Type 1 diabetes and mental health

The use of the Cambridge hybrid closed-loop insulin delivery system by older adults with type 1 diabetes mellitus is associated with “improved quality of life,” says an international team of researchers.

People with high diabetes distress achieve reductions in glycated hemoglobin and the need for emergency care for acute diabetes complications after starting on intermittently scanned continuous glucose monitoring, report researchers.

People with type 1 diabetes are more likely to have impaired awareness of hypoglycemia if they also report symptoms of anxiety and depression, UK study findings indicate.

Reducing the cutoffs of commonly used depression screening measures may increase the sensitivity for detecting depression in adolescents with type 1 diabetes, US study findings indicate.

Research indicates that despite a lot of overlap, diabetes distress can arise from different experiences according to whether people have type 1 or type 2 diabetes.

An observational study suggests that initiating flash glucose monitoring might lead to a reduction in symptoms of depression in people with insulin-treated diabetes.

People with diabetes who spend longer with their blood glucose levels within target range have better glycated hemoglobin levels, reduced diabetes-related distress, better hypoglycemia awareness, and fewer hypoglycemia-related hospital admissions than individuals with diabetes that is less well controlled.

Children born to mothers with autoimmune diseases have an elevated risk for mental disorders, with this risk persisting until early adulthood for those born to women with type 1 diabetes or rheumatoid arthritis, researchers report.

The Patient Health Questionnaire-9, which screens for depressive symptoms, underestimates suicide risk in adolescents and young adults with type 1 diabetes when compared with a validated suicide-specific measure, research shows.

Older adults with a longer duration of type 1 diabetes have an increased likelihood of experiencing depression and hypoglycemia unawareness, researchers report.

Patient-controlled diabetes management improves diabetes-related wellbeing and reduces face-to-face visits and non-attendance without negatively impacting glycemic control and other clinical outcomes, Danish researchers report.

Assessing executive function and screening for disordered eating behaviors could help identify teenagers with type 1 diabetes who will benefit from interventions aimed at improving long-term outcomes, researchers report in Diabetic Medicine.

The presence of an eating disorder diagnosis significantly increases the risk for diabetic ketoacidosis and all-cause mortality in adolescents and young adults with type 1 diabetes, shows a population-based study.

Gaining greater control of blood glucose and hypoglycemia awareness is associated with a reduction in diabetes distress among people who start using the FreeStyle Libre, researchers report.

Two studies, including a long-term DCCT analysis, highlight the importance of severe hypoglycemia in the risk for people with type 1 diabetes developing dementia.

Researchers find that people with recurrent diabetic ketoacidosis have an increased rate of mental health problems such as diabetes distress and personality disorder.

Negative emotional experience and skill at regulating emotions are associated with diabetes distress in adults with type 1 or type 2 diabetes, researchers report.

Women with type 1 diabetes and a history of disordered eating spend markedly more time in level 2 hyperglycemia than women without eating disorders, show the results of a small continuous glucose monitoring study.

Improved diabetes knowledge and reduced distress both contribute to the positive effects of diabetes distress interventions on glycemic outcomes, say researchers.

A substantial proportion of people with diabetes experience negative psychologic consequences, and these issues are predicted by a number of factors including gaps in person-centered care, insulin use, and complications, suggest findings from a Danish national survey.