The relationship between diabetic ketoacidosis and suicidal or self-injurious behaviour: A systematic review

Al Alshaikh, Lina; Doherty, Anne M.

doi:10.1016/j.jcte.2023.100325

Cited by 3 publications

(2 citation statements)

References 39 publications

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“…Our study highlights that childhood poses specific challenges for self-care, necessitating parental involvement, particularly in the context of insulin therapy, a finding that aligns with conclusions drawn from several studies [20,[43][44][45][46][47][48][49][50].…”

Section: Plos Onesupporting

confidence: 89%

“…Additionally, adherence to self-care activities holds paramount importance for pediatric T1DM patients, as it serves as a predictor for both short-term and long-term health outcomes. Al Alshaikh and Doherty [ 46 ] in a review paper (from 2023. year) point out that DKA may associated with increased rates of self-injurious behaviours. A systematic approach for assessing psychiatric disorders in patients manipulating insulin therapy is strongly advocated.…”

Section: Discussionmentioning

confidence: 99%

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Self-care activities in pediatric patients with type 1 diabetes mellitus

Smudja,

Milenković,

Minaković

et al. 2024

PLoS ONE

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Introduction Effective diabetes self-management and collaborative responsibility sharing with parents are imperative for pediatric patients with type 1 diabetes mellitus, particularly as they gradually assume more self-care responsibilities. The primary goal of this study was to assess differences in adherence to self-care activities regarding sociodemographics and clinical characteristics in pediatric patients with type 1 diabetes. The secondary goal of this study was to understand the level of parental involvement in diabetes management and to assess the pediatric patients’ behaviors (independent or dependent on disease self-management) that relate to sociodemographic and clinical characteristics. Methods This was a comparative cross-sectional and correlational study. The study sample included 182 children and adolescents who had been diagnosed with type 1 diabetes at least 3 months prior. Data collection instruments included a sociodemographic and questionnaire about Adherence to self-care activities and parental involvement in diabetes self-management, as well as a documentation sheet for recording clinical data. Results A majority of participants (71%) exhibited non-adherence to self-care tasks, despite 78.0% asserting their independence in diabetes self-management. Notably, insufficient parental involvement in administering insulin therapy significantly predicted severe hypoglycemic episodes. Conclusions Pediatric patients dealing with type 1 diabetes demonstrate a substantial degree of autonomy in managing their condition, paradoxically coupled with self-reported non-adherence to critical self-care responsibilities. Notably, children (aged 8–12) rely more heavily on parental support, especially concerning insulin therapy administration. The study underscores the crucial role of parental engagement in insulin therapy, as its deficiency significantly predicts the likelihood of severe hypoglycemic episodes.

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Section: Plos Onesupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Self-care activities in pediatric patients with type 1 diabetes mellitus

Smudja,

Milenković,

Minaković

et al. 2024

PLoS ONE

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Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) and suicidality: what do we know and future vistas

McIntyre

2024

Expert Opinion on Drug Safety

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Modifiable factors to prevent severe hypoglycaemic and diabetic ketoacidosis presentations in people with type 1 diabetes

Tamsett,

James,

Brown

et al. 2024

Diabet Med

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AimsIn tackling rising diabetes‐related emergencies, the need to understand and address emergency service usage by people with type 1 diabetes is vital. This review aimed to quantify current trends in presentations for type 1 diabetes‐related emergencies and identify public health strategies that reduce the frequency of diabetes‐related emergencies and improve glycaemic management.MethodsMedline (OVID), Cochrane and CINAHL were searched for studies published between 2000 and 2023, focusing on people with type 1 diabetes, severe hypoglycaemia and/or diabetic ketoacidosis, and ambulance and/or emergency department usage. There were 1313 papers identified, with 37 publications meeting review criteria.ResultsThe incidence of type 1 diabetes‐related emergencies varied from 2.4 to 14.6% over one year for hypoglycaemic episodes, and between 0.07 and 11.8 events per 100 person‐years for hyperglycaemic episodes. Notably, our findings revealed that ongoing diabetes education and the integration of diabetes technology, such as continuous glucose monitoring and insulin pump therapy, significantly reduced the incidence of these emergencies. However, socio‐economic disparities posed barriers to accessing these technologies, subsequently shifting the cost to emergency healthcare and highlighting the need for governments to consider subsidising these technologies as part of preventative measures.ConclusionsImproving access to continuous glucose monitoring and insulin pump therapy, in combination with ongoing diabetes education focusing on symptom recognition and early management, will reduce the incidence of diabetes‐related emergencies. Concurrent research assessing emergency healthcare usage patterns during the implementation of such measures is essential to ensure these are cost‐effective.

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The relationship between diabetic ketoacidosis and suicidal or self-injurious behaviour: A systematic review

Cited by 3 publications

References 39 publications

Self-care activities in pediatric patients with type 1 diabetes mellitus

Self-care activities in pediatric patients with type 1 diabetes mellitus

Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) and suicidality: what do we know and future vistas

Modifiable factors to prevent severe hypoglycaemic and diabetic ketoacidosis presentations in people with type 1 diabetes

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