A new study published in the current issue of Diabetes Care shows that the incidence of children under 5 years old has increased by 70 per cent over the last two decades. What is of particular concern, according to pediatrician Dr. Mary Pat Gallagher of the Naomi Berrie Diabetes Center is the disproportionate increase of type 1 diabetes in the very young—because they are more likely to be critically ill at the time of presentation. “It can be difficult to identify the classical symptoms of diabetes—increased urination and thirst—in a pre-verbal child who still may be in diapers,” Dr. Gallagher said. And after young children recover, she added, “parents often find it difficult to identify appropriate daycare or preschool placements despite laws that protect their right to be admitted to these settings. This will become more of an issue as we see more and more toddlers being diagnosed.” The study was conducted at the University of Pennsylvania School of Nursing in Philadelphia, which has maintained a registry of diabetes in children since 1985. Click here to read more.