Psychological Care for Children and Adolescents with Diabetes and Patient Outcomes: Results from the International Pediatric Registry SWEET

Table 3

Regression model analysis of associations between compliance to ISPAD Clinical Practice Consensus Guidelines (CPCG) and outcomes of pediatric patients with type 1 diabetes in SWEET centers. ISPAD CPCG recommends access to psychological care and to (a) have a psychologist and psychiatrist and/or social worker in the MDT, (b) offer psychological care at diabetes diagnosis, (c) provide patients with at least one consultation with an MHS annually and additional consultations as needed, and (d) use psychological screening tools.

	Psychological care available +3 to 4 additional features suggested by CPCG	Psychological care available+ up to 2 additional features suggested by CPCG	No psychological care
HbA1c (mmol/mol)	68 [61–76],	67 [60–75],	72 [64–80]
BMI SDS	0.54 [0.22-0.86],	0.53 [0.21-0.85],	0.69 [0.36–1.02]
DKA	0.4 [0.2-0.7],	0.6 [0.4-0.9],	Reference
SH	0.4 [0.2-1.0],	0.9 [0.4-1.8],	Reference

Results are presented as mean or odds ratio (OR) with 95% confidence interval (95% CI) with reference to “no psychological care.” BMI SDS: body mass index standard deviation score, DKA: diabetic ketoacidosis, and SH: severe hypoglycemia.