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Impact of attention deficit hyperactivity disorder on metabolic control in adolescents with type1 diabetes
Abstract
Objective Diabetes mellitus type 1 (T1D) incidence is increasing in pediatric population. Good metabolic control, measured by glycated hemoglobin (HbA 1c), significantly reduces the risk for chronic complications. Comorbid disorders, including attention-deficit hyperactivity disorder (ADHD), may influence glycemic control. To date little is known about the prevalence of ADHD among adolescents with T1D and its influence on diabetes self-management. Therefore, we aimed to identify adolescents with T1D and ADHD and assess the effect of ADHD on metabolic control. Method This cross-sectional case-control study included 101 patients (11-17 years old) with T1D. Development and Well-Being Assessment (DAWBA) questionnaire and subsequent psychiatric clinical examination were used to identify ADHD in a group with T1D. Indicators of metabolic control were collected from available medical documentation for preceding 12 months and compared between the group of patients with T1D and ADHD and the group of T1D patients without ADHD. Results ADHD was diagnosed in 11.9% adolescents with T1D (12 of 101). We found a statistically significant difference (p = .022) in HbA 1c between the two groups - higher in the group with T1D and ADHD (8.4% or 68.3 mmol/mol) than in the group with T1D without ADHD (7.8% or 61.7 mmol/mol). Conclusions Almost 12% of adolescents with type 1 diabetes were diagnosed with ADHD and they had poorer glycemic control. Adolescents with T1D and ADHD must be diagnosed early and offered appropriate treatment focused on preventing negative ADHD impact on metabolic control.
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Benton, M., Cleal, B., Prina, M., Baykoca, J., Willaing, I., Price, H., & Ismail, K. (2023) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2022.11.004 · Cited by 58
Metadata
- Authors
- Macek, J., Battelino, T., Bizjak, M., Zupanc, C., Bograf, A. K., Vesnic, S., Klemencic, S., Volk, E., & Bratina, N.
- Affiliations
- University of Ljubljana (SI)
- Ljubljana University Medical Centre (SI)
- ORCID
- Battelino, Tadej
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2019-11
- Volume
- 126
- Pages
- 109816
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W2969312117
- Cited by
- 16
- References
- 1
- Citations by year
- 2025: 3 · 2024: 2 · 2023: 2 · 2022: 5 · 2021: 3 · 2020: 1
- FWCI
- 1.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Keywords
- attention deficit hyperactivity disorder, type 1 diabetes, adolescents, glycemic control, HbA1c, diabetes self-management, comorbidities, psychiatric comorbidity
- MeSH terms
- Adolescent, Attention Deficit Disorder with Hyperactivity, Child, Cross-Sectional Studies, Diabetes Mellitus, Type 1, Female, Humans, Male, Case-Control Studies
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