What question did this study set out to answer?

To assess changes in prevalence of type 1 and type 2 diabetes across adolescent and young adult ages while examining racial and ethnic differences.

June 12, 2026Diabetes

2092-P: Early Prevalence Shift from Type 1 towards Type 2 Diabetes across Adolescence and Young Adulthood with Marked Racial and Ethnic Differences: The PAPAYA Study

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Population

783,801 adolescents and young adults (AYAs) aged 10-30 years from Kaiser Permanente Northern California

Design

Cross-sectional

Authors

SSShylaja SrinivasanCalifornia Institute of Technology AKA KarterCalifornia Institute of Technology JLJ LiuCalifornia Institute of Technology

Discussion

Member takes

Implication

T2D predominance by young adulthood may inform screening; leaves open optimal prevention across ethnic groups.

Key Points

To assess changes in prevalence of type 1 and type 2 diabetes across adolescent and young adult ages while examining racial and ethnic differences.
Analyzed electronic health records from 783,801 adolescents and young adults aged 10-30.
Classified diabetes type using a validated algorithm.
Calculated proportion of diabetes types by age and race/ethnicity across four age categories.
Prevalence of type 1 diabetes was 4.32/1,000 and type 2 diabetes was 6.56/1,000.
T2D exceeded T1D prevalence among ages 21-25 (T1D: 6.67 vs T2D: 4.97/1,000).
Earlier T2D predominance was observed across all non-White groups.

Structured PICO

Population

783,801 adolescents and young adults (AYAs) aged 10-30 years from Kaiser Permanente Northern California

Outcome

Changes in prevalence of type 1 diabetes (T1D) and type 2 diabetes (T2D) across adolescent and young adult ages and differences across racial and ethnic groups

In a diverse cohort of adolescents and young adults, the prevalence of type 2 diabetes progressively rises and overtakes type 1 diabetes, with this shift occurring earlier in non-White populations.

Cite This Study

Srinivasan et al. (2026) studied this question.

synapsesocial.com/papers/6a2bd1386550ea4541ffe960 https://doi.org/10.2337/db26-2092-p

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2092-P: Early Prevalence Shift from Type 1 towards Type 2 Diabetes across Adolescence and Young Adulthood with Marked Racial and Ethnic Differences: The PAPAYA Study

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

2092-P: Early Prevalence Shift from Type 1 towards Type 2 Diabetes across Adolescence and Young Adulthood with Marked Racial and Ethnic Differences: The PAPAYA Study

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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