Universität zu Köln

Galler, Angela, Hilgard, Doerte, Bollow, Esther, Hermann, Thomas, Kretschmer, Nicole, Maier, Berthold, Moenkemoeller, Kirsten ORCID: 0000-0002-9409-441X, Schiel, Ralf and Holl, Reinhard W. (2020). Psychological care in children and adolescents with type 1 diabetes in a real-world setting and associations with metabolic control. Pediatr. Diabetes, 21 (6). S. 1050 - 1059. HOBOKEN: WILEY. ISSN 1399-5448

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Abstract

Background 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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Galler, Angela UNSPECIFIED UNSPECIFIED UNSPECIFIED Hilgard, Doerte UNSPECIFIED UNSPECIFIED UNSPECIFIED Bollow, Esther UNSPECIFIED UNSPECIFIED UNSPECIFIED Hermann, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Kretschmer, Nicole UNSPECIFIED UNSPECIFIED UNSPECIFIED Maier, Berthold UNSPECIFIED UNSPECIFIED UNSPECIFIED Moenkemoeller, Kirsten UNSPECIFIED orcid.org/0000-0002-9409-441X UNSPECIFIED Schiel, Ralf UNSPECIFIED UNSPECIFIED UNSPECIFIED Holl, Reinhard W. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-326796
DOI:	10.1111/pedi.13065
Journal or Publication Title:	Pediatr. Diabetes
Volume:	21
Number:	6
Page Range:	S. 1050 - 1059
Date:	2020
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1399-5448
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language DISTURBED EATING BEHAVIOR; FAMILY SYSTEMS THERAPY; HELP-SEEKING; MULTISYSTEMIC THERAPY; PSYCHIATRIC-DISORDERS; GLYCEMIC CONTROL; DEPRESSION; CHILDHOOD; STIGMA; INTERVENTIONS Multiple languages Endocrinology & Metabolism; Pediatrics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/32679