Type 1 diabetes

Effects of Attention-deficit/hyperactivity disorder (ADHD) and ADHD treatment on glycemic management in type 1 diabetes: A systematic review and meta-analysis of observational studies

Diabetes Res Clin PractPublished Systematic review and meta-analysis of observational studies

Pooled result · Mean HbA1cResult — go to the resultMD 0.60 95 % CI 0.41–0.79

Authors' conclusion

ADHD is associated with higher HbA1c and increased acute diabetes-related complications. More research is needed to assess the effects of ADHD treatments on T1D management.

Study context

Population
Individuals with T1D; literature search of PubMed, EMBASE, CINAHL, Scopus, PsycINFO, CENTRAL and Web of Science up to November 22, 202317 studies
Comparison
T1D with ADHD vs without ADHD; ADHD treatment vs no treatment
Outcome
HbA1c and acute complications

Pooled result

Mean HbA1c

MD

0.60

95 % CI 0.41–0.79

P < 0.001

ADHDvs Without ADHD
MD 0.60 (95 % CI 0.41–0.79); P < 0.001

As reported in the abstract

Further pooled results

OutcomeMean difference (95 % CI)P value
Mean HbA1c by ADHD treatmentADHD treatmentvs No ADHD treatmentI2 = 78.6 %; no difference−0.52 (−1.16 to 0.13)P = 0.12

Suboptimal HbA1c, hospitalization, DKA and hypoglycemia

Rates all substantially higher in T1D with ADHD than without ADHD

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Effects of ADHD and ADHD treatment on glycemic management in type 1 diabetes: A systematic review and meta-analysis of observational studies. Diabetes Res Clin Pract. Published 13 February 2024. doi:10.1016/j.diabres.2024.111566

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