Persistent Anxiety Is Associated with Higher Glycemia Post-Transition to Adult Services in Asian Young Adults with Diabetes
Autor: | Su-Yen Goh, Wee Boon Tan, Suresh Chandran, Xiaohui Xin, Ling Zhu, Daphne Su-Lyn Gardner |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Transition to Adult Care endocrine system diseases Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism 030204 cardiovascular system & hematology Anxiety 03 medical and health sciences Young Adult 0302 clinical medicine Internal medicine Diabetes mellitus medicine Humans Young adult Depression (differential diagnoses) Glycated Hemoglobin Type 1 diabetes Hospital anxiety business.industry Depression Type 2 Diabetes Mellitus nutritional and metabolic diseases medicine.disease Lifestyle Diabetes Mellitus Type 1 Diabetes Mellitus Type 2 Cohort Original Article medicine.symptom business |
Zdroj: | Diabetes & Metabolism Journal |
ISSN: | 2233-6087 2233-6079 |
Popis: | Background: There is little longitudinal information on psychological burden and metabolic outcomes in young adults with dia betes (YAD) in Asia. We aimed to evaluate the association between psychological status and glycemia at baseline and 2 years fol lowing transition in a cohort of YAD in Singapore. Methods: Subjects with type 1 diabetes mellitus (T1DM) and type 2 diabetes mellitus (T2DM), aged 17 to 25 years, were recruited from the YAD clinic in Singapore General Hospital. The Hospital Anxiety and Depression and Problem Areas for Diabetes scales were administered at transition (baseline) and at 18 to 24 months. Glycosylated hemoglobin (HbA1c) assessed during routine visits was tracked longitudinally. Results: A total of 98 T1DM (74.8%) and 33 T2DM (25.2%) subjects were recruited between January 2011 and November 2017. At baseline, mean HbA1c was 8.6%±1.7%. Only 26.0% achieved HbA1c of ≤7.5% and 16.8% achieved HbA1c of |
Databáze: | OpenAIRE |
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