Adolescents with type 1 diabetes and the paediatrics diabetes clinic
This report aims to characterise the adolescent population with T1D attending University Hospital Limerick (UHL) paediatric diabetes services and carry out subgroup analysis of high-risk patients. High-risk are those with HbA1c≥75mmol/mol(9%) and factors impacting disease management including psychosocial issues/other chronic diseases.
Data was collected using Microsoft Excel, from adolescents attending UHL paediatric diabetes clinic and age≥ 14 years between January 1st-June 30th 2022, and analysed using Excel, Minitab and OpenStax.
74 adolescents, equal males and females, of whom 20 were high-risk, were included. High-risk individuals were less likely to use insulin pumps or continuous glucose monitoring devices, and more likely to have lipohypertrophy than non-high-risk peers. Of those high-risk, 6 had at least one consultation with a medical social worker (MSW) (1 of these had another chronic disease and saw MSW dedicated to this disease-team) and 14 had at least one consultation with a paediatric clinical psychologist. There is a clear deficit of MSW and paediatric psychology input in the management of these adolescents.
Active screening for diabetic control risk factors as well as appropriate funding to support team-specific MSW and psychology input for high-risk patients is urgently required to meet current best practice guidelines.
PublicationIrish Medical Journal, 2023, 116 (10), pp. 871-
PublisherIrish Medical Organization
Sustainable development goals
- (3) Good Health and Well-being
Department or School
- School of Medicine