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Previously undiagnosed attention-deficit/hyperactivity disorder associated with poor metabolic control in adolescents with type 1 diabetes
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Pediatric Endocrinology. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD).ORCID iD: 0000-0003-4689-0769
Karolinska Univ Hosp, Astrid Lindgren Childrens Hosp, Dept Neuropaediat, Stockholm, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Child and Adolescent Psychiatry. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Research and Development, Gävleborg.
Univ Gothenburg, Sahlgrenska Acad, Gillberg Neuropsychiat Ctr, Gothenburg, Sweden.
2018 (English)In: Pediatric Diabetes, ISSN 1399-543X, E-ISSN 1399-5448, Vol. 19, no 4, p. 816-822Article in journal (Refereed) Published
Abstract [en]

Background: Managing modern diabetes treatment requires efficient executive functions. Patients with attention-deficit/hyperactivity disorder (ADHD) and type 1 diabetes have poor metabolic control and present with ketoacidosis more often than patients without ADHD. Objective: To assess whether patients with type 1 diabetes and with indications of executive problems met criteria for ADHD, and to investigate whether these patients had difficulties achieving metabolic control. Methods: In a hospital-based study, including 3 pediatric departments at hospitals in Stockholm and Uppsala, Sweden, questionnaires regarding executive problems had been filled out by 12- to 18-year-old patients with type 1 diabetes and their parents. Out of 166 patients with completed questionnaires, 49 were selected for a clinical study due to reported executive problems/ADHD symptoms. However, 7 already had a diagnosis of ADHD, 21 denied follow-up, 8 did not respond, leaving 13 adolescents for the clinical assessment. Results: Of the clinically assessed adolescents, 9 (6 girls) met criteria for ADHD. Patients who did not respond to the follow-up and patients who were diagnosed with ADHD within the study, showed to a larger extent than the other study groups high HbA1c levels (>70 mmol/mol, 8,6%). HbA1c >70 mmol/mol (8.6%) was associated with diagnosed ADHD (prior to or within the study), odds ratio 2.96 (95% confidence interval 1.02-8.60). Conclusion: Patients with type 1 diabetes and poor metabolic control should be assessed with regard to ADHD. There is a need for paying special attention to girls with poor metabolic control.

Place, publisher, year, edition, pages
2018. Vol. 19, no 4, p. 816-822
Keywords [en]
ADHD, adolescents, HbA1c, metabolic control, type 1 diabetes mellitus
National Category
Pediatrics Psychiatry Endocrinology and Diabetes
Identifiers
URN: urn:nbn:se:uu:diva-356857DOI: 10.1111/pedi.12651ISI: 000432027100033PubMedID: 29575401OAI: oai:DiVA.org:uu-356857DiVA, id: diva2:1239143
Funder
Swedish Child Diabetes FoundationAvailable from: 2018-08-15 Created: 2018-08-15 Last updated: 2018-08-15Bibliographically approved

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Nylander, CharlotteKhalifa, Najah

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Pediatric EndocrinologyCentrum för klinisk forskning i Sörmland (CKFD)Child and Adolescent PsychiatryCentre for Research and Development, Gävleborg
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Pediatric Diabetes
PediatricsPsychiatryEndocrinology and Diabetes

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