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Graff, Leanne Marie, and Karin Yakira. "Depression and diabetes in adolescents." CSUSB ScholarWorks, 2003. https://scholarworks.lib.csusb.edu/etd-project/2278.
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Hillege, Sharon Patricia, University of Western Sydney, College of Social and Health Sciences, and School of Applied Social and Human Sciences. "The impact of type 1 diabetes on the self of adolescents and young adults." THESIS_CSHS_ASH_Hillege_S.xml, 2005. http://handle.uws.edu.au:8081/1959.7/175.
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This qualitative study was designed to gain an insight into the ways in which adolescents and young adults managed ?self? in their day - to - day diabetes management. It also examined the effect that illness self representations had on that management. A grounded theory approach using a symbolic interactionist framework was adopted based on 27 in- depth semi structured interviews with adolescents and young adults with diabetes. Respondents described the effects of diabetes management on the physical, emotional, social and related selves. They also described their various illness self representations. It often took an inordinate amount of work for the respondents to manage their diabetes. This ?management? work could be related to problems with their physiological control, emotional stressors, the need to be socially interactive, differing priorities or relational issues. Certainly even the most resilient respondents experienced periods of vulnerability and needed to nurture the ?self? The study generates new knowledge which builds upon the existing body of knowledge relating to the management of self in adolescents and young adults in the context of T1DM. The study established that whilst some health professionals are sensitive and cognizant of the needs of adolescents and young adults with diabetes, there is room for improvement in the way in which health professionals understand the complexities involved in diabetes management for adolescents and young adultsDoctor of Philosophy (PhD)
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Yule, Sara Davina. "Experiences of adolescents with type 1 diabetes." Thesis, University of Edinburgh, 2013. http://hdl.handle.net/1842/7976.
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Type 1 diabetes is a condition which affects the lives of thousands of young people throughout the UK. Existing research has recognised the difficulties that adolescents have in managing their diabetes, and a large amount of research has focused on glycaemic control, and influential factors. This project attempted to establish what is known about young people’s experiences of living with type 1 diabetes, and to further develop this knowledge pertaining particularly to the school environment through qualitative research. Method A systematic review of the literature in relation to young people’s views of their life with type 1 diabetes was conducted and a synthesising thematic analysis was carried out. A qualitative research study was then carried out involving 7 adolescents aged 13-16 years who had a diagnosis of type 1 diabetes. Semi-structured interviews were carried out with the focus being on the young people’s experiences of type 1 diabetes within the school environment. Interview sessions were transcribed and Interpretative Phenomenological Analysis (IPA) was used to analyse the data. Results Five themes emerged from the systematic review. Analysis of the studies led to the emerging themes of: Normal/Different, Control/Management, Relationships, Health– care and Educational experiences. The articles revealed that the experiences of adolescents varied, and were frequently dependent upon the actions of others. Four major themes emerged from the analysis of the research study: Support, Knowledge and Understanding, Standing out, and Adjusting and Accepting. Discussion Systematic review of the articles revealed that the experiences of adolescents varied, and were frequently dependent upon the actions of others. A sense of normalcy was important, and the strict routine and activities of diabetes management impacted upon their ability to achieve it. The support of friends and family was valued, but could at times become overwhelming and educational and health professionals made a difference to their ability to successfully fit diabetes into their lives. The suggestions made by individuals within the studies were generally consistent, and have implications for healthcare providers, friends and families, and schools in relation to facilitating successful diabetic management. Many of the young people taking part in the present research study had encountered negative experiences within the school environment in relation to both peers and staff. However, they described elements of helpful practice and made suggestions for improvements that could be made within school to facilitate a more positive experience.
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Bali, Kiran. "Depressive symptoms in adolescents with type 1 diabetes." Thesis, University of Birmingham, 2014. http://etheses.bham.ac.uk//id/eprint/5300/.
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Adolescents with T1D are more vulnerable to developing depressive symptoms than their peers and the presence of depressive symptoms can have a negative influence on the self-management of T1D. It is therefore important to gain an understanding of the processes that underlie depressive symptoms in adolescents with T1D and also to examine the relationship between depressive symptoms and metabolic control. A systematic literature review is presented that synthesized and evaluated evidence on the longitudinal relationship between depressive symptoms and metabolic control in adolescents with Type 1 diabetes. The main focus was on issues of directionality within this relationship over time and identifying factors that may influence identified longitudinal associations. An empirical paper that investigated the role of cognitions proposed by Beck’s cognitive theory of depression (1967) and Bandura’s social cognitive theory (1997) in depressive symptoms in adolescents with T1D is also presented. Further research exploring depressive symptoms in adolescents with T1D is required.
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Frazer, Sharon. "Psychological factors in arthritis and diabetes among adolescents." Thesis, Queen's University Belfast, 2015. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.695341.
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The thesis comprises two pieces of research: A systematic literature review which synthesises the literature examining the psychosocial variables related to glycaemic control in adolescents with type 1 diabetes, and an empirical paper which explores the lived experience of adolescents who take methotrexate to manage their Juvenile Idiopathic Arthritis (JIA). The systematic review comprised searches of three electronic databases (Cumulative Index to Nursing & Allied Health Literature [CINAHL], Psychinfo and Medline) which yielded 1136 separate records. Eligibility assessment criteria were applied, resulting in fifty-five articles which were assessed for quality prior to data extraction. A meta-analysis and narrative synthesis of the eight most frequently occurring psychosocial variables related to metabolic control is presented. A vast number of disparate psychosocial variables were presented within the literature. A scan of the correlation coefficients in the extracted data indicated no variables showed strong associations with glycaemic control. Narrative and meta-analysis of the eight variables most frequently measured in the literature showed weak to moderate associations with metabolic control in adolescents with type 1 diabetes, however heterogeneity within results suggests issues with study quality. Tentative conclusions suggest that psychosocial variables are largely unrelated to glycaemic control with the exception of internalising behaviours; suggesting psychosocial interventions seeking to improve self-management through glycaemic control should focus on reducing the internal distress of the adolescent. The review highlighted the need to consistently utilise validated, reliable assessment measures in future research. The empirical paper used qualitative methodology to explore the in-depth, lived experience of teenagers who take methotrexate to manage their symptoms of Juvenile Idiopathic Arthritis. A topic guide was used to facilitate individual interviews with six female participants aged 13-17 who were taking or had taken methotrexate within the last year. Analysis of interview transcripts using Interpretative Phenomenological Analysis yielded three master themes: 'Who am I, and who am I to you?: Relationships with self and others', 'Methotrexate: Friend, foe or forgotten', and 'Surviving on the battlefield: Attack, retreat and defeat'. Themes are discussed in relation to existing literature in JIA and chronic illness in childhood, with inconsistencies and new content highlighted. The clinical implications of the research are discussed.
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Reese, Sandra J. "Increasing diabetes awareness in adolescents through educational programs." [Johnson City, Tenn. : East Tennessee State University], 2003. http://etd-submit.etsu.edu/etd/theses/available/etd-0328103-161433/unrestricted/ResseS042103b.pdf.
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Thesis (M.S.)--East Tennessee State University, 2003.Title from electronic submission form. ETSU ETD database URN: etd-0328103-161433. Includes bibliographical references. Also available via Internet at the UMI web site.
