Prediabetes — a condition wherein blood sugar levels are elevated, but not high enough to warrant a diagnosis of Type 2 diabetes — was estimated at 18% among adolescents ages 12 to 18, and 24% among young adults ages 19 to 34.
More commonly associated with children has been Type 1 diabetes, an autoimmune condition in which the pancreas doesn’t produce much, if any, insulin. In Type 2 diabetes, which develops over years and has been linked to obesity, the body becomes less responsive to insulin, which the body needs to balance glucose in the bloodstream.
Analyzing nearly 5,800 individuals included in a national health survey from 2005 to 2016, the study authors found that “the prevalence of prediabetes in male individuals was almost twice that in female individuals” — 22.5% vs. 13.4% in adolescents and 29.1% vs. 18.8% in young adults.
Prediabetes was also more common among young people with obesity, which is also closely linked to Type 2 diabetes in adults. More than a quarter of obese adolescents and more than a third of obese young adults were found to have prediabetes — versus less than 17% of individuals with normal weight in both age groups.
Young people were determined to have prediabetes through any of several tests — of fasting glucose, glucose tolerance or hemoglobin A1c. As a group, those with prediabetes had higher systolic blood pressure, more fat tissue around the abdomen, higher non-HDL cholesterol and lower insulin sensitivity than their peers with normal glucose tolerance.