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Children with diabetes type 1 and high HbA1c - analysis of neurodevelopmental disabilities

Participants: Elisabeth Fernell, Ida Lindblad, Ann-Charlotte Engström, Ylva Tindberg, Ulf Söderström & Henri Toivonen.

Background: The aim of the study was to analyse whether children with diabetes type 1 and high HbA1c to a higher degree suffer from executive difficulties.

Method: The occurrence of ADHD and other ESSENCE in diabetes were studied in a population-based study that includes Skaraborg and Sörmland. Parents of children and adolescents with diabetes type 1 filled out “Five-to-Fifteen”, a questionnaire that covers a broad spectrum of developmental problems. The aim of the study was to analyse whether children with diabetes type 1 and high HbA1c to a higher degree suffer from neurodevelopmental problems, such as attention deficits or other executive difficulties. The results were judged to be of importance when developing support and interventions for children and adolescents with diabetes and developmental, cognitive problems.

Results: The results showed that developmental problems were not overrepresented in the group as a whole, but difficulties with memory and other executive functions, as well as learning problems, were significantly more common among adolescents with high HbA1c (HbA1c>73 mmol/mol), i.e. worse metabolic control.
The study is part of a dissertation project for PhD student and paediatrician Charlotte Nylander, Barnkliniken Mälarsjukhuset and Uppsala University. Also participating in this project were psychologists Ida Lindblad and Ann-Charlotte Engström along with Medical Doctors Ylva Tindberg, Ulf Söderström, Henri Toivonen and Elisabeth Fernell.
PhD student Charlotte Nylander is currently performing a larger study aimed at adolescents with diabetes and their parents. The study comprises questionnaires for both parents and the adolescents themselves, and medical data are being collected from the child diabetes registry. Other centres in Sweden are also participating. One principal question to be examined is the significance of executive functions in being able to manage the diabetes treatment. Results of that study are currently being compiled (August 2015).

Articles:
2013
Nylander, C., Toivonen, H., Nasic, S., Söderström, U., Tindberg, Y., & Fernell, E. (2013). Children and adolescents with diabetes type 1 and high HbA1c – a neurodevelopmental perspective. Acta Paediatrica, 102, 410-415.

 

Page Manager: Anna Spyrou|Last update: 9/2/2015
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