Psychosocial Illness in Children with Type 1 Diabetes Mellitus: Prevalence, Pattern and Risk Factors

Khandelwal, Shikha; Sengar, Ghanshyam Singh; Sharma, Monika; Choudhary, Shweta; Nagaraj, Niranjan

doi:10.7860/jcdr/2016/21666.8549

Cited by 25 publications

(29 citation statements)

References 22 publications

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“…Specifically, major depressive disorder was the most common disorder, while conduct disorder and generalized anxiety disorder were less common. A recent study found much higher prevalence of psychosocial illness among adolescents with T1DM compared to adolescents without diabetes (55.95% vs. 20%; P<0.0001) (23), and in this population there was increased prevalence of psychosocial illness in patients with worse glycemic control (HbA1c >7.5%, P=0.014) (23). Screening for mental health disorders including depression, anxiety, diabetes distress, and disordered eating, should be a routine part of diabetes care visits due to the increased prevalence of these conditions among young adults with diabetes and the effect of these mental health conditions on diabetes care and management.…”

Section: Mental Health Disordersmentioning

confidence: 93%

“…Furthermore, mental health concerns are more common among young adults with diabetes than those without diabetes which is an important, yet often under-evaluated barrier (23,24). Adolescents with T1DM have increased rates of psychiatric disorder, as high as 47% at age 20 with an average duration of diabetes of 10 years in one study (24).…”

Section: Mental Health Disordersmentioning

confidence: 99%

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Transition of care for patients with type 1 diabetes mellitus from pediatric to adult health care systems

2017

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Planning for the transition from pediatric to adult healthcare is broadly understood to be beneficial to the quality of care of patients with chronic illness. Due to the level of self-care that is necessary in the maintenance of most chronic diseases, it is important that pediatric settings can offer support during a time when adolescents are beginning to take more responsibility in all areas of their lives. Lack of supportive resources for adolescents with chronic conditions often results in both decreased access to care and impaired health and function likely leading to increased medical costs later. Additionally, fundamental differences in health care delivery exist between pediatric and adult care settings. There is limited empiric data and information on best practices in transition care. In this article we address the importance of bridging pediatric and adult care settings and highlight the challenges and successes of the implementation of the young adult transition clinic program for patients with type 1 diabetes at our facility. We provide recommendations for further research and program implementation with the transition population.

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Section: Mental Health Disordersmentioning

confidence: 93%

Section: Mental Health Disordersmentioning

confidence: 99%

Transition of care for patients with type 1 diabetes mellitus from pediatric to adult health care systems

2017

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“…According to the reports from 2016, the prevalence of severe psychosocial illness in patients with T1D was 20.24%. The most frequent psychosocial malfunction was irritation (38.1%), followed by depression (36.9%), and anxiety (32.1%) [14].…”

Section: Discussionmentioning

confidence: 99%

Causes of diabetic ketoacidosis in children with long-term type 1 diabetes

Luboch-Furmanczyk¹,

Wołoszyn-Durkiewicz²,

Myśliwiec³

2018

polp

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Introduction: Diabetic ketoacidosis (DKA) is an acute complex disorder of carbohydrate, fat, and protein metabolism as well as water-electrolyte and acid-base balance due to sudden and profound insulin deficiency. It is one of the most dangerous complications of diabetes type 1 (T1D). Aim of the study: The study aimed to analyse the causes of DKA in patients chronically ill with T1D. Material and methods: Records from all 41 hospitalisations (34 patients: 21 females, 13 male; seven hospitalised twice) at the Clinic of Paediatrics, Diabetology, and Endocrinology of the University Clinical Centre in Gdansk in the years 2015-2017 were retrospectively analysed. The average age of the patients was 14 8/12 ±3 years. Results: The average duration of diabetes was seven years. In 78% of cases patients were treated with multiple daily dose injections, others with insulin pump. In 44% of cases mild ketoacidosis with pH above 7.2, in 12% moderate, in 34% severe, and in 10% ketoacidosis with pH below 7.0 was diagnosed. Average duration of fluid and intravenous insulin therapy was 30 hours. The most common reasons for ketoacidosis were: self-control errors (98%), omission of insulin doses (78%), and infections (37%). Among patients treated with insulin pump 22% indicated pump failure. In the studied group 34% of patients had psychological disorders; half of them were treated by psychiatrists. In the studied group the average HbA1c level was 11.25 ±2.7%. Previous HbA1c levels were 10.3%, which confirms chronically inappropriate metabolic control in the analysed group. Most of the patients regularly visited a diabetes outpatient clinic, 27% irregularly, and 5% did not apply for control visit during the previous years. Conclusions: Self-control errors leading to chronic hyperglycaemias, irregular visits to a diabetology outpatient clinic, and breaks in insulin therapy were the most common causes of ketoacidosis in patients with long-term type 1 diabetes. Most of the patients were teenagers a few years after diagnosis of diabetes with coincidence of psychological and psychiatric disorders.

