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在患有2型糖尿病和ADHD的成年人中控制糖尿病血糖
Dahlia Leshno1,2, Liat Lev Shalem1, Revital Perlov Gavze1
1Maccabi Healthcare Services, Tel Aviv, Israel.
Journal of attention disorders
|October 11, 2024
概括
患有2型糖尿病和注意力缺陷/多动障碍 (ADHD) 的成年人显示血糖控制明显较差. 这凸显了需要综合护理策略来有效管理ADHD和糖尿病的需要.
科学领域:
- 内分泌学 在内分泌学.
- 代谢障碍 代谢障碍 代谢障碍
- 神经发育障碍 神经发育障碍
背景情况:
- 治疗持续性对于管理2型糖尿病 (T2DM) 和预防并发症至关重要.
- 注意缺陷/多动障碍 (ADHD) 对生活质量和日常功能产生负面影响.
- 了解ADHD和T2DM之间的相互作用对于全面的患者护理至关重要.
研究的目的:
- 调查ADHD和T2DM成年人血糖控制之间的关联.
- 为了确定ADHD诊断是否与较差的糖尿病管理结果相关.
主要方法:
- 使用麦卡比医疗保健服务 (2010-2020) 电子病历进行的回顾性横截面研究.
- 倾向性得分匹配与1582名有ADHD的T2DM患者和1582名没有ADHD的T2DM患者进行了比较.
- 统计分析包括t测试,曼-惠特尼U测试和HbA1c水平的多变量逻辑回归.
主要成果:
- 与没有ADHD的患者相比,T2DM和ADHD患者的HbA1c水平高于10%,9%,8%的比例是4.7到5.9倍.
- 多变量逻辑回归显示,ADHD患者的血糖控制差 (HbA1c> 8%,9%或10%) 的几率增加.
结论:
- 同时出现的ADHD和T2DM与较高的血糖控制不良的发病率有关.
- 这些发现强调了在糖尿病管理中考虑ADHD的重要性.
- 需要进一步的研究来开发针对这种患者群体的有针对性的干预措施.
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