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BMJ 2006;333 (8 July), doi:10.1136/bmj.333.7558.0-a
A meta-analysis of 21 randomised trials by Winkley and colleagues (p 65) finds weak but significant evidence that psychological treatments improve glycaemic control in children and adolescents with type 1 diabetes, and no evidence of an effect in adults. In the 10 studies of children and adolescents, the pooled absolute reduction in glycated haemoglobin was 0.5% in those who had received a psychological intervention. The success of psychological interventions in children may be explained by higher levels of psychological distress in children with diabetes and their families.
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