Persistent poor glycaemic control in adult Type 1 diabetes. A closer look at the problem
Around 25% of the adult Type 1 diabetes population is in persistent poor glycaemic control and thus at increased risk of developing microvascular complications. We here discuss correlates of long‐standing poor glycaemic control and review the efficacy of clinical strategies designed to overcome pers...
Gespeichert in:
| Veröffentlicht in: | Diabetic medicine 2004-12, Vol.21 (12), p.1263-1268 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1268 |
|---|---|
| container_issue | 12 |
| container_start_page | 1263 |
| container_title | Diabetic medicine |
| container_volume | 21 |
| creator | DeVries, J. H. Snoek, F. J. Heine, R. J. |
| description | Around 25% of the adult Type 1 diabetes population is in persistent poor glycaemic control and thus at increased risk of developing microvascular complications. We here discuss correlates of long‐standing poor glycaemic control and review the efficacy of clinical strategies designed to overcome persistent poor control. Only a few studies have identified determinants and correlates of long‐standing poor glycaemic control in Type 1 diabetes. There is some evidence implicating genetic factors, as well as lower economic status, and psychological factors, including lack of motivation, emotional distress, depression and eating disorders. Ways of improving glycaemic control include strategies to enable self‐management, e.g. motivational strategies, coping‐orientated education, psychosocial therapies, and/or intensifying insulin injection therapy plus continuous subcutaneous insulin infusion. Long‐standing poor glycaemic control appears to be a heterogeneous and complex phenomenon, for which there is no simple, single solution. Comprehensive psycho‐medical assessment in diabetes care may prove useful in tailoring interventions. Further research is warranted, to increase our understanding how psychosocial and biomedical factors, separately and in interaction, determine poor outcomes in Type 1 diabetes. |
| doi_str_mv | 10.1111/j.1464-5491.2004.01386.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_764238781</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>67144296</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4676-ac9a27918a0e027a3f5cd3035f5e8431e3c082cac50247d4ba8af2e3be67946d3</originalsourceid><addsrcrecordid>eNqNkU1v1DAQhi0EokvhLyBfgFOCv2InBw6llLZSWypRRMXFmjgTyNaJFzsrdv89SXfV3hC-2NI8r2f8mBDKWc6n9X6Zc6VVVqiK54IxlTMuS51vnpDFQ-EpWTCjRCaZ4QfkRUpLxrioZPWcHPCi0BUXekFurzGmLo04jHQVQqQ__dYB9p2jLgxjDJ52A4Vm7Ud6s10h5bTpoMYRU06PqPMhYaQ-hDsKIx1_IV3FUHvsX5JnLfiEr_b7Ifn2-eTm-Cy7-HJ6fnx0kTmljc7AVSBMxUtgyIQB2RaukUwWbYGlkhylY6Vw4AomlGlUDSW0AmWN2lRKN_KQvNvdO_X9vcY02r5LDr2HAcM6WaOVkKUp-US-_SepDVdKVHoCyx3oYkgpYmtXseshbi1ndvZvl3bWbGfNdvZv7_3bzRR9ve-xrntsHoN74RPwZg9AcuDbCIPr0iOnJROMz9yHHfen87j97wHsp8uT-TTls11-_tvNQx7i3fROaQr7_ep0murs9uO1-mG_yr8mMK7c</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>67144296</pqid></control><display><type>article</type><title>Persistent poor glycaemic control in adult Type 1 diabetes. A closer look at the problem</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>DeVries, J. H. ; Snoek, F. J. ; Heine, R. J.</creator><creatorcontrib>DeVries, J. H. ; Snoek, F. J. ; Heine, R. J.</creatorcontrib><description>Around 25% of the adult Type 1 diabetes population is in persistent poor glycaemic control and thus at increased risk of developing microvascular complications. We here discuss correlates of long‐standing poor glycaemic control and review the efficacy of clinical strategies designed to overcome persistent poor control. Only a few studies have identified determinants and correlates of long‐standing poor glycaemic control in Type 1 diabetes. There is some evidence implicating genetic factors, as well as lower economic status, and psychological factors, including lack of motivation, emotional distress, depression and eating disorders. Ways of improving glycaemic control include strategies to enable self‐management, e.g. motivational strategies, coping‐orientated education, psychosocial therapies, and/or intensifying insulin injection therapy plus continuous subcutaneous insulin infusion. Long‐standing poor glycaemic control appears to be a heterogeneous and complex phenomenon, for which there is no simple, single solution. Comprehensive psycho‐medical assessment in diabetes care may prove useful in tailoring interventions. Further research is warranted, to increase our understanding how psychosocial and biomedical factors, separately and in interaction, determine poor outcomes in Type 1 diabetes.