Psychiatria polska · 2026
The transition challenge: quality of life, diabetes distress, and glycemic outcomes in emerging adults with type 1 diabetes.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Izbaner Maria, Niechciał Elżbieta, Lenartowska Dorota, Waiss Paulina, Cyranka Katarzyna, Kędzia Andrzej, Zozulińska-Ziółkiewicz Dorota, Araszkiewicz Aleksandra
Аннотация
OBJECTIVES: Limited data exist on the relationship between diabetes distress (DD), quality of life, and metabolic control in Polish adolescents with type 1 diabetes mellitus (T1DM) during transition to adult care. This study examines associations among Polish 18-year-olds with T1DM as they transition from pediatric to adult diabetes care.
METHODS: This cross-sectional study enrolled 110 consecutive patients aged 18 years with T1DM who completed the Problem Areas in Diabetes (PAID) questionnaire and Short Form Health Survey (SF-36v1). Continuous glucose monitoring (CGM) parameters were used to evaluate metabolic control.
RESULTS: Diabetes distress (DD) correlated with all quality of life scales but not with glycemic control. Women reported higher diabetes-related distress (p = 0.017) and poorer mental health (p = 0.009) than men. Smokers demonstrated worse glycemic parameters (p = 0.016) and poorer mental health (p = 0.008). Unexpectedly, poorer glycemic control was associated with better quality of life. A longer disease duration and an earlier age at onset were associated with worse glycemic control.
CONCLUSIONS: Diabetes distress is more closely associated with quality of life than metabolic control in Polish 18-year-olds with T1DM. Females, individuals with longer disease duration, and smokers may benefit from targeted interventions emphasizing both psychological support and diabetes education.
METHODS: This cross-sectional study enrolled 110 consecutive patients aged 18 years with T1DM who completed the Problem Areas in Diabetes (PAID) questionnaire and Short Form Health Survey (SF-36v1). Continuous glucose monitoring (CGM) parameters were used to evaluate metabolic control.
RESULTS: Diabetes distress (DD) correlated with all quality of life scales but not with glycemic control. Women reported higher diabetes-related distress (p = 0.017) and poorer mental health (p = 0.009) than men. Smokers demonstrated worse glycemic parameters (p = 0.016) and poorer mental health (p = 0.008). Unexpectedly, poorer glycemic control was associated with better quality of life. A longer disease duration and an earlier age at onset were associated with worse glycemic control.
CONCLUSIONS: Diabetes distress is more closely associated with quality of life than metabolic control in Polish 18-year-olds with T1DM. Females, individuals with longer disease duration, and smokers may benefit from targeted interventions emphasizing both psychological support and diabetes education.