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    Changing Patterns of Self-Management in Youth With Type I Diabetes

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    MAHESH KOUJALAGI
    This document summarizes a study that examined changing patterns of self-management in youth with type 1 diabetes. The study found that in preadolescents (ages 8-11), parents performed most diabetes care and conflicts sometimes occurred over food, insulin doses, and blood glucose testing. In early adolescents (ages 11-15), youth performed daily care but parents were still actively involved, and conflicts occurred over food and blood glucose testing. By mid-adolescence (ages 15-17), youth managed most care independently, though parents were still somewhat involved, and exercise was a common point of conflict. By late adolescence (ages 17-19), youth independently managed all aspects of their diabetes care.

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    Changing Patterns of Self-Management in Youth With Type I Diabetes

    Uploaded by

    MAHESH KOUJALAGI
    51 views2 pages
    This document summarizes a study that examined changing patterns of self-management in youth with type 1 diabetes. The study found that in preadolescents (ages 8-11), parents performed most diabetes care and conflicts sometimes occurred over food, insulin doses, and blood glucose testing. In early adolescents (ages 11-15), youth performed daily care but parents were still actively involved, and conflicts occurred over food and blood glucose testing. By mid-adolescence (ages 15-17), youth managed most care independently, though parents were still somewhat involved, and exercise was a common point of conflict. By late adolescence (ages 17-19), youth independently managed all aspects of their diabetes care.

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    This document summarizes a study that examined changing patterns of self-management in youth with type 1 diabetes. The study found that in preadolescents (ages 8-11), parents performed most diabetes care and conflicts sometimes occurred over food, insulin doses, and blood glucose testing. In early adolescents (ages 11-15), youth performed daily care but parents were still actively involved, and conflicts occurred over food and blood glucose testing. By mid-adolescence (ages 15-17), youth managed most care independently, though parents were still somewhat involved, and exercise was a common point of conflict. By late adolescence (ages 17-19), youth independently managed all aspects of their diabetes care.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    51 views2 pages

    Changing Patterns of Self-Management in Youth With Type I Diabetes

    Uploaded by

    MAHESH KOUJALAGI
    This document summarizes a study that examined changing patterns of self-management in youth with type 1 diabetes. The study found that in preadolescents (ages 8-11), parents performed most diabetes care and conflicts sometimes occurred over food, insulin doses, and blood glucose testing. In early adolescents (ages 11-15), youth performed daily care but parents were still actively involved, and conflicts occurred over food and blood glucose testing. By mid-adolescence (ages 15-17), youth managed most care independently, though parents were still somewhat involved, and exercise was a common point of conflict. By late adolescence (ages 17-19), youth independently managed all aspects of their diabetes care.

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    See discussions, stats, and author profiles for this publication at: https://www.researchgate.

    net/publication/6696983

    Changing Patterns of Self-Management in Youth with Type I Diabetes

    Article  in  Journal of Pediatric Nursing · January 2007


    DOI: 10.1016/j.pedn.2006.01.034 · Source: PubMed

    CITATIONS READS
    143 54

    3 authors, including:

    Kathleen Knafl Margaret Grey


    University of North Carolina at Chapel Hill Yale University
    214 PUBLICATIONS   10,924 CITATIONS    263 PUBLICATIONS   10,926 CITATIONS   

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    Some of the authors of this publication are also working on these related projects:

    TeenCope: An Internet-based coping skills training program for youth with type 1 diabetes View project

    Sleep-Wake Characteristics in Young Adults with Type 1 Diabetes View project

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    Outline Cited by 1 / 13 Article info Hide

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    Margaret Grey
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    youth and their parents, self-management conflict, and three patterns of self-management in youth across four developmental Lene E. Joensen, Thomas P. Almdal and Ingrid Willaing
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    diabetes and one of their parents were interviewed using semistructured interviews. Data were analyzed using qualitative
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    care. Dyads reported some conflicts, particularly over food, amount of bolus, and blood glucose testing. The dyads
    demonstrated a self-management pattern that we identified as parent-dominant. Most early adolescents (11–15 years)
    performed much of their own daily care, but parents actively participated in their self-management and oversaw it. The
    majority of dyads reported conflict over food and blood glucose testing. Most early adolescents demonstrated a transitional self-
    management pattern whereby they managed their own daily care, with varying amounts of parental oversight. In mid-
    adolescence (15–17 years), youth managed nearly all of their diabetes care; however, some dyads reported that parental
    oversight of illness care was still considerable. Exercise was conflictual for the majority of these dyads. Over half of the youth
    and, by late adolescence (17–19 years), all youth demonstrated a pattern of adolescent-dominant self-management. In
    adolescent-dominant self-management, youth independently managed their diabetes. Half of the dyads reported that there
    were sometimes conflicts over food and blood glucose testing. Understanding the nature of sharing self-management
    responsibilities, the nature of conflict in carrying out such responsibilities, and the pattern of self-management may help nurses
    provide more targeted assistance to youth with diabetes and to their parents.
    n 2006 Elsevier Inc. All rights reserved.

    NE IN EVERY 400–500 children and ado- and fat metabolism (Boland


    Boland & Grey, 2000
    2000). The
    O lescents in the United States has type I
    diabetes (American
    American Diabetes Association, 2004
    2004).
    goal of diabetes treatment is to keep blood glucose
    levels within normal range because both hypogly-
    The incidence of type I diabetes is rising, cemia and hyperglycemia carry short-term and
    especially in children under 5 years (Juvenile
    Juvenile long-term health risks and potential complications
    Diabetes Research Foundation, 2004
    2004). In type I (Boland
    Boland & Grey, 2000
    2000). Low glycosylated hemo-
    diabetes, the pancreas produces little or no insulin globin (HbA1c) levels have been shown to delay
    View publication stats

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