</description><identifier>ISSN: 0742-3071</identifier><identifier>EISSN: 1464-5491</identifier><identifier>DOI: 10.1111/j.1464-5491.2004.01386.x</identifier><identifier>PMID: 15569126</identifier><identifier>CODEN: DIMEEV</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Biological and medical sciences ; Blood Glucose - metabolism ; Depression - complications ; Depression - metabolism ; Diabetes Mellitus, Type 1 - drug therapy ; Diabetes Mellitus, Type 1 - metabolism ; Diabetes Mellitus, Type 1 - psychology ; Diabetes. Impaired glucose tolerance ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; glycaemic control ; Glycated Hemoglobin A - metabolism ; HbA1c ; Humans ; insulin ; Insulin - administration & dosage ; Insulin - therapeutic use ; Medical sciences ; Patient Education as Topic ; Psychosocial Deprivation ; psychosocial factors ; Type 1 diabetes mellitus</subject><ispartof>Diabetic medicine, 2004-12, Vol.21 (12), p.1263-1268</ispartof><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4676-ac9a27918a0e027a3f5cd3035f5e8431e3c082cac50247d4ba8af2e3be67946d3</citedby><cites>FETCH-LOGICAL-c4676-ac9a27918a0e027a3f5cd3035f5e8431e3c082cac50247d4ba8af2e3be67946d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1464-5491.2004.01386.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1464-5491.2004.01386.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>313,314,776,780,788,1411,27899,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16302016$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15569126$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DeVries, J. H.</creatorcontrib><creatorcontrib>Snoek, F. J.</creatorcontrib><creatorcontrib>Heine, R. J.</creatorcontrib><title>Persistent poor glycaemic control in adult Type 1 diabetes. A closer look at the problem</title><title>Diabetic medicine</title><addtitle>Diabet Med</addtitle><description>Around 25% of the adult Type 1 diabetes population is in persistent poor glycaemic control and thus at increased risk of developing microvascular complications. We here discuss correlates of long‐standing poor glycaemic control and review the efficacy of clinical strategies designed to overcome persistent poor control. Only a few studies have identified determinants and correlates of long‐standing poor glycaemic control in Type 1 diabetes. There is some evidence implicating genetic factors, as well as lower economic status, and psychological factors, including lack of motivation, emotional distress, depression and eating disorders. Ways of improving glycaemic control include strategies to enable self‐management, e.g. motivational strategies, coping‐orientated education, psychosocial therapies, and/or intensifying insulin injection therapy plus continuous subcutaneous insulin infusion. Long‐standing poor glycaemic control appears to be a heterogeneous and complex phenomenon, for which there is no simple, single solution. Comprehensive psycho‐medical assessment in diabetes care may prove useful in tailoring interventions. Further research is warranted, to increase our understanding how psychosocial and biomedical factors, separately and in interaction, determine poor outcomes in Type 1 diabetes.</description><subject>Biological and medical sciences</subject><subject>Blood Glucose - metabolism</subject><subject>Depression - complications</subject><subject>Depression - metabolism</subject><subject>Diabetes Mellitus, Type 1 - drug therapy</subject><subject>Diabetes Mellitus, Type 1 - metabolism</subject><subject>Diabetes Mellitus, Type 1 - psychology</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>glycaemic control</subject><subject>Glycated Hemoglobin A - metabolism</subject><subject>HbA1c</subject><subject>Humans</subject><subject>insulin</subject><subject>Insulin - administration & dosage</subject><subject>Insulin - therapeutic use</subject><subject>Medical sciences</subject><subject>Patient Education as Topic</subject><subject>Psychosocial Deprivation</subject><subject>psychosocial factors</subject><subject>Type 1 diabetes mellitus</subject><issn>0742-3071</issn><issn>1464-5491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1v1DAQhi0EokvhLyBfgFOCv2InBw6llLZSWypRRMXFmjgTyNaJFzsrdv89SXfV3hC-2NI8r2f8mBDKWc6n9X6Zc6VVVqiK54IxlTMuS51vnpDFQ-EpWTCjRCaZ4QfkRUpLxrioZPWcHPCi0BUXekFurzGmLo04jHQVQqQ__dYB9p2jLgxjDJ52A4Vm7Ud6s10h5bTpoMYRU06PqPMhYaQ-hDsKIx1_IV3FUHvsX5JnLfiEr_b7Ifn2-eTm-Cy7-HJ6fnx0kTmljc7AVSBMxUtgyIQB2RaukUwWbYGlkhylY6Vw4AomlGlUDSW0AmWN2lRKN_KQvNvdO_X9vcY02r5LDr2HAcM6WaOVkKUp-US-_SepDVdKVHoCyx3oYkgpYmtXseshbi1ndvZvl3bWbGfNdvZv7_3bzRR9ve-xrntsHoN74RPwZg9AcuDbCIPr0iOnJROMz9yHHfen87j97wHsp8uT-TTls11-_tvNQx7i3fROaQr7_ep0murs9uO1-mG_yr8mMK7c</recordid><startdate>200412</startdate><enddate>200412</enddate><creator>DeVries, J. H.</creator><creator>Snoek, F. J.</creator><creator>Heine, R. J.