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Worse glycemic control, higher rates of diabetic ketoacidosis, and more hospitalizations in children, adolescents, and young adults with type 1 diabetes and anxiety disorders

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peer-reviewed

Erstveröffentlichung
2021-02-02
Authors
Galler, Angela
Tittel, Sascha R.
Baumeister, Harald
Reinauer, Christina
Brosig, Burkhard
et al.
Wissenschaftlicher Artikel


Published in
Pediatric Diabetes ; 22 (2021), 3. - S. 519-528. - ISSN 1399-543X. - eISSN 1399-5448
Link to original publication
https://dx.doi.org/10.1111/pedi.13177
Faculties
Medizinische Fakultät
Fakultät für Ingenieurwissenschaften, Informatik und Psychologie
Institutions
Institut für Epidemiologie und Medizinische Biometrie
Zentralinstitut für Biomedizinische Technik (ZIBMT)
Institut für Psychologie und Pädagogik
External cooperations
Deutsches Zentrum für Diabetesforschung
Universitätsklinikum Düsseldorf
Universitätsklinikum Gießen und Marburg
Centre Hospitalier de Luxembourg
Sana Klinikum Lichtenberg
et al.
Document version
published version (publisher's PDF)
Abstract
Abstract The aim of the study was to explore the metabolic characteristics and outcome parameters in youth with type 1 diabetes and anxiety disorders. HbA1c levels, rates of severe hypoglycemia, diabetic ketoacidosis (DKA), and hospital admission in children, adolescents, and young adults with type 1 diabetes and an anxiety disorder from 431 diabetes‐care‐centers participating in the nationwide German/Austrian/Swiss/Luxembourgian diabetes survey DPV were analyzed and compared with youth without anxiety disorders. Children, adolescents, and young adults with type 1 diabetes and anxiety disorders (n = 1325) had significantly higher HbA1c (8.5% vs. 8.2%), higher rates of DKA (4.2 vs. 2.5 per 100 patient‐years), and higher hospital admission rates (63.6 vs. 40.0 per 100 patient‐years) than youth without anxiety disorders (all p < 0.001). Rates of severe hypoglycemia did not differ. Individuals with anxiety disorders other than needle phobia (n = 771) had higher rates of DKA compared to those without anxiety disorders (4.2 vs. 2.5 per 100 patient‐years, p = 0.003) whereas the rate of DKA in individuals with needle phobia (n = 555) was not significantly different compared to those without anxiety disorders. Children, adolescents, and young adults with anxiety disorders other than needle phobia had higher hospitalization rates (73.7 vs. 51.4 per 100 patient‐years) and more inpatient days (13.2 vs. 10.1 days) compared to those with needle phobia (all p < 0.001). Children, adolescents, and young adults with type 1 diabetes and anxiety disorders had worse glycemic control, higher rates of DKA, and more hospitalizations compared to those without anxiety disorders. Because of the considerable consequences, clinicians should screen for comorbid anxiety disorders in youth with type 1 diabetes.
Subject headings
[GND]: Diabetes mellitus Typ 1 | Angststörung | Kind | Jugend
[MeSH]: Diabetes mellitus, Type 1 | Anxiety disorders | Child | Adolescent
[DDC subject group]: DDC 610 / Medicine & health
License
CC-BY-NC International 4.0

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DOI & citation

Please use this identifier to cite or link to this item: http://dx.doi.org/10.18725/OPARU-40137

Galler, Angela et al. (2021): Worse glycemic control, higher rates of diabetic ketoacidosis, and more hospitalizations in children, adolescents, and young adults with type 1 diabetes and anxiety disorders. Open Access Repositorium der Universität Ulm und Technischen Hochschule Ulm. http://dx.doi.org/10.18725/OPARU-40137
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