Endocrine Abstracts

To study anxiety frequency in school-aged children with diabetes mellitus type 1 (DM type 1) depending on carbohydrate metabolism compensation.

Materials and methods: 96 patients with DM type 1 aged 13.9 ± 1.97 years. Diabetes duration is 1.72 ± 22.33 Year. We determined glycated hemoglobin (НbA1). The level of HbA1 of 7.5% or more indicated the decompensation of carbohydrate metabolism. Evaluation of the anxiety level was carried out using the Spilberger-Hanin scale of self-assessment of anxiety with the determination of reactive (RA) and personal anxiety (PA). The patients were divided into 2 subgroups: group 1 with HbAl level of 7.5% and higher (n = 35) and group 2 with HbAl level under 7.5% (n = 61).

Results: In group 1, high PA was detected in 10 people (28.6%), and high RA in 13 people (37.14%). In group 2, high PA was detected in 11 people (18.0%), and high RA in 9 people (14.7%). The incidence of high PA in group 1 was significantly higher than in group 2 (χ² = 5.75, P ± 0.01). The frequency of RA in group 1 was also higher than in group 2 (χ² = 8.81, P = 0.03). The risk of developing high PA significantly increased the growth of НbAl level (b = 0.16) (Exp (b) = 1.18; 95% CI–1.03 ± 1.34; P < 0.02).

Conclusion: The frequency of high anxiety occurrence, both personal and reactive, is significantly higher in patients with decompensation of carbohydrate metabolism. The risk of developing high personal anxiety increases with the progression of decompensation of carbohydrate metabolism.