It is important to investigate factors that contribute to better diabetes management during adolescence because patterns of mismanagement established in adolescence often extend into adulthood (Bryden et al., 2001), and the
resulting poor glycemic control has serious and costly complications across the lifespan (Diabetes Control and Complications Trial [DCCT], 1993).
Increased fat deposits (adiposity - when you see a ring of fat around a humans waist) occurs in dogs as they age, and older dogs tend to have
poorer glycemic control as compared to younger dogs.
A 2013 study in Diabetes Care found that, for people with type 2 diabetes, having a later bedtime is associated
with poorer glycemic control — even after researchers controlled for total sleep duration.
It is estimated that 8.1 million of the 29.1 million Americans living with diabetes are undiagnosed and many who have diabetes have
poor glycemic control.
Hispanics are at increased risk of morbidity and mortality due to their high prevalence of diabetes and
poor glycemic control.
Reports of parental restrictiveness (similar to excessive firm control) were associated with
poorer glycemic control, perhaps suggesting that parents exert more firm control when management is not going well.
Adolescents with Type 1 diabetes are at risk for poorer adherence, lower quality of life (QOL), and
poorer glycemic control (HbA1c).
Youths with
poorer glycemic control are likely to experience more frequent out - of - range blood glucose values on their meters, leaving them vulnerable to parental blame and shame and their own distress and disappointment.
Wysocki and colleagues» finding that the efficacy of BFST - D varied as a function of glycemic control (e.g., greater effects with adolescents with
poorer glycemic control) also has potentially important clinical and research implications.
For the former case, we propose two potential pathways from BGM affect to
poorer glycemic control.
Among youth with low and moderate levels of resilience (as measured by a score composed of self - reported self - efficacy, self - esteem, self - mastery, and optimism items), those who reported higher levels of diabetes - related stress had
poorer glycemic control and diabetes self - care; yet, for youth with high levels of resilience, these constructs were not related (Yi et al., 2008).
This negative affect may then carry over into the family relationship around diabetes management, promoting more family conflict and ultimately leading to
poorer glycemic control (11).
Higher BGMC questionnaire scores were also associated with
poorer glycemic control (youth, r = 0.28; parent, r = 0.20), even when the effects of diabetes - specific family conflict and psychosocial quality of life were controlled.
Researchers found that among those children / youth with higher baseline HbA1c levels (i.e.,
poorer glycemic control), those who attended at least three of four intervention sessions had a reduction in their HbA1c after treatment (Carpenter et al., 2014).