Advertisement

Monatsschrift Kinderheilkunde

, Volume 163, Issue 9, pp 895–899 | Cite as

Herausforderungen in der Betreuung von Jugendlichen mit Typ-1-Diabetes

  • E. Fröhlich-Reiterer
Leitthema
  • 420 Downloads

Zusammenfassung

Typ-1-Diabetes mellitus (T1D) ist eine der häufigsten chronischen Stoffwechselerkrankungen im Kindes- und Jugendalter. Pädiater werden in den verschiedenen Altersgruppen der Patienten mit unterschiedlichen Herausforderungen konfrontiert. Bei der Betreuung von Jugendlichen sind dies v. a. Verschlechterung der Stoffwechselkontrolle, Essstörungen, Risikoverhalten, Übernahme von Eigenverantwortung und die Transition.

Schlüsselwörter

Essstörungen Risikoverhalten Transition Pubertät Verantwortung 

Challenges in the care of youth with type 1 diabetes

Abstract

Type 1 diabetes mellitus (T1D) is one of the most frequent chronic metabolic diseases in childhood and adolescence. Pediatricians are confronted with different challenges in different age groups of patients. In the care of adolescents with T1D these challenges include deterioration of metabolic control during puberty, eating disorders, risk behavior, transfer to self-management and the transition.

Keywords

Eating disorders Risk behavior Transition Puberty Responsibility 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt. E. Fröhlich-Reiterer gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

Literatur

  1. 1.
    Patterson CC, Gyürüs E, Rosenbauer J et al (2012) Trends in childhood type 1 diabetes incidence in Europe during 1989–2008: evidence of non-uniformity over time in rates of increase. Diabetologia 55(8):2142–2147CrossRefPubMedGoogle Scholar
  2. 2.
    Patterson CC, Dahlquist GG, Gyürüs E et al, EURODIAB Study Group (2009) Incidence trends for childhood type 1 diabetes in Europe during 1989–2003 and predicted new cases 2005-20: a multicentre prospective registration study. Lancet 373:2027–2033CrossRefPubMedGoogle Scholar
  3. 3.
    Schober E, Waldhoer T, Rami B et al, Austrian Diabetes Incidence Study Group (2009) Incidence and time trend of type 1 and type 2 diabetes in Austrian children 1999–2007. J Pediatr 155(2):190–193CrossRefPubMedGoogle Scholar
  4. 4.
    Donaghue KC, Wadwa RP, Dimeglio LA et al (2014) ISPAD clinical practice consensus guidelines 2014. Microvascular and macrovascular complications in children and adolescents International Society for Pediatric and Adolescent Diabetes clinical guidelines. Pediatr Diabetes 15(Suppl 20):257–269CrossRefPubMedGoogle Scholar
  5. 5.
    Wood JR, Miller KM, Maahs DM et al, T1D Exchange Clinic Network (2013) Most youth with type 1 diabetes in the T1D exchange clinic registry do not meet American diabetes association or international society for pediatric and adolescent diabetes clinical guidelines. Diabetes Care 36(7):2035–2037PubMedCentralCrossRefPubMedGoogle Scholar
  6. 6.
    Gerstl EM, Rabl W, Rosenbauer J et al (2008) Metabolic control as reflected by HbA1c in children, adolescents and young adults with type-1 diabetes mellitus: combined longitudinal analysis including 27,035 patients from 207 centers in Germany and Austria during the last decade. Eur J Pediatr 167(4):447–453CrossRefPubMedGoogle Scholar
  7. 7.
    Fröhlich-Reiterer EE, Rosenbauer J, Bechtold-Dalla Pozza S et al, DPV-Wiss Study Group and German BMBF Competence Networks Diabetes mellitus and Obesity (2014) Predictors of increasing BMI during the course of diabetes in children and adolescents with type 1 diabetes: data from the German/Austrian DPV multicentre survey. Arch Dis Child 99(8):738–743CrossRefPubMedGoogle Scholar
  8. 8.
    Young V, Eiser C, Johnson B et al (2013) Eating problems in adolescents with type 1 diabetes: a systemic review with meta-analysis. Diabet Med 30:189–198CrossRefPubMedGoogle Scholar
  9. 9.
    Schober E, Wagner G, Berger G et al (2011) Prevalence of intentional under- and overdosing of insulin in children and adolescents with type 1 diabetes. Pediatr Diabetes 12:627–631CrossRefPubMedGoogle Scholar
  10. 10.
    Martinez-Aguayo A, Araneda JC, Fernandez D et al (2007) Tobacco, alcohol and illicit drug use in adolescents with diabetes mellitus. Pediatr Diabetes 8:265–271CrossRefPubMedGoogle Scholar
  11. 11.
    Hofer SE, Rosenbauer J, Grulich-Henn J et al (2009) Smoking and metabolic control in adolescents with type 1 diabetes. J Pediatric 154(1):20–23CrossRefGoogle Scholar
  12. 12.
    Schwab KO, Doerfer J, Hallermann K et al (2008) Marked smoking-associated increase of cardiovascular risk in childhood type 1 diabetes. Int J Adolesc Med Health 20(3):285–292CrossRefPubMedGoogle Scholar
  13. 13.
    Court JM, Cameron FJ, Berg-Kelly et al (2009) ISPAD clinical practice consensus guidelines 2009. Diabetes in adolescents. Pediatric Diabetes 10 (Suppl 12):185–194CrossRefPubMedGoogle Scholar
  14. 14.
    Peters A, Laffel L, American Diabetes Association Transition Working Group (2011) Diabetes care for emerging adults: recommendation for transition from pediatric to adult diabetes care system. Diabetes Care 34:2477–2485PubMedCentralCrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Klinische Abteilung für Allgemeine PädiatrieUniversitätsklinik für Kinder- und Jugendheilkunde GrazGrazÖsterreich

Personalised recommendations