A global increase in the occurrence of Type 1 diabetes mellitus during chil
dhood has been observed. In Germany, data on the frequency of diabetes beca
me available only a few years ago. The Baden-Wurttemberg Incidence Registry
is currently the most comprehensive data collection system pertaining to c
hildhood-onset diabetes in Germany; and is affiliated to the EURODIAB data
bank, a collaborative European network. The mean standardized sex- and age-
specific incidence rate for diabetes mellitus among children aged 0-14 year
s is 12.9/100,000 per year (95% Cl 12.4-13.4), calculated on the basis of t
he data pool for the period from 1987 to 1998. During this time, it was obs
erved that the incidence rate increased by 47%. This is equivalent to a yea
rly increase of 3.6%. The prevalence for the age group 0 - 14 years is betw
een 0.08 and 0.09%, whereas it is between 0.13 and 0.15% for the total grou
p under 20 years of age [18]. Our calculations predict a doubling of the in
cidence rate within 20 years, reaching 24.7/100,000 children a year in the
year 2020.