OBJECTIVEStudies have suggested the association between autism spectrum disorder (ASD) and type 2 diabetes mellitus (DM)-related risk factors, such as obesity and dyslipidemia. However, the association between ASD and type 2 DM remains unknown.
RESEARCH DESIGN AND METHODSWe used the Taiwan National Health Insurance Research Database for enrolling 6,122 adolescents and young adults with ASD and 24,488 age-and sex-matched control subjects between 2002 and 2009 and monitored them until the end of 2011. Participants who developed type 2 DM during the follow-up period were identified.
RESULTS
Adolescents (hazard ratio
CONCLUSIONSAdolescents and young adults with ASD were more likely to develop type 2 DM during the follow-up. In addition, those with ASD using atypical antipsychotics exhibited a high risk. Therefore, further research is necessary to investigate the common pathophysiology of ASD and type 2 DM.Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by impairment in social cognition, interaction, and communication as well as by repetitive behavior and restricted interests (1-3). Population reports have revealed a consistent and significant rise in ASD prevalence worldwide of ;0.6-0.7%; the latest large-scale studies have estimated a 1-2% increase (1-3). Males are 2 to 3 times more likely to be affected by ASD than are females, indicating the crucial role of sex-linked factors at the genetic, endocrine, epigenetic, and environmental levels in the pathophysiology of ASD (1-3). However, the precise etiology of ASD remains unclear.