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Reece, S., Elizabeth F. Lowe, J. Wachs, and Jamie Branam Kridler. "Increasing Diabetes Awareness through Educational Program in Adolescents." Digital Commons @ East Tennessee State University, 2006. https://dc.etsu.edu/etsu-works/5842.
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Roberts, Clare Louise. "Associations between satisfaction with diabetes care, diabetic control and psychological variables in adolescents with type I insulin dependent diabetes mellitus." Thesis, University of Edinburgh, 2000. http://hdl.handle.net/1842/26887.
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Insulin Dependent Diabetes Mellitus (IDDM) is a life-long condition, which is the third most common chronic illness in young people (Metcalfe & Baum, 1991). Management of the illness includes a daily regimen of blood testing, insulin injections and careful balancing of diet and exercise (Shillitoe, 1995). In adolescence, diabetes control often deteriorates (Brink, 1997; Jacobson, Hauser, Wolsdorf, Houlihan, Herskowitz, Wertlieb & Watt, 1987). This consequently can have a detrimental effect on future physical health (Diabetes Control and Complications Trial, 1994). A large amount of research has sought to identify the relevant variables that are indicative of good and poor adjustment to chronic illness (for example, Eiser, 1990a). Several models have been developed, including the Risk and Resilience Model (Wallander & Varni, 1998), which was used to guide this study. It is hypothesised that patient satisfaction with diabetes care will act as a resilience factor and therefore be associated with better psychological well-being. Eighty-three young people between the ages of 14 and 18 attending diabetes outpatient clinics in the Lothian area were assessed, using standardised measures of patient satisfaction, quality of life, psychological well-being and adaptation to diabetes. The relationships between these variables, diabetic control and the effects of age, gender and time since diagnosis were calculated. Results are discussed in relation to the planning and evaluation of medical and psychological services for adolescents with diabetes. Finally, methodological weaknesses are highlighted and implications for future research discussed.
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Lindholm, Olinder Anna. "Self-management of diabetes in adolescents using insulin pumps." Doctoral thesis, Uppsala universitet, Institutionen för medicinska vetenskaper, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-122952.
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Insulin pump treatment (CSII) is considered the most physiological way to imitate the healthy body’s insulin profile in adolescents with diabetes. However, despite the use of CSII, achieving the recommended disease control is difficult for adolescents. The aim of this thesis was to explore aspects of self-management of diabetes in adolescents using insulin pumps in order to describe conditions contributing to the recommended disease control. Three methods of bolusing (normal, dual-wave and square-wave) in connection with pasta meals were tested in a crossover study among 15 adolescents with diabetes to assess whether one method was superior in managing glucose levels. A cross-sectional study among 90 adolescents being treated with CSII was conducted to investigate the management of CSII, including the administration of bolus doses. Two qualitative interview studies, based on the grounded theory method, were performed to gain insight into the processes involved in taking bolus doses and to investigate reasons for missed bolus doses and strategies for avoiding missing them. Twelve adolescents, four parents and one diabetes specialist nurse were interviewed. No method of bolusing was found to be superior in managing the glucose levels after these meals. The post-prandial glucose peaks were <10 mmol/L, in 48% of the cases, regardless of bolus methods. This indicates that adolescents can be encouraged to individually test which bolus method gives them the most normal post-prandial glucose levels. The cross-sectional study showed that adolescents were satisfied with CSII, but that 38% had missed more than 15% of the bolus doses the day under study. The frequency of bolus doses correlated with the disease control. Findings from the interview study revealed the need to clarify the responsibility for diabetes self-management in continuous negotiation between adolescents and parents to avoid insulin omission. The main reason for missed boluses was lost focus, and the strategies for remembering them were agreements involving reminders. The thesis describes that individual dose testing, clarification of responsibility and agreements involving reminders are conditions contributing to the recommended disease control. The thesis also describes that lost focus and a lack of responsibility can lead to insulin omission and be a hindrance to achieving disease control.Anna Kernell avled maj 2010.
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Stone, Monique Lee Women's & Children's Health Faculty of Medicine UNSW. "Poor glycaemic control in adolescents with type 1 diabetes." Publisher:University of New South Wales. Women's & Children's Health, 2008. http://handle.unsw.edu.au/1959.4/41281.
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Many adolescents with type 1 diabetes (T1DM) have suboptimal glycaemic control, increasing the risk of diabetic complications. This thesis explores some of the causes, consequences and therapeutic options for adolescents with T1DM and poor glycaemic control. Insulin resistance occurs in T1DM and normal puberty and contributes to poor glycaemic control. The effect of rosiglitazone, an insulin sensitizer, in addition to insulin on the glycaemic control of adolescents with T1DM was tested using a randomized, double blind placebo controlled trial. Treatment with rosiglitazone did not improve HbA1c, however there was a significant reduction in insulin dose and adiponectin, suggesting improved in insulin sensitivity. Insulin sensitivity by euglycaemic hyperinsulinaemic clamp varied widely between individuals and there was no consistent pattern with rosiglitazone. Potential markers of insulin resistance in T1DM were examined. Total and high molecular weight (HMW) adiponectin levels were lower in children and adolescents with T1DM than controls. HMW adiponectin was significantly associated with other markers of insulin resistance, such as insulin dose, body mass index standard deviation score (BMI-SDS), age, pubertal stage and duration of diabetes. There is increasing evidence that insulin resistance may play a role in T1DM complications. The natural history and risk factors for the development of microalbuminuria was described using a retrospective cohort study of 972 children and adolescents. Most cases of microalbuminuria were transient. Apart from baseline albumin excretion rate, HbA1c and age at diagnosis, other predictors of subsequently developing persistent microalbuminuria included several markers of insulin resistance (higher cholesterol, BMI-SDS, and insulin dose). In addition to insulin resistance, there are many other factors that contribute to glycaemic control. The role of the variability in carbohydrate intake was assessed using questionnaires and food diaries. Although carbohydrate consumption varied by approximately 45grams each day, it had no significant correlation with HbA1c. The impact of socioeconomic status, quality of life and health care delivery is discussed by comparing glycaemic control of children with T1DM in three diabetes centres. A model for the factors associated with poor glycaemic control in adolescents with T1DM is proposed, and the challenges of research and clinical practice in this population are discussed.
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Brandão, Mariana Rocha Almeida. "Family history of diabetes: The role of grandparents data to identify adolescents at diabetes risk." Master's thesis, Faculdade de Medicina da Universidade do Porto, 2009. http://hdl.handle.net/10216/53571.
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Brandão, Mariana Rocha Almeida. "Family history of diabetes: The role of grandparents data to identify adolescents at diabetes risk." Dissertação, Faculdade de Medicina da Universidade do Porto, 2009. http://hdl.handle.net/10216/53571.
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Rosenberg, Tziporah Esther. "The role of parent-adolescent attachment in the glycemic control of adolescents with type-1 diabetes." Related electronic resource: Current Research at SU : database of SU dissertations, recent titles available full text, 2006. http://proquest.umi.com/login?COPT=REJTPTU0NWQmSU5UPTAmVkVSPTI=&clientId=3739.
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Bulsara, Mahesh K. "Epidemiology of severe hypoglycaemia in children and adolescents with type 1 diabetes." Telethon Institute for Child Health Research, 2008. http://theses.library.uwa.edu.au/adt-WU2008.0226.
