{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T07:06:58Z","timestamp":1779433618107,"version":"3.53.1"},"reference-count":15,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Technology &amp; Therapeutics"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The latest American Association of Clinical Endocrinologists\/American College of Endocrinologists consensus statement published in 2014 does not recommend continuous subcutaneous insulin infusion (CSII) in patients with mental health problems. This study investigated the use and discontinuation of CSII in daily routine care of type 1 diabetes (T1D) patients with or without comorbid mental disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      Insulin-treated T1D patients (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200948,700) between 5 and 30 years of age (median [interquartile range], 15.6 [12.0\u201317.7] years) from the German\/Austrian diabetes patient follow-up registry (DPV) were studied. A comorbid diagnosis and\/or specific treatment of mental disorder was documented in 3,158 (6.5%) patients: attention-deficit hyperactivity disorder (ADHD),\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20091,352; depression,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009692; eating disorders,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009395; needle phobia,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009319; anxiety\/obsessive compulsive disorder (OCD),\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009231; and psychosis and\/or neuroleptic medication,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009169. Multivariable logistic regression with age, sex, diabetes duration, and migration background as independent variables was used to compare groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      After adjustment for confounders, use of CSII was more common in patients with depression (41.5%), anxiety\/OCD (41.4%), or needle phobia (75.8%) compared with patients without mental disorders (34.6%) (each\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u20090.05). By contrast, psychotic patients (26.2%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u20090.05) used CSII less often, and patients with ADHD (36.3%) or eating disorders (33.9%) used it with a similar frequency. Compared with patients without mental disorders (5.1%), the rate of CSII discontinuation was higher in patients with ADHD (9.7%), depression (8.2%), or eating disorders (10.0%) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u20090.05, respectively) but similar in patients with anxiety\/OCD (6.0%), psychosis (4.2%), or needle phobia (5.3%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In routine diabetes care, CSII use and discontinuation vary widely among T1D patients with mental disorders and indicate clear differences from the latest recommendations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/dia.2015.0180","type":"journal-article","created":{"date-parts":[[2015,10,9]],"date-time":"2015-10-09T14:34:17Z","timestamp":1444401257000},"page":"34-38","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":31,"title":["Insulin Pumps in Type 1 Diabetes with Mental Disorders: Real-Life Clinical Data Indicate Discrepancies to Recommendations"],"prefix":"10.1177","volume":"18","author":[{"given":"Nicole","family":"Prinz","sequence":"first","affiliation":[{"name":"University of Ulm","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"B\u00e4chle","sequence":"additional","affiliation":[{"name":"Leibniz Center at Heinrich-Heine-University D\u00fcsseldorf","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianne","family":"Becker","sequence":"additional","affiliation":[{"name":"Dr. Horst-Schmidt-Kliniken GmbH","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriele","family":"Berger","sequence":"additional","affiliation":[{"name":"Medical University Vienna","place":["Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Galler","sequence":"additional","affiliation":[{"name":"University Hospital for Children and Adolescents","place":["Germany"]},{"name":"Charit\u00e9\u2013University Hospital Berlin","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holger","family":"Haberland","sequence":"additional","affiliation":[{"name":"Sana Hospital Berlin Lindenhof","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Meusers","sequence":"additional","affiliation":[{"name":"Community 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