No concerning associations with T1D are seen for measures of the recommended immunization schedule among children, according to a study published in Pediatrics. Jason M. Glanz, PhD, and colleagues examined the correlation between the recommended immunization schedule and T1D in a retrospective cohort study of children born between 2004 and 2014. Average days under-vaccinated (ADU), cumulative antigen exposure, and cumulative aluminum exposure were examined as measures of the immunization schedule. The mean ADU was 38 days, the mean cumulative antigen exposure was 263 antigens, and the mean cumulative aluminum exposure was 4.11 mg in a cohort of 584,171 children. A total of 1,132 incident cases of T1D were identified. There was no association seen for ADU (aHR, 1.01; 95% CI, 0.99-1.02) or cumulative antigen exposure (aHR, 0.98; 95% CI, 0.97-1.00) with T1D. An inverse association was observed for cumulative aluminum exposure greater than 3.00 mg with T1D (aHR, 0.77; 95% CI, 0.60-0.99).
Food Insecurity Prevalent Among Young People With Diabetes
Almost one in three youth and young adults (YYA) with T2D and more than one in six with T1D reported household food insecurity (HFI) in the past year—a significantly higher prevalence than in the general United States population—according to a study published in Diabetes Care. Faisal S. Malik, MD, MSHS, and colleagues assessed the prevalence of HFI and Supplemental Nutrition Assistance Program (SNAP) participation by YYA with diabetes overall and by type, as well as sociodemographic characteristics. The study included participants with youth-onset T1D and T2D from the SEARCH for Diabetes in Youth study. The researchers also examined whether HFI and SNAP participation differed by diabetes type. Multivariable logistic regression models were used to examine differences in HFI by participant characteristics. Of 2,561 respondents, 2,177 had T1D and 384 had T2D. The overall prevalence of HFI was 19.7% (95% CI, 18.1%-21.2%), but HFI was more prevalent in T2D than in T1D (30.7% vs 17.7%). SNAP participation was 14.1% (95% CI, 12.7-15.5), with greater participation among those with T2D.
