Major increase in Type 1 diabetes - no support for the Accelerator Hypothesis

Abstract

BACKGROUND: The Accelerator Hypothesis postulates that the apparent increase in incidence of Type 1 diabetes mellitus (T1DM) is related to an acceleration of disease onset by weight-related insulin resistance. Our diabetes clinic has experienced a major recent increase in newly diagnosed diabetes. The Accelerator Hypothesis predicts that this increase should be associated with younger age and increased body mass at diagnosis, with youngest children having the highest body mass index (BMI). AIM: To test the Accelerator Hypothesis in the context of the major increase in T1DM at our centre. METHODS: Data from all young people diagnosed with T1DM between 1992 and 2003 were reviewed. Height and w..