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Dual diagnosis of type 1 diabetes mellitus and attention deficit hyperactivity disorder
- Source :
- Pediatric diabetesREFERENCES. 22(4)
- Publication Year :
- 2020
-
Abstract
- Background Data regarding glycemic control in children and adolescents with a dual diagnosis of type 1 diabetes mellitus (T1DM) and attention-deficit/hyperactivity disorder (ADHD) are limited. Objective To compare various aspects of diabetes control among youth with T1DM, between those with and without ADHD. Methods In this cross-sectional study of youth with T1DM, 39 had ADHD (mean age 14.1 ± 2.8 years) and 82 did not (control group, mean age 12.6 ± 3.3 years). Health-related quality of life was assessed by a Diabetes Quality of Life (DQOL) questionnaire submitted to their parents. Glycemic data were downloaded from glucometers, pumps, and continuous glucose monitoring systems. HbA1c levels, hospitalizations, and severe hypoglycemic and diabetes ketoacidosis events were retrieved from the medical files. Results Compared to the control group mean HbA1c level of the ADHD group was higher: 8.3 ± 1.1% versus 7.7 ± 1.0% (p = 0.005) and the percent of time that glucose level was in the target range (70-180 mg/dl) was lower: 48 ± 17% versus 59 ± 14% (p = 0.006). Mean glucose and glucose variability were higher in the ADHD group. Youth with ADHD who were not pharmacologically treated had worse HbA1c and more hospitalizations than those who were treated. DQOL did not differ between the control group, the treated ADHD group, and the untreated ADHD-Group. Conclusions Dual diagnosis of T1DM and ADHD during childhood leads to worse diabetes control, which is more pronounced in the context of untreated ADHD. Healthcare providers should be aware of the difficulties facing youth with T1DM and ADHD in coping with the current intensive treatment of diabetes.
- Subjects :
- Blood Glucose
Male
Pediatrics
medicine.medical_specialty
Adolescent
Endocrinology, Diabetes and Metabolism
030209 endocrinology & metabolism
Context (language use)
03 medical and health sciences
0302 clinical medicine
Quality of life
Diabetes mellitus
Surveys and Questionnaires
mental disorders
Internal Medicine
medicine
Attention deficit hyperactivity disorder
Humans
Hypoglycemic Agents
Insulin
030212 general & internal medicine
Child
Glycemic
Type 1 diabetes
business.industry
medicine.disease
Ketoacidosis
Hospitalization
Cross-Sectional Studies
Diabetes Mellitus, Type 1
Attention Deficit Disorder with Hyperactivity
Case-Control Studies
Pediatrics, Perinatology and Child Health
Quality of Life
Dual diagnosis
Female
business
Subjects
Details
- ISSN :
- 13995448
- Volume :
- 22
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Pediatric diabetesREFERENCES
- Accession number :
- edsair.doi.dedup.....ea7d307be1fc7d3d99feaabd6da2d90d