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[Truncated abstract] Type 1 Diabetes is emerging as a significant public health problem faced by nearly every country in the world. It has major economic and social implications with considerable burden of illness. Approximately 140,000 Australians have been diagnosed with T1DM with an annual increase in incidence rate of 3% per year, comparable to the overall global increase. The management of T1DM requires insulin therapy which places considerable burden on the patient and their carers. Coping with daily insulin injections, dietary changes, modification of physical activity and vigilant monitoring of blood glucose levels, will impact on patient?s quality of life. The optimum goal for the treatment of type 1 diabetes is to safely achieve near-normal glycaemia and failure to maintain this goal accelerates the progression of the devastating long term complications of diabetes. Unfortunately attempts to achieve near normal glycaemia are limited by the risk of excessive lowering of blood glucose levels and hypoglycaemia remains a major barrier to strict glucose control of diabetes. In general this thesis focuses on two fundamental issues related to the epidemiology of severe hypoglycaemia. Namely, methodological consideration when analysing prospective observational data and application of the most robust methodology. A prospective open cohort study of the Princess Margaret Hospital diabetes clinic established in 1992, with 99% case ascertainment was used. This hospital is the only paediatric referral centre for type 1 diabetes and every child diagnosed in the state of Western Australia is treated at this centre. ... The results of this study showed that severe hypoglycaemia remains a major problem and recent approaches to therapy may be allowing a degree of improved control without the expected increased risk of severe hypoglycaemia. The study in chapter 7 investigates genetic risk factors related to severe hypoglycaemia. A significant relationship where the presence of the iv deletion (D) allele of the angiotensin-converting enzyme (ACE) increases risk of severe hypoglycaemia has been reported. This study concludes that the presence of D allele of the ACE gene does not predict a significantly higher risk of severe hypoglycaemia. In an attempt to optimize glycemic control, patients may suffer multiple episodes of severe hypoglycaemia which can adversely affect quality of life as well as educational and intellectual disadvantage. The study in chapter 8 investigates the factors related to recurrent severe hypoglycaemia. A rigorous and informative time-to-event approach is used to account for within child correlation, staggered enrolment and timevarying covariates. This allows important risk factors to change over time. Preschool children have an increased risk of experiencing recurrent severe hypoglycaemia. The findings of this thesis highlights the importance of selecting appropriate analytical methodology to identify risk factors associated with severe hypoglycaemia and also to dismiss factors that had previously been thought to be important. This will help in formulating management plans in order to limit the impact of severe hypoglycaemia.
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Tossavainen, née Riihimaa P. (Päivi). "Markers of microvascular complications in adolescents with type 1 diabetes." Doctoral thesis, University of Oulu, 2003. http://urn.fi/urn:isbn:951426892X.
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The markers of microvascular complications of type 1 diabetes were evaluated in adolescents in a cross sectional survey of 100 out of 138 eligible patients aged 9-19 years with a duration of diabetes over two years who visited the Paediatric Outpatient Clinic at Oulu University Hospital in 1997-1999, and one hundred healthy controls.
Two patients in early or mid-puberty had non-proliferative diabetic retinopathy, but no other signs of microvascular complications.
The five patients with persistent microalbuminuria were all girls; one prepubertal, one late pubertal and three postpubertal. Their mean glycated haemoglobin A1c (HbA1c) was higher, but they had a similar duration of diabetes and age distribution to those without microalbuminuria.
The adolescent patients were predisposed to higher fasting serum total and low-density lipoprotein cholesterol and triglyceride levels and higher diastolic blood pressure than the control subjects. The proportional total body fat was highest in the girls with diabetes by the end of puberty, while serum leptin levels did not differ between the patients and healthy controls. The patients had low fasting serum insulin levels and high insulin-like growth factor-binding protein 1 levels, related to hypoinsulinaemia.
Distal motor nerve function in the lower extremities were already affected before puberty, and distal and proximal nerve function deteriorated as puberty advanced. Ten patients had neurophysiologically confirmed distal diabetic polyneuropathy, and they were older and they had longer duration of diabetes and higher HbA1c than patients without polyneuropathy.
Although cardiovascular function was in the main well preserved in the adolescents with type 1 diabetes, the power spectrum analysis of heart rate variability showed attenuated autonomic nervous system reactivity.
Taken together these data show that a relatively small proportion of adolescents with type 1 diabetes have signs of microvascular complications. The prevalences of diabetic retinopathy, persistent microalbuminuria and distal diabetic polyneuropathy were 2%, 6% and 10%, respectively. Pubertal maturation seems to promote the progression of early signs of microvascular complications in patients affected by type 1 diabetes.
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Huws-Thomas, Michelle Victoria. "Study of Motivational Interviewing in adolescents with type 1 diabetes." Thesis, Cardiff University, 2007. http://orca.cf.ac.uk/54601/.
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Motivational Interviewing (MI) has been shown to be effective in facilitating change in health-related behaviour in adults. The objective of this study was to examine the efficacy of MI for adolescents aged 14-17 years with type 1 diabetes. The study was divided into two parts. Study I was a randomised controlled trial (RCT) analysed by intention to treat. Sixty six adolescents with type 1 diabetes, attending diabetes clinics in South Wales, were randomly assigned to the MI intervention group (n=38) and to the control group (n=28) who received support counselling based on education and self management skills. All participants received individual sessions over 12 months. The main outcome measures were serum glycosylated haemoglobin (HbAic) concentrations and psychosocial measures which included quality of life and well- being. These were assessed at baseline, 12 months (end of intervention) and at 24 months (one year post intervention). Sixty patients completed data at 12 months. At 12 months the mean HbA C in the MI group was significantly lower than in the control group (p=0.04), after adjusting for baseline values. At 24 months follow up, this difference in HbAic had increased (p=0.003). There were differences in psychosocial variables at 12 months, with the MI group indicating more positive well-being, enhanced quality of life and differences in their personal models of illness (all p<0.001). Some of these differences were maintained at 24 months. Study II explored the relationships between quality of life and HbAic retrospectively based on a priori hypotheses. Better quality of life (satisfaction and impact) predicted reductions in HbAic at 24 months explaining 0.9% of the variance in HbAic. Conclusions: Motivational Interviewing appeared to be an effective method of facilitating adolescents with type 1 diabetes to reduce their HbAic, along with enhancements in some aspects of psychosocial functioning.
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Gallo, Sina. "The determinants of adiponectin in female adolescents : offspring of gestational diabetes and non-diabetes affected pregnancies." Thesis, McGill University, 2007. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=101125.
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Daughters of gestational diabetes (GDM) affected pregnancies are at greater risk for the development of type 2 diabetes mellitus (DM) later in life. Adiponectin is an early marker of DM risk. Dietary fat quality has been proposed to be involved in the development of insulin resistance. Plasma fatty acids are a marker of recent dietary exposure. The objectives of this research were to determine whether differences in adiponectin exist in daughters of GDM pregnancies, and to describe how dietary fatty acids impact adiponectin concentrations. Fasting adiponectin and plasma fatty acids were examined for 180 adolescent daughters born to mothers with and without GDM. No differences were observed in adiponectin between study groups, however; a significant difference was detected upon comparison of daughters from mothers who were presently diabetic with those from healthy mothers. The association between fatty acids and adiponectin varied by visceral adiposity. Adiponectin was inversely associated with monounsaturated and omega-3 (n-3) fatty acids in the high waist group. Further knowledge on the interactions between fatty acids, desaturase activity and adiponectin would be helpful in planning early interventions for individuals at risk for diabetes.
