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Poor metabolic control in children and adolescents with type 1 diabetes and psychiatric comorbidity

Diabetes Care Oct 04, 2018

Sildorf SM, et al. - For this population-based study, data from the Danish Registry of Childhood and Adolescent Diabetes (DanDiabKids) and National Patient Register were gathered (1996–2015) to explore predictive factors and diabetes outcomes in a pediatric population with and without psychiatric comorbidities. Results of this study suggested that high average HbA1c levels during the initial 2 years following the onset of type 1 diabetes could forecast a higher risk of psychiatric diagnoses. Findings revealed that higher HbA1c levels and an increased risk of hospitalization with diabetic ketoacidosis was seen in patients with psychiatric comorbidity. No correlations were seen with BMI or severe hypoglycemia. The risk of poor metabolic outcomes was higher in children and adolescents with psychiatric comorbidity and type 1 diabetes. They suggested that early focus on the disease burden could improve results.

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