PAID SCORE AND GLYCEMIC CONTROL CORRELATION FOR ADOLESCENTS (11 – 18 YEARS) WITH TYPE 1 OR 2 DIABETES MELLITUS

Objectives. According to Latvian Disease Prophylaxis and Control centre there were 91571DM patients in 2017. 682 were less than 19 y.o. PAID is a 20 item self-report questionnaire that assesses a range of emotional problems related to having type 1 or 2DM. Previous research has shown that the PAID is a clinically relevant and psychometrically sound instrument (Welch et al.(2003)). Diabetes specific stressors were found to be associated with less adequate self-care and impaired glycaemic control (Peyrot et al. (2005)). the aim is to identify the correlation of PAID score with glycaemic control for adolescents (11–18 y.o.) with type 1 or 2DM.
Materials and methods. this is a cross-sectional study including 38 adolescent patients (11-18 y.o.), diagnosed with type 1 or 2DM, in a single university hospital (2018–2019). Patients were given anonymous PAID questionnaire that was translatet in Latvian. to evaluate glycaemic control anonymous questionnaire of 10 questions was designed. Descriptive statistical analysis and Spearman’s rank correlation was used to evaluate the results.
Results. there were 37 patients diagnosed type 1DM and 1 with type 2DM. the mean age 14.16 ± 2.24(mean ± SD). diabetes duration 5.3 ± 4.4years, 47.4% female and 52,6% male. Glycaemic control HbA1c% 11.0 % ± 4.4. Blood sugar level when hypoglycaemia symptoms start was 3,87 ± 0,87. PAID score was 22,5 ± 14.33. Association between PAID score and HbA1c(%) was not found(rs = –0.138;p = 0.410). Association between PAID score and Blood sugar level when hypoglycaemia symptoms start was found (rs = –0.341;p = 0.045).
Conclusions. Correlation between PAID score and HbA1c(%) levels wasn’t found. there were 5 patients that scored over 40 points in PAID scale – which indicates that these patients may be at the level of “emotional burnout”. Association between PAID score and Blood sugar level when hypoglycaemia symptoms start was found showing that patients who score higher in PAID scale have lower blood sugar level when hypoglycaemia symptoms start.