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Adolescent adherence in type 1 diabetes

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Comprehensive Therapy

Abstract

Adolescents with Type 1 diabetes have poorer glycemic control and more hypoglycemia than do adults. While physiologic reasons for these problems exist, the most common problems are failure to administer insulin, monitor glucose levels, and maintain an appropriate meal plan.

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References

  1. Diabetes Control and Complications Trial Research Group. The effect of intensive treatment of diabetes and the progression of long-term complications in insulin dependent diabetes mellitus. N Engl J Med. 1993;329:977–986.

    Article  Google Scholar 

  2. Diabetes Control and Complications Trial Research Group. Effect of intensive diabetes treatment on the development and progression of long-term complications in adolescents with insulin-dependent diabetes mellitus: Diabetes Control and Complications Trial. J Pediatr. 1994;125:177–188.

    Article  Google Scholar 

  3. Amiel SA, Sherwin RS, Simonson DC, Lauritano AA, Tamborlane WV. Impaired insulin action in puberty: a contributing factor to poor glycemic control in adolescents with diabetes. N Engl J Med. 1986;315:215–219.

    Article  PubMed  CAS  Google Scholar 

  4. Amiel SA, Simonson DC, Sherwin RS, Lauritano AA, Tamborlane WV. Exaggerated epinephrine responses to hypoglycemia in normal and insulin-dependent diabetic children. J Pediatr. 1987;110:832–837.

    Article  PubMed  CAS  Google Scholar 

  5. Morriss AD, Boyle DIR, McMahon AD, Greene SA, Mac-Donald TM, Newton RW. Adherence to insulin treatment, glycaenmic control, and ketoacidosis in insulin-dependent diabetes mellitus. Lancet. 1997;350:1505–1510.

    Article  Google Scholar 

  6. Timms N, Lowes L. Autonomy or non-compliance in adolescent diabetes. Br J Nurs. 1999:8:794–800.

    PubMed  CAS  Google Scholar 

  7. Lutfey KE, Wishner WJ. Beyond ‘compliance’ is ‘adherence’. Diabetes Care. 1999;22:635–639.

    Article  PubMed  CAS  Google Scholar 

  8. Kovacs M, Goldston D, Obrosky S, Iyengar S. Prevalence and predictors of pervasive noncompliance with medical noncompliance with medical treatment among youth with insulin-dependent diabetes mellitus. J Am Acad Child Adolesc Psychiatry. 1992;31:1112–1119.

    Article  PubMed  CAS  Google Scholar 

  9. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 3rd Ed. Washington, DC. American Psychiatric Association. 1980.

    Google Scholar 

  10. Goldston DB, Kelly AE, Reboussin DM, et al. Suicidal ideation and behavior and noncompliance with the medical rigimen among diabetic adolescents. J Am Acad Child Adolesc Psychiatry. 1997;36:1528–1536.

    Article  PubMed  CAS  Google Scholar 

  11. Weisberg-Benchell J, Glasgow AM, Tynan WD, Wirtz P, Turek J, Ward J. Adolescent diabetes management and mismanagement. Diabetes Care. 1995;18:77–82.

    Article  Google Scholar 

  12. Biggs MM, Basco MR, Patterson G, Raskin P. Insulin with-holding for weight control in women with diabetes. Diabetes Care. 1994;17:1186–1189.

    Article  PubMed  CAS  Google Scholar 

  13. Stancin T, Link DL, Reuter JM. Binge eating and purging in young women with IDDM. Diabetes Care. 1989;12:601–603.

    Article  PubMed  CAS  Google Scholar 

  14. Polonsky WH, Anderson BJ, Lohrer PA, Aponte JE, Jacobson AM, Cole CF. Insulin omission in women with IDDM. Diabetes Care. 1994;17:1178–1189.

    Article  PubMed  CAS  Google Scholar 

  15. Anderson B, Ho J, Brackett J, Finkelstein D, Laffel L. Parental involvement in diabetes management tasks: relationships to blood glucose monitoring in young adolescents with insulin-dependent diabetes mellitus. J Pediatr. 1997;30: 257–265.

    Google Scholar 

  16. Evans JMM, Newton RW, Ruta DA, MacDonald TM, Stevenson RJ, Morris AD. Frequency of blood glucose monitoring in relation to glycaemic control: observational study with diabetes database. BMJ. 1999;319:83–86.

    PubMed  CAS  Google Scholar 

  17. Mazze RS, Shamoon H, Pasmantier R, et al. Relaiability of blood glucose monitoring. Am J Med. 1984;77:211–217.

    Article  PubMed  CAS  Google Scholar 

  18. Golden MP, Herrold AJ, Orr DP. An approach to prevention of recurrent diabetic ketoacidosis in the pediatric population. J Pediatr. 1985;107:195–200.

