Sjúkdómsmynd og meðferðarheldni ungs fólks með insúlínháða sykursýki eftir flutning yfir á göngudeild fyrir fullorðna

• Main Authors: Hildur Halldórsdóttir, Fjóla Katrín Steinsdóttir, Arna Guðmundsdóttir, Jakob Smári, Eiríkur Örn Arnarson
• Other Authors: Landspítali Iceland
• Format: Article in Journal/Newspaper
• Language: Icelandic
• Published: Læknafélag Íslands, Læknafélag Reykjavíkur 2010
• Subjects: Sykursýki; Reykingar; Geðlyf; Ambulatory Care; Biological Markers; Continuity of Patient Care; Diabetes Complications; Diabetes Mellitus; Type 1; Hemoglobin A; Glycosylated; Hospitals; University; Hypoglycemic Agents; Iceland; Medication Adherence; Outpatient Clinics; Hospital; Psychotropic Drugs; Smoking; Time Factors; Treatment Outcome; Young Adult; Smella
• Online Access: http://hdl.handle.net/2336/88978

Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn Skoða/Opna(view/open) OBJECTIVE: This paper highlights the treatment factors of concern after the transition from an outpatient clinic for children and adolescents to an outpatient clinic for adults. MATERIAL AND METHODS: Participants were 56 individuals with diabetes type one in their twenties seeking treatment at the Diabetes clinic at Landspítali-University Hospital. In all, 72 outpatients met inclusion criteria and the response rate was 78%. RESULTS: On the average HbA1c measures were above the American Diabetes Association treatment target, which is HbA1c less than 7%. In the preceding twelve months only 28,6% participants attended at least four routine appointments. Half of the women and 30% of the men suffered from complications, retinopathy being most common. Quarter of the participants smoked, which is the same proportion as for all Icelanders aged 20-29 years old. The smokers had more symptoms of depression and anxiety. 19% of participants used psychotropic medication which is more than twice as high as in the normal population of Iceland. CONCLUSIONS: Special attention should be made to the fact that HbA1c measures were on the average above the treatment target and complications were common. Psychotropic medication usage was high which indicates that more cooperation between the Diabetes clinic and psychologists and/or psychiatrists is needed. New methods should be explored in reaching out to young people with diabetes. Tilgangur: Þessi grein varpar ljósi á þá þætti sem þarf að huga betur að í meðferð fólks með sykursýki tegund eitt eftir flutning af göngudeild fyrir börn og unglinga yfir á göngudeild fullorðinna. Efniviður og aðferðir: Þátttakendur voru 56 ungmenni á aldrinum 20-30 ára sem mætt hafa í eftirlit á göngudeild sykursjúkra á Landspítala. Alls uppfylltu 72 þátttökuskilyrði en svarhlutfall var 78%. Niðurstöður: Meðal HbA1c-gildi voru á öllum tímabilum yfir meðferðarmarkmiðum American Diabetes ...