</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>200412</creationdate><title>Persistent poor glycaemic control in adult Type 1 diabetes. A closer look at the problem</title><author>DeVries, J. H. ; Snoek, F. J. ; Heine, R. J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4676-ac9a27918a0e027a3f5cd3035f5e8431e3c082cac50247d4ba8af2e3be67946d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Biological and medical sciences</topic><topic>Blood Glucose - metabolism</topic><topic>Depression - complications</topic><topic>Depression - metabolism</topic><topic>Diabetes Mellitus, Type 1 - drug therapy</topic><topic>Diabetes Mellitus, Type 1 - metabolism</topic><topic>Diabetes Mellitus, Type 1 - psychology</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>glycaemic control</topic><topic>Glycated Hemoglobin A - metabolism</topic><topic>HbA1c</topic><topic>Humans</topic><topic>insulin</topic><topic>Insulin - administration & dosage</topic><topic>Insulin - therapeutic use</topic><topic>Medical sciences</topic><topic>Patient Education as Topic</topic><topic>Psychosocial Deprivation</topic><topic>psychosocial factors</topic><topic>Type 1 diabetes mellitus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DeVries, J. H.</creatorcontrib><creatorcontrib>Snoek, F. J.</creatorcontrib><creatorcontrib>Heine, R. J.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Diabetic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DeVries, J. H.</au><au>Snoek, F. J.</au><au>Heine, R. J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Persistent poor glycaemic control in adult Type 1 diabetes. A closer look at the problem</atitle><jtitle>Diabetic medicine</jtitle><addtitle>Diabet Med</addtitle><date>2004-12</date><risdate>2004</risdate><volume>21</volume><issue>12</issue><spage>1263</spage><epage>1268</epage><pages>1263-1268</pages><issn>0742-3071</issn><eissn>1464-5491</eissn><coden>DIMEEV</coden><abstract>Around 25% of the adult Type 1 diabetes population is in persistent poor glycaemic control and thus at increased risk of developing microvascular complications. We here discuss correlates of long‐standing poor glycaemic control and review the efficacy of clinical strategies designed to overcome persistent poor control. Only a few studies have identified determinants and correlates of long‐standing poor glycaemic control in Type 1 diabetes. There is some evidence implicating genetic factors, as well as lower economic status, and psychological factors, including lack of motivation, emotional distress, depression and eating disorders. Ways of improving glycaemic control include strategies to enable self‐management, e.g. motivational strategies, coping‐orientated education, psychosocial therapies, and/or intensifying insulin injection therapy plus continuous subcutaneous insulin infusion. Long‐standing poor glycaemic control appears to be a heterogeneous and complex phenomenon, for which there is no simple, single solution. Comprehensive psycho‐medical assessment in diabetes care may prove useful in tailoring interventions. Further research is warranted, to increase our understanding how psychosocial and biomedical factors, separately and in interaction, determine poor outcomes in Type 1 diabetes.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>15569126</pmid><doi>10.1111/j.1464-5491.2004.01386.x</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0742-3071 |
| ispartof | Diabetic medicine, 2004-12, Vol.21 (12), p.1263-1268 |
| issn | 0742-3071 1464-5491 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_764238781 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Biological and medical sciences Blood Glucose - metabolism Depression - complications Depression - metabolism Diabetes Mellitus, Type 1 - drug therapy Diabetes Mellitus, Type 1 - metabolism Diabetes Mellitus, Type 1 - psychology Diabetes. Impaired glucose tolerance Endocrine pancreas. Apud cells (diseases) Endocrinopathies glycaemic control Glycated Hemoglobin A - metabolism HbA1c Humans insulin Insulin - administration & dosage Insulin - therapeutic use Medical sciences Patient Education as Topic Psychosocial Deprivation psychosocial factors Type 1 diabetes mellitus |
| title | Persistent poor glycaemic control in adult Type 1 diabetes. A closer look at the problem |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-28T12%3A50%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Persistent%20poor%20glycaemic%20control%20in%20adult%20Type%201%20diabetes.%20A%20closer%20look%20at%20the%20problem&rft.jtitle=Diabetic%20medicine&rft.au=DeVries,%20J.%20H.&rft.date=2004-12&rft.volume=21&rft.issue=12&rft.spage=1263&rft.epage=1268&rft.pages=1263-1268&rft.issn=0742-3071&rft.eissn=1464-5491&rft.coden=DIMEEV&rft_id=info:doi/10.1111/j.1464-5491.2004.01386.x&rft_dat=%3Cproquest_cross%3E67144296%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=67144296&rft_id=info:pmid/15569126&rfr_iscdi=true |