• Med. J. Aust. · Jun 2008

    Causes of death in young Australians with type 1 diabetes: a review of coronial postmortem examinations.

    • Emily Tu, Stephen M Twigg, Johan Duflou, and Christopher Semsarian.
    • Agnes Ginges Centre for Molecular Cardiology, Centenary Institute, Sydney, NSW.
    • Med. J. Aust. 2008 Jun 16; 188 (12): 699-702.

    ObjectiveTo determine the causes of death in Australians with type 1 diabetes mellitus who died aged 40 years or younger.Design And SettingRetrospective review of autopsy reports at the Department of Forensic Medicine, Sydney, New South Wales, 1 January 1994-31 December 2006.Main Outcome MeasureCauses of mortality in people with type 1 diabetes aged <40 years.ResultsOf the 26 682 autopsy reports, 1914 were for individuals with diabetes (type 1, 400; type 2, 1514). Cardiovascular disease accounted for 51% of deaths (169/333) in people with type 1 diabetes aged >40 years, versus 13% among those aged ConclusionsIn deceased young people with type 1 diabetes examined by the Coroner, acute diabetic complications, unnatural causes, and sudden unexpected deaths were the predominant causes of death. The relatively high frequency of sudden unexpected deaths, such as dead-in-bed syndrome, requires further investigation.

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