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Silva, Ana Roberta Vilarouca da. "Evaluation of two educative strategies for the prevention of type 2 Diabetes mellitus in adolescents." Universidade Federal do CearÃ, 2009. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=4574.
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CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel SuperiorO estilo de vida està diretamente relacionado com a incidÃncia de diabetes mellitus tipo 2 (DM2) e o excesso de peso, sedentarismo e maus hÃbitos alimentares aumentam drasticamente esse risco. PorÃm sabe-se que esses fatores de risco sÃo passÃveis de modificaÃÃo e que a educaÃÃo em saÃde à uma peÃa-chave para a diminuiÃÃo dos casos de DM2 em jovens, o que tem aumentado muito em todo o mundo desde a dÃcada de 1990. Estudo quase-experimental, prospectivo e comparativo cujo objetivo foi avaliar duas estratÃgias educativas para a prevenÃÃo do DM2 em adolescentes com fatores de risco, realizado de marÃo a agosto de 2008, em uma escola pÃblica da cidade de Fortaleza-CE. Participaram noventa adolescentes, divididos em dois grupos, GA (n=45) e GB (n=45). Para o grupo GA foi oferecido atendimento individual utilizando como estratÃgia educativa o folder com explicaÃÃes breves e para o GB um programa educativo contendo cinco encontros, com duraÃÃo de dez horas. Usou-se um formulÃrio (dados sociodemogrÃficos e clÃnicos), um questionÃrio de conhecimento (conceito de diabetes mellitus, tipos, sinais e sintomas, complicaÃÃes agudas e crÃnicas, fatores de risco e formas de prevenÃÃo) e dois questionÃrios para avaliar a atitude diante da alimentaÃÃo e atividade fÃsica. O questionÃrio de conhecimento foi aplicado no inÃcio, imediatamente apÃs as intervenÃÃes e apÃs sessenta dias. Os questionÃrios de atitude foram aplicados somente apÃs sessenta dias da intervenÃÃo. Conforme os resultados evidenciaram, a maioria dos adolescentes à do sexo feminino, na faixa etÃria de 14 a 15 anos e cursavam a nona sÃrie; 23,3% tinham excesso de peso e 77,8% eram sedentÃrios. As estratÃgias adotadas mostraram-se eficazes para aumentar o conhecimento dos adolescentes acerca dos fatores de risco para DM2 e formas de prevenÃÃo (p= 0,0001) nos grupos A e B. Jà em relaÃÃo à atitude, ao se comparar as estratÃgias educativas nos grupos A e B, os resultados revelaram-se satisfatÃrios para a alimentaÃÃo e atividade fÃsica, porÃm sem significÃncia estatÃstica. ConcluÃ-se que as duas estratÃgias educativas podem ser utilizadas nas escolas na prevenÃÃo do DM2 em adolescentes com fatores de risco.
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Clark, DessyeDee M. "Computer-aided hypoglycemia detection in adolescents with insulin-dependent diabetes mellitus /." Thesis, Connect to this title online; UW restricted, 2001. http://hdl.handle.net/1773/7368.
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Nordfeldt, Sam. "On Severe Hypoglycaemia in Children and Adolescents with Type 1 Diabetes." Doctoral thesis, Linköping : Univ, 2000. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-5018.
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Wells, Eleanor. "Executive functioning and self-management in adolescents with Type 1 diabetes." Thesis, University of East Anglia, 2016. https://ueaeprints.uea.ac.uk/60982/.
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Background Deterioration in Type 1 diabetes self-management and glycaemic control has been identified during adolescence, at a time when individuals begin to adopt greater responsibility for their diabetes care. Emerging literature has started to explore the association between executive function and self-management in adolescents with Type 1 diabetes. However, this literature is limited by the variability in the age ranges investigated and an over-reliance upon parent-report measures. Aims This research study explored whether adolescent executive function and responsibility for diabetes care are associated with self-management and glycaemic control. The study also explored if executive function and responsibility for diabetes care are associated. Method A cross-sectional design was adopted. Participants were aged 11-18 years with a diagnosis of Type 1 diabetes (n = 67) and accompanying parents/caregivers (n = 41). All participants completed self-report questionnaires measuring adolescent executive function, diabetes self-management and responsibility for diabetes care. HbA1c values provided a measure of glycaemic control. Results Better adolescent executive function was associated with better diabetes selfmanagement, but not glycaemic control. Metacognitive components of executive function were identified as the strongest predictor of self-management. Adolescent responsibility for diabetes care did not predict self-management or glycaemic control. No association was found between responsibility for diabetes care and executive function. Adolescent-completed and parent-completed measures were positively associated. Adolescents reported better executive function and elevated responsibility for diabetes care than their parents/caregivers. Conclusion The results suggest that executive functioning abilities are important to consider when addressing adolescents’ diabetes self-management. Metacognitive aspects of executive function were suggested to be of greater importance for adolescents in achieving effective self-management than behavioural components. The absence of a relationship between executive functioning, responsibility for diabetes care and glycaemic control suggests that other factors may be involved in predicting this outcome. Theoretical and clinical implications of these findings are discussed.
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Lang, James David St John. "The self-management of the diabetes regimen by children and adolescents." Thesis, University of Exeter, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.333545.
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Clarke, Caroline Frances. "Autonomic neuropathy in children and adolescents with type 1 diabetes mellitus." Thesis, University of Southampton, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.359223.
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Sun, Yixing. "The Association of Food Security Status with Diabetes in American Adolescents." The Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1306864632.
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McGrady, Meghan E. "Illness Representations and Glycemic Control in Adolescents with Type 1 Diabetes." University of Cincinnati / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1335462592.
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Kranitz, Heather Erin. "Identification of Disordered Eating Behaviors in Adolescents with Type 1 Diabetes." Diss., North Dakota State University, 2020. https://hdl.handle.net/10365/32054.
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Type 1 diabetes is a life-long chronic condition that typically presents in childhood, and approximately 193,000 Americans under age 20 are estimated to have either Type 1 or Type 2 Diabetes. Additionally, approximately 20-30% of adolescents with Type 1 diabetes have disordered eating behaviors or eating disorders. A common way disordered eating manifests in Type 1 diabetes is through manipulation of insulin dosages to promote hyperglycemia and subsequent weight loss. Disordered eating in diabetes can lead to short term complications such as diabetic ketoacidosis, severe hypoglycemia, and chronic long-term health conditions arising from complications of uncontrolled diabetes. Identification and screening for disordered eating in youth can lead to earlier intervention for those at risk and facilitate access to proper treatment.
The purpose of this practice improvement project was to educate providers in an urban midwestern pediatric endocrinology clinic on risk factors for disordered eating and implement a process workflow utilizing the Diabetes Eating Problems Survey-Revised (DEPS-R) screening tool. Descriptive statistics were used to determine the effectiveness of the screening tool into practice. Provider input was also evaluated regarding the implemented workflow and screening tool.
Following an education session with the clinic’s providers, two out of three providers had perceived improvement in their knowledge about disordered eating behaviors in T1DM and felt the DEPS-R would be beneficial for practice. During the 6-week implementation process, 10.6% (n=5) of screened adolescents were detected as needing further evaluation for disordered eating behaviors. The post-project evaluation input from the providers indicated they felt the implemented workflow and DEPS-R process was helpful in detecting adolescents at risk for disordered eating behaviors.
