Good Metabolic Control Is Associated With Better Quality of Life in 2,101 Adolescents With Type 1 Diabetes

Good Metabolic Control Is Associated With Better Quality of Life in 2,101 Adolescents With Type 1 Diabetes Hilary Hoey , MA, MD 1 , Henk-Jan Aanstoot , MD, PHD 2 , Francesco Chiarelli , MD 3 , Denis Daneman , MD 4 , Thomas Danne , MD 5 , Harry Dorchy , MD, PHD 6 , Michael Fitzgerald , MD 7 , Patrick Garandeau , MD 8 , Stephen Greene , MD, DC 9 , Reinhard Holl , MD 10 , Philip Hougaard , PHD 11 , Eero Kaprio , MD, DR MED CHIR 12 , Mirjana Kocova , MD 13 , Helle Lynggaard , MSC 14 , Pedro Martul , MD, PHD 15 , Nobuo Matsuura , MD 16 , Hannah M. McGee , BA, PHD 17 , Henrik B. Mortensen , MD, DR MED SCI 18 , Kenneth Robertson , MD 19 , Eugen Schoenle , MD 20 , Oddmund Sovik , MD 21 , Peter Swift , MD 22 , Rosa Maria Tsou , MD 23 , Maurizio Vanelli , MD 24 , Jan Åman , MD, PHD 25 and For the Hvidøre Study Group on Childhood Diabetes 1 Department of Paediatrics, Trinity College, National Children’s Hospital, Dublin, Ireland 2 Ijsselland Hospital, Capelle, the Netherlands 3 Pediatric University Clinic, Chieti, Italy 4 Hospital for Sick Children, University of Toronto, Toronto, Canada 5 Charité, Humboldt University, Berlin, Germany 6 University Children’s Hospital, Queen Fabiola, Brussels, Belgium 7 Department of Psychiatry, Trinity College, Dublin, Ireland 8 Institut Saint Pierre, Montpellier, France 9 University of Dundee, Dundee, United Kingdom 10 University of Ulm, Ulm, Germany 11 Novo Nordisk, Bagsværd, Denmark 12 Peijas Hospital, Peijas, Finland 13 Pediatric Clinic-Skopje, Skopje, Republic of Macedonia 14 Novo Nordisk, Bagsværd, Denmark 15 Endocrinologia Pediatrica Hospital De Cruces, Cruces, Spain 16 Kitasato University School of Medicine, Kitasato, Japan 17 Department of Psychology, Royal College of Surgeons in Ireland, Dublin, Ireland 18 Department of Pediatrics, Glostrup University Hospital, Glostrup, Denmark 19 Royal Hospital for Sick Children, Glasgow, United Kingdom 20 University Children’s Hospital, Zurich, Switzerland 21 Haukeland Hospital, Bergen, Norway 22 Leicester Royal Infirmary Childrens Hospital, Leicester, United Kingdom 23 Hospital S. Joao, Porto, Portugal 24 Department of Paediatrics, University of Parma, Italy 25 Örebro Medical Centre Hospital, Örebro, Sweden Abstract OBJECTIVE —It is unclear whether the demands of good metabolic control or the consequences of poor control have a greater influence on quality of life (QOL) for adolescents with diabetes. This study aimed to assess these relations in a large international cohort of adolescen