BMJ  2006;333:55-56 (8 July), doi:10.1136/bmj.333.7558.55

Editorial

Support for young people with diabetes

Reducing psychological distress may improve metabolic control

The first 150 words of the full text of this article appear below.

The prevalence in Europe of insulin dependent (type 1) diabetes in children by age 15 is about 3 per 1000 and rising at roughly 2-5 % yearly.¹ This complex and chronic illness interferes with almost every aspect of day to day life and can be a considerable burden for the child and the family. Therapeutic goals include "promotion of optimal health, social wellbeing and quality of life for all diabetic children around the world."²

Living with diabetes entails continuous daily attention to a complex array of management options, including insulin administration and dose adjustments around variable meals and exercise, blood glucose monitoring and its interpretation, maintaining a healthy diet, and understanding the need for early detection of both acute and long term complications. This is daunting for many young people. In this week's BMJ Winkley and colleagues report a meta-analysis of one approach to helping these young people: psychological . . . [Full text of this article]

Clinique Pédiatrique de Luxembourg, 4 rue Barblé, Luxembourg 1210
(debeaufort.carine@chl.lu)

Leicester Royal Infirmary Children's Hospital, University Hospitals Leicester, Leicester LE1 5WW

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Relevant Article

Psychological interventions to improve glycaemic control in patients with type 1 diabetes: systematic review and meta-analysis of randomised controlled trials

Kirsty Winkley, Sabine Landau, Ivan Eisler, and Khalida Ismail
BMJ 2006 333: 65. [Abstract] [Full Text] [PDF]

This article has been cited by other articles:

• Naguib, J. M., Kulinskaya, E., Lomax, C. L., Garralda, M. E. (2009). Neuro-cognitive Performance in Children with Type 1 Diabetes--A Meta-analysis. J Pediatr Psychol 34: 271-282 [Abstract] [Full text]  
• Schneider, S., Iannotti, R. J., Nansel, T. R., Haynie, D. L., Simons-Morton, B., Sobel, D. O., Zeitzoff, L., Clark, L., Plotnick, L. P. (2007). Identification of Distinct Self-Management Styles of Adolescents With Type 1 Diabetes. Diabetes Care 30: 1107-1112 [Abstract] [Full text]  

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