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Doe, Emily Louise. "The role of peer support in adolescents with type 1 diabetes." Thesis, University of Northampton, 2015. http://nectar.northampton.ac.uk/8826/.
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Despite a wealth of research which has taken place aiming to improve self-care in adolescents with type 1 diabetes, a paucity of studies could be identified assessing the utility of support proved by peers. This is in spite of evidence which suggests that, for older adolescents, it is peers who provide the greatest support and are therefore likely to offer a weightier resource towards effective self-care (Cattelino et al., 2014; Choukas-Bradley, Giletta, Widman, Cohen, & Prinstein, 2015; Mercken, Steglich, Sinclair, Holliday, & Moore, 2012; Pezzulo et al., 2013; Visser, de Winter, Veenstra, Verhulst, & Reijneveld, 2013). The current thesis therefore represents a significant attempt to understand the role of peer support in adolescents with type 1 diabetes. This doctoral research comprises three studies utilising a mixed methods design. Study 1 employs mixed methodology to understand the lived experience of peer support in a clinical sample. Whilst global peer support was found to be positively related to improved psychosocial and diabetes outcomes, diabetes-specific support was found to be higher in those with poorer glycaemic control. Indeed, when diabetes-specific support behaviours were discussed in semistructured interviews, these behaviours were labelled as unwanted, harrssing and nagging. These findings together indicate the potential for global peer support to offer maintenance of a normal self-concept. Study 2 proposes and assesses an adaptation of the stress-buffering hypothesis (S. Cohen & Wills, 1985) specifically focusing on the psychophysiology of peer support in relation to glycaemic control. Findings suggested that this mechanism was not significant, though limitations with the methodology are acknowledged. Instead, a positive role of stress in relation to improved glycaemic control was found in male, but not female, participants. These results lend support to assertions regarding individualised care plans. Finally, Study 3 assesses the comparability of psychosocial experience between a clinical and reference population of adolescents. Despite differences in peer support, adolescents with and without type 1 diabetes achieve a markedly similar psychosocial profile, minimising the impact of type 1 diabetes on the lives of adolescents. Therefore, the desire for normality outlined in Study 1 seems to be achieved for the most part. Overall, the findings indicate a role for peer support in the attainment and maintenance of a normative self-concept, separate from the sick role. This thesis suggests that peer support offers a different utility to parental support, and is worthy of further investigation. Taken together, these studies underline the importance of considering the person-centred nature of care, with emphasis on the potential benefit of individualised care plans, and particular attention paid to age and gender differences.
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Myhr, Elin, and Karin Gunnarfelt. "Skolsköterskans stöd till ungdomar med diabetes mellitus typ 1. : En modifierad systematisk litteraturstudie om det betydelsefulla stödet i skolan." Thesis, Karlstads universitet, Avdelningen för omvårdnad, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-39144.
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Lum, Fiona. "An investigation into the relationship between social support, adjustment to diabetes and health outcomes in adolescents with diabetes." Thesis, Bangor University, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.263188.
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Adkins, Jessica. "Using Diabetes Self-Management Education to Enhance Adolescent Transition." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5152.
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Type 1 diabetes is a long-term diagnosis, the prognosis of which is directly related to the patient's ability to self-manage the disorder. Adolescents are not currently taught how to manage diabetes; instead, parents and educators expect self-management to be more of a learned behavior from their parents. The purpose of this project was to create a quality improvement plan which the regional pediatric diabetes center study site could implement to improve adolescent glycemic control. Orem's self-care theory was used as theoretical framework for the design and evaluation of the project. The practice-focused question for this doctoral project was: Can a quality improvement plan focused on diabetes self-management education support better control of the glycemic ranges of Type 1 diabetes in adolescents during the transition of self-management from parent to child? The design of the project included creation of curriculum for classes as well as streamlining blood glucose reporting within the center. The quality improvement plan outcomes provided an improvement on hemoglobin A1c of 0.3% for those utilizing the reporting systems and an improvement of 0.4% for those who had attended the education classes. Of the 11 patients who routinely sent in blood glucose over the 4-month time period, 10 met the goal of checking glucose as directed. These outcomes indicate the potential need for more concise direction within nursing practice to provide individual ages within the pediatric population with specific education plans to improve health outcomes. Improving the glycemic control of adolescents living with diabetes allows for a better transition into adulthood with a decreased risk of long-term complications, significantly contributing to positive social change.
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Woodhead, Sarah Louise. "Parenting and type one diabetes." Thesis, University of Manchester, 2012. https://www.research.manchester.ac.uk/portal/en/theses/parenting-and-type-one-diabetes(499d6da7-ac79-41d9-974a-549838c79e31).html.
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This thesis considers parental psychological well-being and the acceptability of parenting support for those who have an adolescent with type one diabetes (T1D). Within the literature it is acknowledged that T1D diagnosis and management can have an effect on all family members. Furthermore poor parental well-being can impact negatively on adolescent well-being. It is therefore important to understand parental well-being in the context of adolescent T1D. Paper one presents a literature review of the psychological status of parents of adolescents with T1D. The review highlighted that adolescent T1D diagnosis has the potential to impact on parental psychological well-being, with some parents experiencing clinically concerning symptoms of anxiety, depression or psychological distress at different time points during their adolescent’s chronic illness. Over recent years it has increasingly been recognised that psychosocial variables can impact on physical well-being and illness management. It is important that individuals who experience distress are offered appropriate support. With regard to families and parents, psychological support may be offered through parenting interventions. Paper two aimed to explore whether Teen Triple P Positive Parenting Programme resources were acceptable to parents of adolescents with T1D and whether they would be interested in undertaking a parenting intervention. It also explored whether adolescent behaviour difficulties, parental psychological distress or diabetes-related family conflict were related to parents’ acceptability ratings and intentions to participate. Diabetes factors, such as time since diagnosis and levels of blood glucose control were also considered. The results indicated that the Teen Triple P resources have the potential to be acceptable to parents and that they would be interested in participating in a parenting intervention if one was available to them. The critical reflection considers both the literature review and the scientific study. Within this paper the approaches used, the challenges encountered, and the implications for clinical practice, and future research, are considered.
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Hillege, Sharon Patricia. "The impact of type 1 diabetes on the self of adolescents and young adults." View thesis, 2005. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20051027.134420/index.html.
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Wheeler, Lauren. "The Neuropsychological Effects of Type 1 Diabetes and Depressive Symptoms in Adolescents." Diss., The University of Arizona, 2010. http://hdl.handle.net/10150/195142.
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This study investigated the relationship between the interaction of diabetes and depressive symptoms and neuropsychological functioning in a sample of adolescents. It also addressed whether disease-related variables such as age of onset of diabetes and presence of severe hypoglycemic episodes were predictive of severity of depressive symptoms. The neuropsychological domains of memory, attention, and overall cognitive abilities were assessed using a cross-battery approach with subtests from the Wide Range Assessment of Memory and Learning - Second Edition (WRAML2), the Stroop Test, and the Kaufman Brief Intelligence Test - Second Edition (KBIT-2), respectively.The total sample consisted of 62 youth between the ages of 13 and 17 years: 31 adolescents diagnosed with Type 1 diabetes and 31 adolescents without diabetes. Adolescents were recruited from an outpatient pediatric diabetes clinic and an outpatient general medicine pediatric clinic located in Tuscon, AZ . Significant findings included that the interaction effect of diabetes and depressive symptoms scores was statistically significant for verbal memory, verbal recognition, verbal memory delayed, verbal list learning, and attention/concentration. No significant differences were found for verbal working memory, visual memory, visual recognition, or attention/inhibition. Regression analyses showed that none of the diabetes-related variables included in the study variables (age of diabetes onset, duration of diabetes, presence of severe hypoglycemic episodes, type of insulin therapy) were predictive of depressive symptoms scores that adolescents reported.
