Research Data

High Prevalence of Attention Deficit Hyperactivity Disorder in Adolescents with Type 1 Diabetes and Its Relation to Metabolic Control

Author(s) / Creator(s)

Maček, Jerneja
Battelino, Tadej
Bizjak, Maša
Zupanc, Cita
Kovač, Ana
Vesnič, Sabina
Klemenčič, Simona
Volk, Eva
Bratina, Nataša

Abstract / Description

Objective: Diabetes mellitus type 1 (T1D) incidence is increasing in pediatric population. Good metabolic control, measured by glycated hemoglobin (HbA1c), 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 HbA1c 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.
Dataset for: Maček, J., Battelino, T., Bizjak, M., Zupanc, C., Bograf, A. K., Vesnič, S., Klemenčič, S., Volk, E., & Bratina, N. (2019). Impact of attention deficit hyperactivity disorder on metabolic control in adolescents with type1 diabetes. Journal of Psychosomatic Research, 126, 109816. https://doi.org/10.1016/j.jpsychores.2019.109816

Persistent Identifier

Date of first publication

2018

Publisher

PsychArchives

Is referenced by

Citation

Maček, J., Battelino, T., Bizjak, M., Zupanc, C., Kovač, A., Vesnič, S., … Bratina, N. (2018). High Prevalence of Attention Deficit Hyperactivity Disorder in Adolescents with Type 1 Diabetes and Its Relation to Metabolic Control [Data set]. PsychArchives. https://doi.org/10.23668/psycharchives.2059
  • Author(s) / Creator(s)
    Maček, Jerneja
  • Author(s) / Creator(s)
    Battelino, Tadej
  • Author(s) / Creator(s)
    Bizjak, Maša
  • Author(s) / Creator(s)
    Zupanc, Cita
  • Author(s) / Creator(s)
    Kovač, Ana
  • Author(s) / Creator(s)
    Vesnič, Sabina
  • Author(s) / Creator(s)
    Klemenčič, Simona
  • Author(s) / Creator(s)
    Volk, Eva
  • Author(s) / Creator(s)
    Bratina, Nataša
  • PsychArchives acquisition timestamp
    2018-11-29T11:30:17Z
  • Made available on
    2018-11-29T11:30:17Z
  • Date of first publication
    2018
  • Abstract / Description
    Objective: Diabetes mellitus type 1 (T1D) incidence is increasing in pediatric population. Good metabolic control, measured by glycated hemoglobin (HbA1c), 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 HbA1c 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.
    en
  • Abstract / Description
    Dataset for: Maček, J., Battelino, T., Bizjak, M., Zupanc, C., Bograf, A. K., Vesnič, S., Klemenčič, S., Volk, E., & Bratina, N. (2019). Impact of attention deficit hyperactivity disorder on metabolic control in adolescents with type1 diabetes. Journal of Psychosomatic Research, 126, 109816. https://doi.org/10.1016/j.jpsychores.2019.109816
    en
  • Citation
    Maček, J., Battelino, T., Bizjak, M., Zupanc, C., Kovač, A., Vesnič, S., … Bratina, N. (2018). High Prevalence of Attention Deficit Hyperactivity Disorder in Adolescents with Type 1 Diabetes and Its Relation to Metabolic Control [Data set]. PsychArchives. https://doi.org/10.23668/psycharchives.2059
    en
  • Persistent Identifier
    https://hdl.handle.net/20.500.12034/1693
  • Persistent Identifier
    https://doi.org/10.23668/psycharchives.2059
  • Language of content
    eng
    en_US
  • Publisher
    PsychArchives
    en_US
  • Is referenced by
    https://doi.org/10.1016/j.jpsychores.2019.109816
  • Is related to
    https://doi.org/10.1016/j.jpsychores.2019.109816
  • Dewey Decimal Classification number(s)
    150
  • Title
    High Prevalence of Attention Deficit Hyperactivity Disorder in Adolescents with Type 1 Diabetes and Its Relation to Metabolic Control
    en_US
  • DRO type
    researchData
    en_US