Universität zu Köln

Galler, Angela, Tittel, Sascha R., Baumeister, Harald, Reinauer, Christina, Brosig, Burkhard, Becker, Marianne, Haberland, Holger, Hilgard, Dorte, Jivan, Marcelus, Mirza, Joaquina, Schwab, Julia and Holl, Reinhard W. (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. Pediatr. Diabetes, 22 (3). S. 519 - 529. HOBOKEN: WILEY. ISSN 1399-5448

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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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Galler, Angela UNSPECIFIED UNSPECIFIED UNSPECIFIED Tittel, Sascha R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Baumeister, Harald UNSPECIFIED UNSPECIFIED UNSPECIFIED Reinauer, Christina UNSPECIFIED UNSPECIFIED UNSPECIFIED Brosig, Burkhard UNSPECIFIED UNSPECIFIED UNSPECIFIED Becker, Marianne UNSPECIFIED UNSPECIFIED UNSPECIFIED Haberland, Holger UNSPECIFIED UNSPECIFIED UNSPECIFIED Hilgard, Dorte UNSPECIFIED UNSPECIFIED UNSPECIFIED Jivan, Marcelus UNSPECIFIED UNSPECIFIED UNSPECIFIED Mirza, Joaquina UNSPECIFIED UNSPECIFIED UNSPECIFIED Schwab, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Holl, Reinhard W. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-601218
DOI:	10.1111/pedi.13177
Journal or Publication Title:	Pediatr. Diabetes
Volume:	22
Number:	3
Page Range:	S. 519 - 529
Date:	2021
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1399-5448
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Endocrinology & Metabolism; Pediatrics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/60121