Self-Management Strategies in Emerging Adults With Type 1 Diabetes

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• 作者：Elora Majumder ; BAAuthor Vitae ; Fran R. Cogen ; MD ; CDEAuthor Vitae ; Maureen Monaghan ; PhD ; ^{MMonagha@childrensnational.org}Author Vitae
• 关键词：Type 1 diabetes ; adolescents ; self-management ; adherence ; glycemic control ; problem solving
• 刊名：Journal of Pediatric Health Care
• 出版年：2017
• 出版时间：January-February 2017
• 年：2017
• 卷：31
• 期：1
• 页码：29-36
• 全文大小：314 K
• 卷排序：31

文摘

We examined changes in self-management behaviors after high school graduation in a cohort of emerging adults with type 1 diabetes.MethodsSixty-four emerging adults reported on diabetes self-management behaviors at three time points over a 1-year period. Glycemic control and blood glucose monitoring frequency data were collected from the medical chart.ResultsCollaboration with parents decreased, diabetes problem-solving and communication increased, and glycemic control worsened during the first year after high school (p < .05). Problem solving appeared to be protective against worsening glycemic control; higher baseline diabetes problem solving significantly predicted better glycemic control at the 1-year follow-up.DiscussionEmerging adults demonstrate increased independence in diabetes problem solving and communication with health care providers in the year after high school. Problem-solving skills may help emerging adults adapt type 1 diabetes self-care in response to unpredictable schedules after high-school, and promoting these skills may prevent deteriorations in glycemic control during this risky period.