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“…(2003) The management of youngsters and kids with diabetes disease create extra challenges within the variety of emotional and psychological difficulties. Stress, in itself, might dysregulate polygenic disease through psycho-physiological processes or associated changes in self-management behaviors (Khandelwal et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Awareness of Effect Diabetes Type 1 on Quality of Life in school child Through Educational

2017

Aust. J. Basic & Appl. Sci

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Background: Type 1 diabetes in children is a condition in which your child's body no longer produces an important hormone (insulin). Your child needs insulin to survive, so you'll have to replace the missing insulin. Type 1 diabetes in children used to be known as juvenile diabetes or insulin-dependent diabetes. The diagnosis of type 1 diabetes in children can be overwhelming at first, suddenly. Type 1 diabetes in children requires consistent care. Diabetes mellitus is a greatly predominant chronic disease. Type 1 diabetes mellitus often improves through the first stage of life and may influence the goodness of healthy adolescents. Type 1 diabetes may current at any age, but great generally does, therefore, among the age of 5 years and puberty. The diagnosis is proposed by beginning in childhood or early adult life or fast onset with early demand for insulin, the reported death rate from diabetes for children under 15 years of age was 1.3/100,000/year in the U.S. Kingdom of Saudi Arabia supporting more than 33.3 million people, about 35,000 children, and adolescents suffer fromT1DM, which makes Saudi Arabia ranked the 8th in terms of numbers and 4th country in the world in terms of the incidence rate (33.5 per 100,000 people) of TIDM. Self-care supported that the daily routine of insulin, nutrition, and blood testing is preserved. Aim of this study is to help the child , parent and the staff knowledge of what to do and why it is, therefore, significant for the child or young person's safety and happiness to project in place to cover cases that may happen in school. Methodology: Cross-sectional design was adopted in the present study were collected in diabetes clinics in Descriptive study. The present study was conducted at primary and scenery school governmental & private. The sample (200) practitioners from school governmental & private they used questionnaire. Results our participants were noticed between age group 30-40 years , the majority of participants female's gender was (77.50%) , The awareness role of the Health Authority in the Kingdom for this disease is very weak, the majority of our participants were noticed average was (55.00%) and weak knowledge (32.50%) and high was (12.50%) with a statistically significance P-value (<0.001) and Chi-square(54.250).Conclusion: The danger of delayed complexities of diabetes excess with accumulative exposure to high blood glucose levels and therapy that going back to circulating glucose to near-normal levels keeping versus these long-run complexities. Prospects for future treatment involved early protection or stem cell transplantation, renewal of surviving beta cells and gene therapy. Recommendations: Reinforcement of the knowledge was given through this research is fundamental to elevating sustained behaviour alteration in the society there is needed to increase in research on T1DM in Saudi Arabia.

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Psychosocial Illness in Children with Type 1 Diabetes Mellitus: Prevalence, Pattern and Risk Factors

Cited by 25 publications

References 22 publications

Transition of care for patients with type 1 diabetes mellitus from pediatric to adult health care systems

Transition of care for patients with type 1 diabetes mellitus from pediatric to adult health care systems

Causes of diabetic ketoacidosis in children with long-term type 1 diabetes

Awareness of Effect Diabetes Type 1 on Quality of Life in school child Through Educational

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