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[메디컬투데이=이재혁 기자] Type 1 diabetes, a disease in which the body cannot produce insulin, is a chronic disease that must be managed throughout one’s life. Type 1 diabetes is commonly known as juvenile diabetes due to the difficulty of managing it with insulin injections and the relatively common onset of the disease at a young age.
However, type 1 diabetes, an autoimmune disease, can be diagnosed at any age and is continually increasing. As of 2021, it is reported that there are more than 8.4 million people worldwide. It is expected to increase between 13.5 and 17.4 million in 2040.
In a recent assessment of data from the UK Biobank, 42% of patients with type 1 diabetes are aged between 31 and 60, and while demand for adult care is increasing, the reality of our society is regressing.
In Korea, the stigma score for type 1 diabetes is 59 points (the higher the score, the higher the level of stigma). That is higher than Australia’s 53 points, Turkey’s 47 points and Denmark’s 43 points. This social perception makes the treatment and management of diabetic patients difficult.
According to previous research, type 1 diabetes patients suffering from mental illnesses such as eating disorders, depression and anxiety had difficulty controlling their blood sugar levels. However, it has been reported that 76% of adult patients with type 1 diabetes have never received mental health support. This is a time when we desperately need attention for adult patients with type 1 diabetes who find themselves in the treatment blind spot due to errors in social perception.
The research team led by Professors Kim Jae-hyun and Kim Gyu-ri from the Department of Endocrinology at Samsung Seoul Hospital surveyed 10,391 patients and 51,995 members of the general public diagnosed with type 1 diabetes as adults based on data from the national health insurance between January 2009. and December 2020, with an average of 7.94. There was a one-year follow-up.
As a result of the study, the incidence of mental health disorders in patients diagnosed with type 1 diabetes in adults and the general public was 66 and 29 per 1,000 person-years, respectively, which is more than double that in adult patients with type 1 diabetes. diabetes.
As a result of comparing risk by disease in a subanalysis, patients diagnosed with type 1 diabetes as adults were 4 times more likely to abuse alcohol and drugs, 3 times more likely to suffer from depression, 2.6 times more likely of having personality and personality problems. behavioral disorders and 2.5 times more likely to have mood and eating disorders than the general population. The risk of developing anxiety and stress disorders was 1.9 times higher.
Professor Kim Jae-hyun said: “I always feel sad and heartbroken when I see adult patients with type 1 diabetes lose their mental health during the difficult treatment process. Indeed, there are treatments that allow blood sugar monitoring and insulin injections without external exposure, such as a hybrid closed-loop system, but it is not a treatment that all diabetes patients can use.”
The explanation is that the price is high and accessibility is low.
Professor Kim said: “These technologies are especially needed for type 1 diabetes patients suffering from mental health disorders” and added: “I hope that social awareness and treatment systems improve as soon as possible so that Adult patients with type 1 diabetes can also benefit.” he said.
Meanwhile, this study was published in the latest issue of the international academic journal “Diabetes & Metabolism”.
Medical Today Video Editing Team (press@mdtoday.co.kr)
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