The American Diabetes Association and Scottish Intercollegiate Guidelines Network (SIGN) guidelines also recommend assessing psychological status annually and more often as needed, treating and referring to a mental health professional if indicated (Chiang et al 2014) (see Standard 4). In particular, the SIGN guidelines recommend a regular assessment of a broad range of psychological and behavioural problems in children and adults with type 1 diabetes. In children, this should include eating disorders, behavioural, emotional and family functioning problems. For adults, this should include anxiety, depression and eating disorders.
