Sentences with phrase «poor metabolic control»

Moreover, in the present study many parents admitted experiencing difficulties in setting limits for their children and this parenting style was associated with poorer metabolic control.

Furthermore, this study of youth in poor metabolic control had a restricted range of HbA1C, and possibly adherence, which may have limited associations between the two variables.

The primary aim of this study was to examine whether boys have worse adherence and metabolic control in a sample of predominantly African - American, low - income adolescents in chronically poor metabolic control.

Evaluation for celiac disease should be considered if there is unsatisfactory weight gain that can not be explained by poor metabolic control.

HbA1C is a retrospective measure of average blood glucose levels over the preceding 2 — 3 months where a higher number represents poorer metabolic control.

HbA1c represents the average blood glucose over the prior ∼ 3 months, with higher levels indicating poorer metabolic control.

Interventions focusing on externalizing behavior such as behavior management, increasing parental monitoring, and improving impulse control, may be more effective than those targeting depression and anxiety for urban youth in very poor metabolic control.

In a longitudinal study with an urban, economically disadvantaged sample with relatively poor metabolic control (mean HbA1C of 11.1), Cohen, Lumley, Naar - King, Partridge, and Cakan (2004) found associations between externalizing symptoms, but not internalizing, and metabolic control.

Although the above studies were conducted with primarily Caucasian, middle - class samples, there is also evidence to suggest that among low socioeconomic status (SES) samples with poor metabolic control externalizing symptoms may be more highly linked to the development of poor health outcomes than internalizing symptoms.

This potential mediating effect may offer a more comprehensive understanding of how the interrelations between family functioning and adherence result in poor metabolic control.

Objective To examine gender differences in adherence and metabolic control and test the mediating role of mental health symptoms in a sample of predominantly African - American, low - income youth with chronically poor metabolic control.

Some studies have found that both internalizing and externalizing mental health symptoms have been associated with poorer metabolic control in adolescents (La Greca, Swales, Klemp, Madigan, & Skyler, 1995; Leonard, Jang, Savik, Plumbo, & Christensen, 2002; Lernmark, Persson, Fisher, & Rydelius, 1999).

Due to the risk of malformations associated with unplanned pregnancies and poor metabolic control, a new recommendation was added encouraging preconception counseling starting at puberty for all girls of childbearing potential.

Use of multisystemic therapy to improve regimen adherence among adolescents with type1 diabetes in poor metabolic control: A pilot investigation.

A prospective study not included in the former, of periodontitis progression and glycemic control conducted in a population of Gullah Afro - Americans with type 2 DM, showed accelerated periodontitis progression in patients with poor metabolic control (HbA1c ≥ 7 %) in comparison with patients with good metabolic control (HbA1c < 7 %)[33].

Although periodontal diseases have not been «officially» recognized as a complication of DM, the scientific evidence available indicates that poor metabolic control may increase the risk of gingivitis and periodontitis [2]; these periodontal pathologies have also been asso - ciated with diverse systemic diseases closely related to DM, such as cardiovascular diseases, obesity and metabolic syndrome [3][4].

Schafer et al. (1983) and Schafer, McCaul, and Glasgow (1986) found that negative and unsupportive parental behavior patterns related to diabetes care behaviors (e.g., coercion, nagging, threats, criticism, and scolding) are correlated with both poorer metabolic control and poorer regimen adherence.

The purpose of this study was to test for gender differences in adherence and metabolic control and to determine whether mental health symptoms mediated these differences in a low SES sample with poor metabolic control.

In teenagers (age 13 and above; N = 63), poor metabolic control was strongly correlated with critical and negative parenting (r =.66, p <.001).

The research literature clearly links depression and poor metabolic control among adults with diabetes (Enzlin, Mathieu, & Demyttenaere, 2002; Lustman et al., 2000), although it is unclear whether depression affects adherence alone, metabolic control alone, or both.

Conclusions Results suggest that gender differences in adherence may be attributed, in part, to gender differences in externalizing symptoms in urban youth with poor metabolic control.

High spouse conflict and low spouse closeness may place both partners and patients at risk for general psychological distress, which, for patients, has been linked to poor self - management and poor metabolic control (42,43).

However, La Greca et al. (1995) found that females had poorer metabolic control, and this gender difference was attributed to gender differences in depression.

These anticipated difficulties are associated with increased diabetes - related stress, which in turn is related to poorer metabolic control (Hains et al., 2006).

Poor adherence can result in poor metabolic control, which places the individual at risk for a host of medical complications (Diabetes Control & Complications Trial Research Group, 1993, 1994).

Although there is no hypothesized biological mechanism linking externalizing symptoms to metabolic control, aggression and conduct problems can interfere with the adolescent's ability to follow the rules associated with the diabetes regimen such as administering insulin at the right times and following a diet, which in turn can lead to poor metabolic control.

Although bootstrap analyses allow for modeling with small sample sizes, replications with larger samples of youth with T1DM in poor metabolic control are warranted.

There are very few studies of urban youth in poor metabolic control, a group at higher risk for T1DM complications compared to suburban youth with lower HbA1c (Delamater et al., 1999).

Thus, poor adherence to insulin treatment (21), and specifically missing shots (22), might contribute to poor metabolic control and episodes of ketoacidosis.

Eating disturbances, depression, and peer relations were related to poor metabolic control, whereas good family relations were related to better metabolic control for girls.

Adjustment problems might affect both psychological well - being and the course of the disease by contributing to poor self - management and poor metabolic control.