Section for Pediatrics, Department of Clinical Medicine, Haugesund Hospital, Fonna Health Trust, Haugesund, Norway.
Section for Pediatrics, Department of Clinical Medicine, University of Bergen, Bergen, Norway.
J Pediatr Endocrinol Metab. 2021 Apr 12;34(6):697-705. doi: 10.1515/jpem-2021-0041. Print 2021 Jun 25.
To explore mental and somatic health, quality of life, alcohol-related problems, sleep problems, and diabetes related distress in university students with type 1 diabetes (T1D), compared to students without T1D. Further, we evaluated associations with gender, treatment modalities, and achieved metabolic control.
All fulltime Norwegian students aged 18-35 years pursuing higher education in 2018 (n=162.512) were invited into a comprehensive national survey on health and well-being. Students that stated having diabetes was asked further questions about their diabetes care.
Of 49,684 participating students, 324 participants stated having T1D. Students with T1D did not show more mental or somatic health symptoms, or report a higher level of loneliness. However, T1D was significantly associated with lower quality of life (QoL). Students with good metabolic control reached the same QoL as students without T1D. Mental disorders and suicidality were associated with lacking metabolic control. The proportion of unhealthy drinking habits was generally low, and even lower in students with T1D. Sleeping patterns were generally good, but students using continuous glucose measurement were awakening more often during sleep. Females with T1D showed higher levels of diabetes related problems and distress, but good metabolic control was associated with lower diabetes distress level.
Students with T1D scored equally on most mental and somatic health scales. Their quality of life was significantly worse compared to their healthy peers. Knowledge on the impact of metabolic control, gender and the use of CSII and CGM can be valuable for the caretakers of young adults with T1D.
与非 1 型糖尿病（T1D）学生相比，探究 T1D 大学生的精神和身体健康、生活质量、与酒精相关的问题、睡眠问题和与糖尿病相关的困扰，并进一步评估其与性别、治疗方式和代谢控制达标情况的关系。
2018 年，邀请所有年龄在 18-35 岁、正在挪威接受高等教育的全日制学生参加一项关于健康和幸福感的全国性综合调查。声明患有糖尿病的学生被进一步询问其糖尿病护理情况。
在 49684 名参与的学生中，有 324 名学生表示患有 T1D。T1D 患者的精神或躯体健康症状并不多，也不报告更高水平的孤独感。然而，T1D 与较低的生活质量（QoL）显著相关。代谢控制良好的患者达到与无 T1D 患者相同的 QoL。精神障碍和自杀意念与代谢控制不佳有关。不健康的饮酒习惯比例总体较低，T1D 患者中这一比例甚至更低。睡眠模式总体良好，但使用连续血糖监测的患者在睡眠中醒来的次数更多。患有 T1D 的女性表现出更高水平的与糖尿病相关的问题和困扰，但良好的代谢控制与较低的糖尿病困扰水平相关。
T1D 患者在大多数精神和躯体健康量表上的得分相当。与健康同龄人相比，他们的生活质量显著更差。代谢控制、性别以及 CSII 和 CGM 使用情况的相关知识对 T1D 年轻患者的护理人员具有重要意义。
