1. Children with type 1 diabetes have increased mental health risks
Researchers at the Karolinska Institute in Stockholm found children diagnosed with type 1 diabetes were more likely than their siblings, who did not have the condition, to attempt suicide or to develop a psychiatric condition, according to Reuters.
"We suspected that we would find higher risk of common psychiatric disorders such as depression or anxiety, as observed among adults with diabetes," lead author Agnieszka Butwicka told Reuters. "What was surprising was that risk was high for many different psychiatric disorders."
The study included 17,000 children with diabetes born in Sweden between 1973 and 2009. Butwicka believes the results would be similar in other countries with access to data on children with type 1 diabetes and their siblings.
This research indicates children with type 1 diabetes may need additional mental health monitoring.
2. Type 1 diabetes outcomes differ by race
A study published in the journal Pediatrics found there are racial differences in care and outcome in children who live with type 1 diabetes, but that adjusting for socioeconomic factors does not explain these disparities. There have been studies on this subject before which have come to similar conclusions, according to Reuters.
This most recent study, led by Dr. Steven Willi at the Children's Hospital of Philadelphia, analyzed data from 10,000 children under 18 in a type 1 diabetes registry. Eleven percent of these children were Hispanic and seven percent were black. Black children tended to have poorer diabetes control than white and Hispanic children. The mean hemoglobin A1c among black children in the study was 9.6 percent, compared to the 7.5 percent level that the American Diabetes Association recommends as ideal for type 1 children. Black children also saw more complications from type 1 diabetes.
These statistics held up even after the researchers adjusted for socioeconomic factors. Willi suggested alternate explanations, including cultural notions of treatment and the interaction between black individuals and predominantly white doctors.
However, Dr. Stuart Chalew at Children's Hospital of New Orleans noted in an editorial that black and white people with the same blood sugar levels can have different A1c measurements, with black patients' levels trending higher. This may be due to genetic factors.