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Elleri, Daniela. "Closed-loop insulin delivery in children and adolescents with type 1 diabetes." Thesis, University of Cambridge, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.648562.
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Barrett, Sheila C. "Risk factors of type 2 diabetes and cardiovascular diseases among Jamaican adolescents." FIU Digital Commons, 2009. http://digitalcommons.fiu.edu/etd/1413.
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Purpose: The purpose of the study was to examine Jamaican adolescents in a school setting, for risk factors of type 2 diabetes mellitus (T2DM) and cardiovascular diseases (CVDs).
Methods: A descriptive epidemiological cross-sectional study of 276 Jamaican adolescents (112 males and 164 females) ages 14-19 years (15.6±1.2), randomly selected from grades 9-12 from ten high schools on the island. Thirteen risk factors were examined. Risk factors were compared with BMI levels and demographics. A sub-study validated finger prick testing of fasting blood glucose, total cholesterol, and HbAlc versus venous testing in 59 subjects.
Results: Prevalence of overweight was 33.0% (n=91) with mean BMI of 23.74±7.74. Approximately 66.7% of subjects reported > 3 risk factors. The number of T2DM and CVDs risk factors increased for subjects with BMI above 25. One third of the overweight subjects were classified with the metabolic syndrome. High BMI was associated with high waist circumference (r =.767, p
(r = .180, p.05). Percentage bias for the methods of blood testing met the reference standards for fasting blood glucose but not for total cholesterol and HbAlc. Bland Altman tests of agreement between the two methods indicated good agreement for all three tests.
Conclusion: Jamaican adolescents are at high risk for T2DM and CVDs as seen in other study populations. Effective programs to prevent T2DM and CVDs are needed. Family history of diseases, anthropometric measures, and gender identified more subjects at risk than did the biochemical measures. Comparison between finger prick and venous blood methods suggested that finger prick is an adequate method to screen for risk factors in children and adolescents.
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Biery, Samantha Evelyn Elaine. "Attitudes and behaviors of pre-adolescents with diabetes toward fat -modified foods." FIU Digital Commons, 1999. http://digitalcommons.fiu.edu/etd/1676.
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Fat modified foods are widely available and have the potential to help individuals with diabetes, including children, achieve a lower total fat and saturated fat intake. Sixty-three pre-adolescents (10-13 years) with insulin-dependent diabetes mellitus (IDDM or Type I), and 60 without diabetes (boys, n=54; girls, n=69) were tested to determine their beliefs and attitudes towards high-fat and reduced-fat foods. In addition, both children and parents were asked about the child's use of low fat foods i.e., how often the parent bought or encouraged their child to eat reduced-fat food; how strongly the doctor or dietitian promoted the use of reduced-fat foods, and the child's concern about dietary fat. In this study, preadolescents with diabetes were not more likely than those without diabetes to use fat-modified foods. Parental and health care practitioner encouragement is associated with greater use of these products by children.
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Sanchez, Lisa M. "Relationship between disinhibition and metabolic control in adolescents with Type 1 diabetes." College Park, Md. : University of Maryland, 2006. http://hdl.handle.net/1903/4124.
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Thesis (Ph. D.) -- University of Maryland, College Park, 2006.Thesis research directed by: Psychology. Title from t.p. of PDF. Includes bibliographical references. Published by UMI Dissertation Services, Ann Arbor, Mich. Also available in paper.
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Foster, Emily. "Adolescents' experience of 'adjustment' to life with diabetes : an interpretative phenomenological analysis." Thesis, University of Hertfordshire, 2010. http://hdl.handle.net/2299/4519.
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Aim: A wealth of quantitative literature exists exploring the adjustment of children and young people with Type 1 Diabetes Mellitus. However, results are often confusing and contradictory, at least partly due to studies using different definitions and measures. Studies have been criticised for over relying on parental reports and failing to consider young people’s own perceptions. Furthermore, they have often conceptualised adjustment as an outcome, rather than exploring the process involved. Additionally, although peers are considered to play an important role in young people’s lives, their role in young people’s adjustment to living with diabetes has rarely been examined. To address this gap, this study attempted to gain a rich understanding of young people’s experiences of adjusting to life with diabetes and explore how they feel their peers have contributed to this process, with the hope of informing clinical practice and improving support to young people and their families. Method: A qualitative approach was chosen and six young females aged 12 – 15 with a diagnosis of Type 1 diabetes were interviewed using semi-structured interviews. Interpretative Phenomenological Analysis was used to analyse the transcripts. Results: Five main themes emerged from participants’ accounts: Developing a balanced relationship with diabetes; the uncomfortable position of difference; grappling with the fall out of diabetes; making diabetes more bearable; and the role of parents and friends. The findings are discussed in relation to the relevant literature. Clinical implications, methodological limitations and directions for future research are presented. Conclusions: This study provided an insight into the complex and dynamic process of young people’s adjustment to life with Type 1 diabetes. It highlighted the challenges and struggles they faced as a result of their diagnosis and the different strategies they employed to manage these. It also emphasised the valuable role both parents and friends provide in supporting young people with their illness.
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Höjer, Cecilia, and Maria Bergström. "Att vara tonåring och leva med diabetes : en litteraturstudie." Thesis, University of Skövde, School of Life Sciences, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-2620.
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Studiens syfte är att undersöka tonåringars upplevelser av att leva med diabetes och vilka problem de stöter på i vardagen. Tonårstiden är en omtumlande period då förvandlingen från att vara barn till att bli vuxen sker. Att samtidigt anpassa livet efter en kronisk sjukdom som innebär strikta regler och regelbunden vardag gällande mat och medicinering är påfrestande. En litteraturstudie har gjorts för att sammanställa forskning på området. Artiklarna hämtades i databaserna Cinhal och Medline. Sökorden som använts var: ungdomar, diabetes typ 1 och upplevelser. 14 artiklar valdes ut och analyserades. Två huvudteman definierades, det första var att leva med diabetes med underrubrikerna fritid, medicinering, kost och motion, skola och vård samt livskvalitet. Det andra var relationer med underrubrikerna familjen, vänner och frigörelse. Resultatet visar att tonåringar med diabetes typ 1 känner att de skiljer sig från sina vänner. De måste följa en regelbunden kost och medicinering. De kan inte vara spontana utan måste alltid planera sitt liv efter sin sjukdom. Frigörelseprocessen ser annorlunda ut för ungdomar med diabetes. Flickor och pojkar upplever sin sjukdom på olika sätt, pojkar har svårare att acceptera sin sjukdom och försöker dölja den, flickor identifierar sig mer med sin sjukdom men har svårare att följa de strikta och regelbundna rutinerna.
