• Inga-Marlen Pontow, Jan Theil, and Albert Diefenbacher.
• Abteilung für Psychiatrie, Psychosomatische Tagesklink, Evangelisches Krankenhaus "Königin Elisabeth Herzberge" Berlin.
• Dtsch. Med. Wochenschr. 2020 Mar 1; 145 (5): 314-317.

Clinical History And FindingsA patient with T1DM, panic disorder and hypoglycaemia fear diabetes duration 4 years, BMI 25. 6, was treated in the day clinic psychosomatics with a multimodal treatment approach. She reports severe fear of hypoglycaemia and repeated hypoglycaemia. Fearing hypoglycaemia, the patient changed her diabetes self-management and thus experienced limitations in her everyday functionality.DiagnosisDiabetes mellitus type 1, panic disorder and exaggerated fear of hypoglycaemia.TherapyThe combination of continuous glucose monitoring (CGM) and a symptom record diary from classical cognitive-behavioural therapy (CBT) and in addition a multimodal psychotherapeutic group intervention based on Acceptance and Commitmenttherapy (ACT) were applied. The patient learned to differentiate between symptoms of panic attacks and symptoms due to low blood glucose levels.ConclusionThe combination of psychotherapeutic measures with CGM appears to be a helpful approach to the treatment of disease-specific mental disorders in diabetes mellitus.© Georg Thieme Verlag KG Stuttgart · New York.

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