BMJ  2006;333 (8 July), doi:10.1136/bmj.333.7558.0-a

Psychological treatments improve glycaemic control in children and adolescents with diabetes

A meta-analysis of 21 randomised trials by Winkley and colleagues (p 65) finds weak but significant evidence that psychological treatments improve glycaemic control in children and adolescents with type 1 diabetes, and no evidence of an effect in adults. In the 10 studies of children and adolescents, the pooled absolute reduction in glycated haemoglobin was 0.5% in those who had received a psychological intervention. The success of psychological interventions in children may be explained by higher levels of psychological distress in children with diabetes and their families.


Figure 1
Credit: MICHAEL DONNE/SPL

 


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Relevant Article

Psychological interventions to improve glycaemic control in patients with type 1 diabetes: systematic review and meta-analysis of randomised controlled trials
Kirsty Winkley, Sabine Landau, Ivan Eisler, and Khalida Ismail
BMJ 2006 333: 65. [Abstract] [Full Text] [PDF]




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