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What Is the Magnitude of Possible Misclassification?

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Among ∼700 patients 5–19 years old at three university centers in Florida newly diagnosed over a 5-year period from 1994 to 1999, 3% of those initially classified as having type 1 diabetes (17 of 605) were later diagnosed with type 2 diabetes, and 8% of those initially diagnosed with type 2 diabetes were reclassified as having type 1 diabetes (6 of 77) (21).

With increasing awareness of type 2 diabetes in children, the Florida experience probably reflects the true magnitude of the diagnostic problem.

Type 2 Diabetes in Children and Adolescents

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