexandria</cop><pub>American Diabetes Association</pub><pmid>19246578</pmid><doi>10.2337/dc09-S205</doi><oa>free_for_read</oa></addata></record>
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source EZB-FREE-00999 freely available EZB journals
subjects Children & youth
Diabetes
Ethnicity
Health Insurance Portability & Accountability Act 1996-US
Hispanic people
Hospitals
Kidney diseases
Medical research
Physical examinations
Review boards
Risk factors
title Type 1 and Type 2 Diabetes in Asian and Pacific Islander U.S. Youth
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