    Article  PubMed  CAS  Google Scholar 

  19. Glasgow AM, Weissberg-Benchell J, Tynan WD, et al. Readmission of children with diabetes mellitus to a children's hospital. Pediatrics. 1991;88:98–104.

    PubMed  CAS  Google Scholar 

  20. Kovacs M, Charron-Prochownik D, Obrosky DS. A longitudinal study of biomedical and psychosocial predictors of multiple hospitalizations among young people with insulin-dependent diabetes mellitus. Diab Med. 1995;12:142–148.

    CAS  Google Scholar 

  21. Levine BS, Anderson BJ, Butler DA, Antisdel JE, Brackett-Laffel LMB. Predictors of glycemic control and short-term-adverse outcomes in youth with type 1 diabetes. J Pediatr. 2001;139:197–203.

    Article  PubMed  CAS  Google Scholar 

  22. Jones JM, Lawson ML, Daneman D, et al. Eating disorders in adolescent females with and without type 1 diabetes: cross-sectional study. Br Med J. 2000;320:1563–1566.

    Article  CAS  Google Scholar 

  23. Rydall AC, Rodin GM, Olmsted MP, et al. Disordered eating behavior and microvascular complications in young women with insulin-dependent diabetes mellitus. N Engl J Med. 1997;336:1849–1854.

    Article  PubMed  CAS  Google Scholar 

  24. Wycoski T, Meinhold PA, Abrams KC, et al. Parental and professional estimates of self-care independence of children and adolescents with IDDM. Diabetes Care. 1992;15:43–52.

    Article  Google Scholar 

  25. Wysocki T, Taylor A, Hough BS, Linscheid TR, Yeates KO, Naglieri JA. Deviation from developmentally appropriate self-care autonomy. Diabetes Care. 1996;19:119–125.

    Article  PubMed  CAS  Google Scholar 

  26. Peveler RC, Davies BA, Mayou RA, Fairburn CG, Mann JI. Self-care behaviour and blood glucose control in young adults with type 1 diabetes mellitus. Diabetic Med. 1993;10:74–80.

    Article  PubMed  CAS  Google Scholar 

  27. Tupola S, Rajantie J, Akerbloom HK: Experience of severe hypoglycaemia may influence both patient's and physician's treatment policy of insulin dependent diabetes. Eur J Pediatr. 1998;157:625–627.

    Article  PubMed  CAS  Google Scholar 

  28. Tercyak KP, Johnson SB, Kirkpatrick KA, Silverstein JH. Offering a randomized trial of intensive therapy for IDDM to adolescents: reasons for refusal, patient characteristics and recruiter effects. Diabetes Care. 1998;21:213–215.

    Article  PubMed  Google Scholar 

  29. Mendez FJ, Belendez M. Effects of a behavioral intervention on treatment adherence and stress management in adolescents with IDDM. Diabetes Care. 1997;20:1370–1375.

    Article  PubMed  CAS  Google Scholar 

  30. Anderson BJ, Brackett J, Ho J, Laffel LMB. An office based intervention to maintain parent-adolescent teamwork in diabetes management: impact on parent involvement, family, conflict and subsequents glycemic control. Diabetes Care. 1999;22:713–721.

    Article  PubMed  CAS  Google Scholar 

  31. Forsander GA, Sundelin J, Persson B. Influence of the initial management regimen and family social situation on glycemic control and medical care in children with type 1 diabetes mellitus. Acta Paediatr. 2000;89:1462–1468.

    Article  PubMed  CAS  Google Scholar 

  32. Geffken GR, Lewis C, Johnson SB, Silverstein JH, Rosenbloom AL, Monaco L. Residential treatment for youngsters with difficult-to-manage insulin dependent diabetes mellitus. J Pediatr Endocrinol Metab. 1997;10:517–527.

    PubMed  CAS  Google Scholar 

  33. Hampson SE, Skinner TC, Hart J, et al. Behavioral interventions for adolescents with type 1 diabetes. Diabetes Care. 2000;23:1416–1422.

    Article  PubMed  CAS  Google Scholar 

  34. Daneman D, Olmsted M, Rydall A, et al. Eating disorders in young women with type 1 diabetes. Horm Res. 1998;50:(Suppl 1):79–86.

    Article  PubMed  CAS  Google Scholar 

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The author has stated that he does not have a significant financial interest or other relationship with any product manufacturer or provider of services discussed in this article.

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Hoffman, R.P. Adolescent adherence in type 1 diabetes. Compr Ther 28, 128–133 (2002). https://doi.org/10.1007/s12019-002-0050-8

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  • DOI: https://doi.org/10.1007/s12019-002-0050-8

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