Comment on Gagnum et al. Long-term Mortality and End-Stage Renal Disease in a Type 1 Diabetes Population Diagnosed at Age 15-29 Years in Norway. Diabetes Care 2017;40:38-45.
We read with interest the paper by Gagnum et al. (1) reporting on a well-organized prospective cohort study that assessed long-term mortality and end-stage renal disease in a type 1 diabetes (T1D) population diagnosed at age 15–29 years in Norway. The authors concluded that mortality in the cohort with T1D “was 4.4 times that of the general population, and more than 50% of all deaths were caused by acute or chronic complications. A relatively high proportion of deaths were related to alcohol” (1). We would like to offer further explanation and understanding of the impact of psychological disorders on mortality in patients with T1D. ::: ::: In this study, high mortality related to alcohol abuse, violence, and …
Part I: Getting Ready. A Theory of Lives. The Stuff of Dreams: Cultural and Familial Threads. Dream Weaving (Birth to Age 17). Part II: Setting Sail. The Journey from Adolescence to the Adult World (Ages 17 to 22): A Second Element Added to the Dream. Entering the Adult World (Ages 22 to 28). The Age-30 Transition (Ages 28 to 33): From Student to Physician and Paterfamilias. Settling Down and Becoming His Own Man (Ages 33 to 40). Part III: The Mid-Life Transition. Losing the Way (Ages 40 to 43): The Initial Phase of the Mid-Life Transition. Lost (Ages 43 to 45): The Final Phase of the Mid-Life Transition. A Wider Realm (After Age 45): The Entry into Middle Age and Beyond.