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Background <p>The prevalence of juvenile type&#xa0;2 diabetes (T2D) is increasing and poses a&#xa0;challenge for guideline-based care due to early complications and low treatment adherence.</p> Objective <p>Retrospective analysis of socioeconomic and psychosocial factors at diagnosis of T2D to identify barriers of care and to develop a&#xa0;multimodal care concept.</p> Methods <p>A&#xa0;total of 19&#xa0;patients with T2D (14.1 ± 2.0&#xa0;years, 63.2% girls, HbA1c: 9.2 ± 3.3%) from the Diabetes Center for Children and Adolescents at Ulm University Hospital. Based on the “Chronic Care” model, a&#xa0;treatment concept in line with current guidelines was developed aiming to address existing barriers.</p> Results <p>In all, 79% of patients had a&#xa0;migration background, 63% attended a&#xa0;lower secondary/special school, and 79% lived in complex family structures. Only 61% were accompanied to the appointment by a&#xa0;primary contact person. Furthermore, 90% were affected by obesity, 53% hypertension/dyslipidemia, 37% steatosis hepatis, and 37% had mental health comorbidities. To meet these challenges, a&#xa0;multimodal, family-centered, structured care concept with a&#xa0;special consultation hour for T2D was developed. The care includes a&#xa0;visit with the certified diabetes team as well as alternating units for nutritional therapy or psychosocial support. Other specialists can be integrated to avoid additional appointments. A&#xa0;case manager acts as coordinating body.</p> Conclusion <p>The concept gives children and adolescents with T2D and their families the opportunity to attend all interdisciplinary care appointments on one day. In the future, it must be evaluated whether this approach engages therapy adherence, self-management and empowerment, and optimizes treatment.</p>

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Typ-2-Diabetes bei Kindern und Jugendlichen – Notwendigkeit eines innovativen Versorgungskonzepts

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年10月6日

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  • C. Denzer,
  • N. Prinz,
  • O. Ovcarov,
  • M. Fiedler,
  • T. Amstätter,
  • A. Bauer,
  • M. Hochdorfer,
  • M. Kriechbaum,
  • A. Lohrmann,
  • R. Nowak,
  • M. Richter,
  • A. Schießl,
  • M. Schirmer,
  • R. Völk,
  • S. Brandt-Heunemann,
  • M. Wabitsch

摘要

Background

The prevalence of juvenile type 2 diabetes (T2D) is increasing and poses a challenge for guideline-based care due to early complications and low treatment adherence.

Objective

Retrospective analysis of socioeconomic and psychosocial factors at diagnosis of T2D to identify barriers of care and to develop a multimodal care concept.

Methods

A total of 19 patients with T2D (14.1 ± 2.0 years, 63.2% girls, HbA1c: 9.2 ± 3.3%) from the Diabetes Center for Children and Adolescents at Ulm University Hospital. Based on the “Chronic Care” model, a treatment concept in line with current guidelines was developed aiming to address existing barriers.

Results

In all, 79% of patients had a migration background, 63% attended a lower secondary/special school, and 79% lived in complex family structures. Only 61% were accompanied to the appointment by a primary contact person. Furthermore, 90% were affected by obesity, 53% hypertension/dyslipidemia, 37% steatosis hepatis, and 37% had mental health comorbidities. To meet these challenges, a multimodal, family-centered, structured care concept with a special consultation hour for T2D was developed. The care includes a visit with the certified diabetes team as well as alternating units for nutritional therapy or psychosocial support. Other specialists can be integrated to avoid additional appointments. A case manager acts as coordinating body.

Conclusion

The concept gives children and adolescents with T2D and their families the opportunity to attend all interdisciplinary care appointments on one day. In the future, it must be evaluated whether this approach engages therapy adherence, self-management and empowerment, and optimizes treatment.