{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T16:20:35Z","timestamp":1693326035819},"reference-count":53,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2020,6,2]],"date-time":"2020-06-02T00:00:00Z","timestamp":1591056000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,6,2]],"date-time":"2020-06-02T00:00:00Z","timestamp":1591056000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Charit\u00e9"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Bundesgesundheitsbl"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Diabetes mellitus Typ 1 ist die h\u00e4ufigste endokrinologische Erkrankung bei Kindern und Jugendlichen unter 15\u00a0Jahren. Eine Heilungsperspektive bez\u00fcglich der Autoimmunreaktion gegen die insulinbildenden Betazellen ist weiterhin nicht in Sicht. Dennoch konnte durch technische Innovationssch\u00fcbe bei Glukosesensoren, Insulinpumpen und Steuerungsalgorithmen innerhalb der letzten Jahre die Stoffwechselkontrolle optimiert werden. Diese Entwicklungen f\u00fchren zusammen mit individuellen Diabetesschulungen und psychosozialer Unterst\u00fctzung zu einer deutlichen Verbesserung der Versorgung.<\/jats:p><jats:p>In diesem \u00dcbersichtsartikel wird die aktuelle Versorgungssituation von Kindern und Jugendlichen mit Typ-1-Diabetes sowie ihren Eltern dargestellt. In Deutschland ist die multidisziplin\u00e4re, spezialisierte Versorgung durch Teams aus Kinder- und Jugenddiabetolog*innen, Diabetesberater*innen, Sozialarbeiter*innen und Kinder- und Jugendpsychotherapeut*innen seit vielen Jahren etabliert und f\u00fchrt zu einer im internationalen Vergleich sehr guten Versorgungsqualit\u00e4t. Fokussiert werden die Diabetesschulung mit dem Schwerpunkt, das Selbstmanagement optimal zu unterst\u00fctzen, die psychosoziale Begleitung und Intervention sowie die Inklusion in Schulen und Kindertagesst\u00e4tten. Wir gehen au\u00dferdem auf neue soziale Entwicklungen der Diabetes-Online-Community ein. Ein aktuelles Beispiel ist die patientenbetriebene Bewegung \u201eDo-It-Yourself Artificial Pancreas System\u201c (DIY-APS), die als Open-Source-Projekt mittlerweile Innovationsgeber auch f\u00fcr Medizinproduktehersteller ist. Zum Schluss beleuchten wir die damit verbundenen Chancen, aber auch die Verschiebung der klassischen Arzt-Patienten-Rollen.<\/jats:p>","DOI":"10.1007\/s00103-020-03162-3","type":"journal-article","created":{"date-parts":[[2020,6,2]],"date-time":"2020-06-02T23:05:14Z","timestamp":1591139114000},"page":"856-863","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Versorgung von Kindern und Jugendlichen mit Typ-1-Diabetes: L\u00f6sungen f\u00fcr technische und psychosoziale Herausforderungen"],"prefix":"10.1007","volume":"63","author":[{"given":"Klemens","family":"Raile","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karina","family":"Boss","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katarina","family":"Braune","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michaela","family":"Heinrich-Rohr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,6,2]]},"reference":[{"key":"3162_CR1","doi-asserted-by":"crossref","first-page":"338","DOI":"10.2337\/dc09-1503","volume":"33","author":"S Ehehalt","year":"2010","unstructured":"Ehehalt\u00a0S, Dietz\u00a0K, Willasch\u00a0AM, Neu\u00a0A, Baden-Wurttemberg Diabetes Incidence Registry (2010) Epidemiological perspectives on type 1 diabetes in childhood and adolescence in germany: 20 years of the Baden-Wurttemberg Diabetes Incidence Registry (DIARY). 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K.\u00a0Raile ist Advisory Board Member bei Lilly Diabetes Care und Abbott Diabetes Care und erhielt Vortragshonorare von Abbott Diabetes Care, Novo Nordisk und Springer Healthcare IME. K.\u00a0Braune erhielt Beraterhonorare als Advisory Board Member von Medtronic Diabetes und von Roche Diabetes Care sowie Vortragshonorare von Dexcom, Medtronic Diabetes und der Bertelsmann Stiftung. K.\u00a0Boss und M.\u00a0Heinrich-Rohr geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}