The aim of this study is to look into the experiences of adolescents living with diabetes and what problems they encounter in everyday life. Adolescence is a difficult period in life in which children grow up to become adults. At the same time it is stressful to adapt life to a chronic disease, with strict rules for food and medication on a regular timetable. A literature review has been made to compile research. Articles were retrieved in the databases Cinahl and Medline. The keywords used were: adolescent, type 1 diabetes and experiences. 14 Articles were selected and analyzed. Two main themes were defined, the first was to live with diabetes with subheadings leisure, medication, diet and exercise, quality of life, health care and school. The second was relationships with subheadings family, friends and emancipation. The result shows that teenagers with type 1 diabetes know that they are different from their friends. They must adhere to a regular diet and medication. They can not be spontaneous because they have to plan life to their illness. Emancipation process is different for adolescents with diabetes. Girls and boys experience their disease in different ways. Boys have more difficulties accepting their illness and try to hide it, girls identify more with it but find it harder to follow the strict and regular routines.
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Henderson, Sally. "Attachment security as a predictor of blood glucose control in adolescents with type 1 diabetes, when the roles of additional psychological factors are considered." Thesis, University of Edinburgh, 2010. http://hdl.handle.net/1842/4915.
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Introduction: Key studies have found an association between attachment style and poor diabetes outcomes in the adult diabetic populations. Specifically insecure attachment has been found to predict elevated glycated haemoglobin levels (HbA1c). Further studies have indicated that substance use and mental health difficulties also influence HbA1c. These factors have been looked at individually making it difficult to directly assess the overall effect of attachment on HbA1c and the potential mediating effects of substance use and mental health. The adolescent population has not been considered in studies examining these relationships. This study compares attachment security, level of substance use, interpersonal problems, anxiety and depression in relation to their role in blood glucose control in an adolescent population with Type 1 diabetes. Method: A quantitative, cross sectional, questionnaire design was employed to examine the role of the aforementioned factors in relation to HbA1c level. The target population included all patients aged 14 years to 18 years, inclusive, who attended for review at Diabetes Clinics across Lothian. Participants had a diagnosis of Type 1 Diabetes for at least one year and no additional diagnoses of mental health disorder or other chronic condition. At the clinic patients were approached and asked to complete a set of self report questionnaires. Measures of attachment were adapted versions of the Relationship Questionnaire (RQ) and the Relationship Scales Questionnaire (RSQ). Interpersonal problems were assessed using the short version of the Inventory of Interpersonal Problems (IIP-32). The Hospital Anxiety and Depression Scale (HADS) assessed levels of anxiety and depression. The Adolescent Substance Abuse Subtle Screening Inventory- A2 (SASSI-A2) was used to measure substance use. Blood glucose levels (HbA1c%) were obtained from clinic staff. A total of 88 participants returned completed questionnaires (response rate 79.3%). Results: When all correlations between predictors and HbA1c were examined, a negative correlation was found between attachment and HbA1c level. A positive correlation was found between anxiety and HbA1c level. Multiple regression analyses examined the relationship between attachment security and HbA1c before analysing additional predictors in the same model. No significant relationships emerged however the multiple regression model was not a significant fit for the data. Path Analysis considered all relationships between variables simultaneously while also providing information on how the model fits the data. Attachment security directly related to HbA1c levels when the contributions of gender, interpersonal problems and substance use were considered. Anxiety and depression did not predict HbA1c nor did they contribute to any other relationships with HbA1c. Interpersonal problems had a direct relationship with HbA1c when the contribution of substance use and attachment were considered. Conclusion: Attachment predicts HbA1c. The nature of this relationship is further understood when the contribution of additional psychological variables are considered. Methodological issues, clinical implications and directions for future research are discussed.
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Taylor, Alistair Michael. "Bioactivity of the insulin-like growth factors in normal and diabetic humans and rats." Thesis, University College London (University of London), 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.266647.
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Sleiman, Ryma, and Sahar Masumeh Abbasi. "Att vara ung och leva med diabetes." Thesis, Högskolan Kristianstad, Sektionen för Hälsa och Samhälle, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-6033.
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Bakgrund: Diabetes är en kronisk sjukdom som kan påverka hela människan och dess omgivning. Sjuksköterskans förståelse av patientens upplevelser och erfarenheter kan ha stor betydelse i omvårdnaden. Att vara ung och leva med diabetes kan vara svårt och attityder till sjukdomen kan påverka egenvården. Syfte: Syftet var att beskriva ungdomars upplevelser av att leva med diabetes typ 1. Metod: Denna allmänna litteraturstudie bygger på empiriska studier. Resultat: Analysen resulterade i fyra följande kategorier: Relation till sin diabetes, relation till föräldrar, relation till vänner och relation till sjukvårdspersonalen. Åtta subkategorier bildades: positiva och negativa effekter, stöd, konflikter, bryta sig loss, stöd, att känna sig annorlunda, relation till läkare och relation till sjuksköterskor. Diskussion: Vårdpersonalen kan stödja ungdomar med diabetes genom att ge dem mer ansvar. Genom att förstå ungdomarnas upplevelser kan sjuksköterskan ge dem en förbättrad omvårdnad. Sjuksköterskan kan använda sig av empowermentmodellen, vilket innebär att patienten blir mer delaktig i sin behandling och tilldelas mer ansvar över sin situation.Background: Diabetes is a chronic illness, which affects the ill person as well as the people in its immediate surroundings. The nurses' understanding of the experiences of the patients is also a vital part of the treatment. Being young and living with diabetes could be difficult and the attitude towards the illness can affect the diabetes self-care. Objectives: The aim of the literature study was to describe the experience of young people living with diabetes type 1. Method: This study is a general literature study that consists of empiric studies. Result: The analysis led to the following four categories: Relationship to diabetes, relationship to parents, relationship to friends and the relationship to the health care personnel. Eight subcategories were formed: Positive and negative effects, support, conflicts, detachment, support, feeling different and the relationship to physicians and nurses. Discussion: Nursing personnel can support youth with diabetes by giving them more responsibility. Understanding the experiences of the youths improves the care taking of the nurses. Nurses can use the empowerment model, which makes the patient more involved in the treatment as well as feeling more responsible about their situation.
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Lucich, JoAnne. "Relationships with primary female caregivers and the management of Type I Diabetes in adolescents /." Connect to CIFA website:, 2004. http://ourworld.compuserve.com/homepages/pdwerner/cifa1.htm.
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Nesin, April Erwin. "Relationship between Emotional Competence and Metabolic Control in Adolescents with Insulin Dependent Diabetes Mellitus (IDDM)." Fogler Library, University of Maine, 2004. http://www.library.umaine.edu/theses/pdf/NesinAE2004.pdf.
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Foarde, Samuel. "Support systems in adolescents with type 1 diabetes mellitus and the relationship to diabetes-related stress, conflict, and metabolic control." Honors in the Major Thesis, University of Central Florida, 2013. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/845.
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The purpose of this integrated review of the literature was to explore the effects of social support on diabetes-related stress, conflict, and metabolic control in adolescents with type 1 diabetes mellitus (T1DM). Social support was examined in four subgroups: adolescents with T1DM, family caregivers, peers, and teachers. Relevant findings in the literature revealed a significant deficiency of research devoted to adolescent males with diabetes as well as fathers as primary and secondary caregivers. Studies highlighted the importance of fostering autonomy and positive self-image in adolescents with T1DM and described effective interventions to improve diabetes-related stress, reduce disease-related conflict, and improve metabolic control. Findings suggested that nurses caring for adolescents with T1DM and their families should foster positive, open communication, while identifying barriers to problem solving, coping, stress, and optimal glycemic control. Interventions that educate caregivers and peers on how to better communicate and provide support are critical in fostering positive psychological and physiological outcomes in the adolescent with T1DM. The findings of this study may provide guidance in the way that nurses assess, identify, and counsel adolescents with TIDM regarding their disease management and access to support systems.B.S.N.
