Pediatric Diabetes Prevalence Among Medicaid Beneficiaries

How has the prevalence of type 1 and type 2 diabetes changed from 2016 to 2021 within Medicaid- and Children’s Health Insurance Program–enrolled youths aged 18 years or younger across the US, and how have trends varied by demographic and geographic characteristics?In this cross-sectional study of 25 to 30 million youths across 43 states, pediatric diabetes prevalence increased by 11.4%, with type 2 diabetes increasing by 24.3%. The largest increases occurred among males, Hispanic youths, urban youths, and residents of the western US.The increasing burden of pediatric diabetes among publicly insured youths, including historically lower-risk populations, highlights the urgent need for prevention, early screening, and targeted interventions.

Corresponding Author: Bisakha Sen, PhD, University of Alabama at Birmingham, Ryals Public Health Building (RPHB), 1665 University Blvd, Birmingham, AL 35233 (bsen@uab.edu).

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