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AuthorHilgard, Dö
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AbstractBackground: International guidelines recommend psychosocial care for children and adolescents with type 1 diabetes. Objective: To assess psychological care in children and adolescents with type 1 diabetes in a real‐world setting and to evaluate associations with metabolic outcome. Methods: Delivery of psychological care, HbA1c, and rates of severe hypoglycemia and diabetic ketoacidosis (DKA) in children and adolescents with type 1 diabetes from 199 diabetes care centers participating in the German diabetes survey (DPV) were analyzed. Results: Overall, 12 326 out of 31 861 children with type 1 diabetes were supported by short‐term or continued psychological care (CPC). Children with psychological care had higher HbA1c (8.0% vs 7.7%, P <.001) and higher rates of DKA (0.032 vs 0.021 per patient‐year, P <.001) compared with children without psychological care. In age‐, sex‐, diabetes duration‐, and migratory background‐matched children, HbA1c stayed stable in children supported by CPC during follow‐up (HbA1c 8.5% one year before psychological care started vs 8.4% after two years, P = 1.0), whereas HbA1c was lower but increased significantly by 0.3% in children without psychological care (HbA1c 7.5% vs 7.8% after two years, P <.001). Additional HbA1c‐matching showed that the change in HbA1c during follow‐up was not different between the groups, but the percentage of children with severe hypoglycemia decreased from 16.3% to 10.7% in children receiving CPC compared with children without psychological care (5.5% to 5.8%, P =.009). Conclusions: In this real‐world setting, psychological care was provided to children with higher HbA1c levels. CPC was associated with stable glycemic control and less frequent severe hypoglycemia during follow‐up.dc.description.abstract
PublisherUniversität Ulmdc.publisher
LicenseCC BY-NC-ND 4.0 Internationaldc.rights
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Dewey Decimal GroupDDC 150 / Psychologydc.subject.ddc
Dewey Decimal GroupDDC 610 / Medicine & healthdc.subject.ddc
MeSHDiabetes mellitus, Type 1dc.subject.mesh
MeSHGlycated hemoglobin Adc.subject.mesh
TitlePsychological care in children and adolescents with type 1 diabetesin a real-world setting and associations with metabolic controldc.title
Resource typeWissenschaftlicher Artikeldc.type
GNDDiabetes mellitus Typ 1dc.subject.gnd
GNDPsychologische Betreuungdc.subject.gnd
FacultyMedizinische Fakultätuulm.affiliationGeneral
InstitutionInstitut für Epidemiologie und medizinische Biometrieuulm.affiliationSpecific
Peer reviewjauulm.peerReview
DCMI TypeTextuulm.typeDCMI
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DOI of original publication10.1111/pedi.13065dc.relation1.doi
Source - Title of sourcePediatric Diabetessource.title
Source - Place of publicationJohn Wiley and Sonssource.publisher
Source - Volume2020source.volume
Source - Year2020source.year
Source - eISSN1399-543Xsource.identifier.eissn
EU projectINNODIA / Translational approaches to disease modifying therapy of type 1 diabetes: an innovative approach towards understanding and arresting type 1 diabetes – Sofia ref.: 115797 / EC / H2020 / 115797uulm.projectEU
FundingCompetence Network Diabetes Mellitusuulm.funding
FundingDeutsche Diabetes Gesellschaftuulm.funding
FundingGerman Centre for Diabetes Research (DZD)uulm.funding
FundingRobert‐Koch‐Institute (RKI)uulm.funding
FundingDiabetes Associationuulm.funding
University Bibliographyjauulm.unibibliographie

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CC BY-NC-ND 4.0 International
Except where otherwise noted, this item's license is described as CC BY-NC-ND 4.0 International