Bachelors
Nursing
Nursing
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Laver, Fiona J. "Adherence to the type 1 diabetes treatment regime in adolescents and young adults." Thesis, University of Oxford, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.589547.
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Non-adherence to the type 1 diabetes treatment regime is an ongoing problem that is costly on both an individual and societal level. Adolescents and young adults have some of the lowest rates of adherence to the regime. The first paper is a systematic review of 27 quantitative studies investigating the influence of the family on adolescent adherence. Key findings included the importance of a high-quality adolescent-parent relationship characterised by high-levels of cohesion, collaboration and support. Parental well-being and parenting style was also shown to influence adolescent adherence. The positive association of parental diabetes-specific monitoring with adolescent adherence was also highlighted. Clinical implications include the need for interventions that enhance the parent-adolescent relationship and that educate parents about helpful parenting styles and strategies for involvement in their adolescent's diabetes management. The second paper focused attention on one particular diabetes adherence behaviour about which little is understood; non-attendance at diabetic retinopathy screening appointments. The study aimed to understand the experiences of young people who repeatedly do not attend these appointments and identify the factors influencing their attendance decisions. A qualitative study which employed a modified grounded theory methodology was carried out. Semi-structured interviews were used to explore the experiences of nine young adults diagnosed with type 1 diabetes. The grounded theory model developed illustrates that participants both knew and believed they should attend screening. This created conflict with their actual non-attendance behaviour. Four strategies that participants employed to resolve this conflict were identified and were facilitated by a number of external and cognitive factors. One incentive to attend screening was identified and was participants' desire to obtain reassurance about the health status of their eyes. Interventions that reduce the perceived 'hassle' associated with attendance are recommended, as are interventions that encourage a realistic perception of the risk of developing diabetic retinopathy.
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Lesueur, Philip Michael. "A SECONDARY ANALYSIS OF EXERCISE SELF-EFFICACY IN ADOLESCENTS WITH AND WITHOUT DIABETES." Thesis, The University of Arizona, 2008. http://hdl.handle.net/10150/192532.
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Gow, Megan Louise. "Type 2 diabetes in children and adolescents: prevention and treatment by lifestyle intervention." Thesis, The University of Sydney, 2016. http://hdl.handle.net/2123/15659.
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The primary aim of this thesis was to contribute to the evidence base guiding the prevention and treatment of type 2 diabetes (T2DM) in children and adolescents, specifically through lifestyle intervention. This thesis presents four research studies examining strategies aimed at preventing T2DM in high-risk youth and one study aimed at optimising treatment for youth with T2DM. The four prevention studies focus on the effect of lifestyle interventions, incorporating a dietary and/or exercise component, to lead to sustainable improvements in weight status, cardio-metabolic risk factors and cardiorespiratory fitness, all of which are risk factors for the development of T2DM. For the treatment of T2DM, one study examined whether an intensive very low energy diet (VLED) intervention can lead to rapid weight loss and reversal of T2DM in young people. The key findings of this thesis are: 1. Weight loss can be achieved in children and adolescents with obesity irrespective of the macronutrient distribution of a reduced-energy diet 2. A 12 week exercise program is associated with sustainable improvements in aerobic fitness and anaerobic threshold 3. Prescriptive dietary advice is safe and is associated with long-term improvements in insulin sensitivity and body composition but not weight loss 4. Early weight loss is a strong predictor of long-term obesity treatment outcome 5. Adherence to a VLED can lead to the reversal of T2DM in youth Findings from this thesis provide an improved understanding of the impact of lifestyle interventions in the prevention and treatment of T2DM in children and adolescents. Not only are these findings of immediate benefit to the clinician and patient but they will also be useful in guiding future research in this area.
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Knight, Madison, and Madison Knight. "The Effects of Glucose Levels on Academic Performance of Children and Adolescents with Type 1 Diabetes Mellitus." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/625355.
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This study examined how children and adolescents with type 1 diabetes mellitus' (T1DM) glucose levels during and prior to academic performance impact the outcome on a variety of reading, writing, and mathematics tasks. The study sample was selected from a larger study. Participants wore a continuous glucose monitor for approximately six days and complete a neurobehavioral evaluation that consisted of a variety of tasks including tasks that assessed basic reading skills, reading fluency, reading comprehension, math fact fluency, math calculation, math problem solving, spelling, and writing fluency. Results indicated that individuals who experience extreme glucose levels (e.g. hyperglycemia or hypoglycemia) perform worse on spelling accuracy tasks. Additionally, when an individual is hyperglycemic his or her reading and writing fluency skills decrease. Moreover, poor glucose control prior to academic performance increased individual's risk for exhibiting impaired performance on reading and mathematics tasks. Overall, the study results suggest that one's glucose levels prior to and during academic performance potentially impact overall execution of reading, writing, and mathematics abilities. Therefore, these findings support the need to move beyond consideration of only overall glucose levels and review temporal influence of glucose levels on academic performance to track fluctuations on academic performance and determine necessary accommodations to buffer glycemic dysregulation effects. In particular, individuals whose glucose levels are frequently within the hyperglycemic range are at greatest risk for performing below their optimal level.
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Kwan, Jason, Linda Nguy, and Jingxin Yang. "Identifying types of Motivation in Type 1 Diabetes Self-Management and Exercise in Adolescents." The University of Arizona, 2017. http://hdl.handle.net/10150/624201.
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Class of 2017 AbstractObjectives: The purpose of the study was to identify the types of motivation that promote sustained physical activity among adolescents between the ages of 11-17 who are diagnosed with type 1 diabetes (T1D) to prevent diabetes related complications. Methods: Questionnaires were distributed and collected among the Juvenile Diabetes Research Foundation’s (JDRF) listserv, Facebook page, and events in Phoenix and Tucson, Arizona on motivations for managing diabetes and exercise and confidence in diabetes management and performing physical activity. Demographic data was collected on age, gender, and race/ethnicity. Physical activity, levels of activity intensity, weight, height, health- related risk behaviors, chronic health conditions, and use of preventative services were also included in this study. Results: 11 adolescents completed questionnaires, categorized by participants who exercise less than 60 minutes daily (Group below recommended exercise level, GBRE) and participants who exercise more or equal to 60 minutes daily (Group meeting recommended exercise level, GMRE). GBRE’s average mean age was 15.75 and GMRE’s average mean age was 13.92. GMRE was associated with higher intensity physical activity (42.85% versus 0%). GBRE had a relative autonomy index (RAI) of 1.67 on the Treatment Self-regulation Questionnaire (TSRQ) compared to GMRE with a RAI of 3.81 (Mann-Whitney U 19, p-value 0.412). GBRE scored 73.75 on the Diabetes Self-efficacy Scale (DSES) and GMRE scored 78.71 (Mann-Whitney U 7, p-value 0.23). Conclusions: Adolescents who exercised ≥ 60 minutes daily were observed to be self-motivated in managing their diabetes, especially maintaining exercise recommendations to decrease diabetes related complications.