Managing Type 1 Diabetes in an Inpatient Child Psychiatric Care Setting

Overview

Journal Diabetes Spectr

Specialty Endocrinology

Date 2024 Aug 19

PMID 39157783

Authors

Amanda L Olinger

Shilpa Sachdeva

Ann M Manzardo

Sharon E Cain

Affiliations

Soon will be listed here.

Abstract

Individuals with diabetes are at increased risk for psychological, behavioral, and social problems. Comorbid mental illness and diabetes present a unique set of challenges for people with diabetes and their health care providers, particularly in an inpatient setting. Psychiatric symptoms before admission may affect type 1 diabetes management, and mental status and behavior can affect individuals' ability to cooperate with treatment while they are inpatients. This article describes a clinical protocol to manage type 1 diabetes and maximize patient safety in an acute inpatient child psychiatric unit.

References

Andrade S, Lo J, Roblin D, Fouayzi H, Connor D, Penfold R . Antipsychotic medication use among children and risk of diabetes mellitus. Pediatrics. 2011; 128(6):1135-41. DOI: 10.1542/peds.2011-0855. View

Gonzalez J, Peyrot M, McCarl L, Collins E, Serpa L, Mimiaga M . Depression and diabetes treatment nonadherence: a meta-analysis. Diabetes Care. 2008; 31(12):2398-403. PMC: 2584202. DOI: 10.2337/dc08-1341. View

Cox D, Gonder-Frederick L . Major developments in behavioral diabetes research. J Consult Clin Psychol. 1992; 60(4):628-38. DOI: 10.1037//0022-006x.60.4.628. View

Amed S, Nuernberger K, McCrea P, Reimer K, Krueger H, Aydede S . Adherence to clinical practice guidelines in the management of children, youth, and young adults with type 1 diabetes--a prospective population cohort study. J Pediatr. 2013; 163(2):543-8. DOI: 10.1016/j.jpeds.2013.01.070. View

Dybdal D, Tolstrup J, Sildorf S, Boisen K, Svensson J, Skovgaard A . Increasing risk of psychiatric morbidity after childhood onset type 1 diabetes: a population-based cohort study. Diabetologia. 2017; 61(4):831-838. DOI: 10.1007/s00125-017-4517-7. View

Miller E . Using Continuous Glucose Monitoring in Clinical Practice. Clin Diabetes. 2021; 38(5):429-438. PMC: 7755046. DOI: 10.2337/cd20-0043. View

Pala L, Dicembrini I, Mannucci E . Continuous subcutaneous insulin infusion vs modern multiple injection regimens in type 1 diabetes: an updated meta-analysis of randomized clinical trials. Acta Diabetol. 2019; 56(9):973-980. DOI: 10.1007/s00592-019-01326-5. View

Barnes A, Eisenberg M, Resnick M . Suicide and self-injury among children and youth with chronic health conditions. Pediatrics. 2010; 125(5):889-95. DOI: 10.1542/peds.2009-1814. View

Heinze K, Lin A, L E P Reniers R, Wood S . Longer-term increased cortisol levels in young people with mental health problems. Psychiatry Res. 2016; 236:98-104. PMC: 4756272. DOI: 10.1016/j.psychres.2015.12.025. View

10.

Mueller-Godeffroy E, Vonthein R, Ludwig-Seibold C, Heidtmann B, Boettcher C, Kramer M . Psychosocial benefits of insulin pump therapy in children with diabetes type 1 and their families: The pumpkin multicenter randomized controlled trial. Pediatr Diabetes. 2018; 19(8):1471-1480. DOI: 10.1111/pedi.12777. View

11.

Roy T, Lloyd C . Epidemiology of depression and diabetes: a systematic review. J Affect Disord. 2012; 142 Suppl:S8-21. DOI: 10.1016/S0165-0327(12)70004-6. View

12.

Polonsky W, Anderson B, Lohrer P, Welch G, Jacobson A, Aponte J . Assessment of diabetes-related distress. Diabetes Care. 1995; 18(6):754-60. DOI: 10.2337/diacare.18.6.754. View

13.

Lustman P, Anderson R, Freedland K, de Groot M, Carney R, Clouse R . Depression and poor glycemic control: a meta-analytic review of the literature. Diabetes Care. 2000; 23(7):934-42. DOI: 10.2337/diacare.23.7.934. View

14.

. 14. Children and Adolescents: Standards of Care in Diabetes-2024. Diabetes Care. 2023; 47(Suppl 1):S258-S281. PMC: 10725814. DOI: 10.2337/dc24-S014. View

15.

Fraguas D, Correll C, Merchan-Naranjo J, Rapado-Castro M, Parellada M, Moreno C . Efficacy and safety of second-generation antipsychotics in children and adolescents with psychotic and bipolar spectrum disorders: comprehensive review of prospective head-to-head and placebo-controlled comparisons. Eur Neuropsychopharmacol. 2010; 21(8):621-45. DOI: 10.1016/j.euroneuro.2010.07.002. View

16.

. Implications of the diabetes control and complications trial. Diabetes Care. 2002; 26 Suppl 1:S25-7. DOI: 10.2337/diacare.26.2007.s25. View

17.

. Summary of Revisions: Standards of Care in Diabetes-2024. Diabetes Care. 2023; 47(Supplement_1):S5-S10. PMC: 10725800. DOI: 10.2337/dc24-SREV. View

18.

Laffel L, Kanapka L, Beck R, Bergamo K, Clements M, Criego A . Effect of Continuous Glucose Monitoring on Glycemic Control in Adolescents and Young Adults With Type 1 Diabetes: A Randomized Clinical Trial. JAMA. 2020; 323(23):2388-2396. PMC: 7298603. DOI: 10.1001/jama.2020.6940. View

19.

Robinson M, Simard M, Larocque I, Shah J, Nakhla M, Rahme E . Risk of Psychiatric Disorders and Suicide Attempts in Emerging Adults With Diabetes. Diabetes Care. 2019; 43(2):484-486. DOI: 10.2337/dc19-1487. View

20.

. A Randomized Clinical Trial Assessing Continuous Glucose Monitoring (CGM) Use With Standardized Education With or Without a Family Behavioral Intervention Compared With Fingerstick Blood Glucose Monitoring in Very Young Children With Type 1 Diabetes. Diabetes Care. 2020; 44(2):464-472. PMC: 9162100. DOI: 10.2337/dc20-1060. View