The Diabetes Self Management Profile using either the conventional or flexible regimen versions (depending on the child's
diabetes management regimen) was used to measure diabetes treatment adherence (Diabetes Research in Children Network (DirecNet) Study Group, 2005; Harris et al., 2000).
The majority of the participants (68 %) were on a flexible
diabetes management regimen (either insulin pump or basal - bolus injection regimen); the rest used conventional multiple daily injections.
The results suggest that statins could be repurposed as part of
a diabetes management regimen.
Not exact matches
The daily
management regimens and psychosocial aspect of TIDM bring attention to the child with
diabetes.
This study examined the relations among family functioning specific to
diabetes management, adherence to treatment
regimen, and metabolic control.
When parents do not take responsibility for
diabetes management themselves or can not agree with the child regarding who has responsibility for each specific
regimen components, it seems intuitive that children may be in worse metabolic control.
The age range for adolescents was 10 — 16 years, chosen to capture the developmental transition when responsibility for
diabetes management begins shifting from parent to child (Anderson et al., 2002), and when glycemic control and adherence to the recommended treatment
regimen often suffer a decline (Borus & Laffel, 2010).
In the context of
diabetes management, research has shown that Latino parents report greater supervision of their children's
diabetes regimen adherence (Gallegos - Macias, Macias, Kaufman, Skipper, & Kalishman, 2003), and parental support for
diabetes care is associated with better
diabetes outcomes among Latino youth (Hsin, La Greca, Valenzuela, Moine, & Delamater, 2010).
If such a coercive cycle becomes associated with the demands of
diabetes management, it is likely to interfere with the youth's adherence to their treatment
regimen, resulting in worsened glycemic control.
It may be useful to examine how children and parents share responsibility for
diabetes management tasks over time, and how this evolves with medical
regimen changes.