What is it about?
Children with type 1 diabetes and psychiatric co-morbidity have less favorable clinical outcomes. We have followed all children diagnosed with type 1 diabetes in Denmark over a period of 10 years and identified those who developed a psychiatric disease. The consequence of having diabetes and a psychiatric diagnosis is on average a higher blood glucose and higher risk of being hospitalized with ketoacidosis. This means this group have a much higher risk of long-term complications and higher mortality.
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Why is it important?
Children diagnosed with type 1 diabetes have a higher risk of developing a psychiatric disease. Many of these psychiatric diseases are preventable. The psychiatric disease increases the risk of worse clinical outcome meaning a further increase in these individuals risk of complications like retinopathy, neuropathy and nephropathy. If signs of psychological challenges or deteriorating glycemic control is detected, early intervention and support may improve outcome
Perspectives
The adverse outcomes may be prevented and the individual patient may stay healthy and thereby able to found a family, take an education and work or in other ways contribute to the society
Associated professor Jannet Svensson
Copenhagen University Hospital Copenhagen
Read the Original
This page is a summary of: Poor Metabolic Control in Children and Adolescents With Type 1 Diabetes and Psychiatric Comorbidity, Diabetes Care, September 2018, American Diabetes Association,
DOI: 10.2337/dc18-0609.
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