A Follow-Up Study of Adherence and Glycemic Control Among Hong Kong Youths With Diabetes

Abstract

The model offers strategies to enhance health care in youths with diabetes. Findings support the importance of adherence to the medical regimen but emphasize the complexity of the relationship between adherence behaviors and GC. Self-regulatory behaviors, rather than compliance with fixed instructions, appear to have the most impact on GC.

Perceived Diabetes Task Competence Mediates the Relationship of both Negative and Positive Affect with Blood Glucose in Adolescents with Type 1 Diabetes

“…First, although longitudinal data supports the hypothesis that daily emotions influence blood glucose via daily illness management [23,56], our results are unable to demonstrate directionality. An equally plausible explanation for the current findings is that adolescents may have received poor blood glucose readings during the day, leading them to perceive their diabetes management efforts for the day as bad and to feel more negative and less positive emotion (e.g., [57]), consistent with theories that negative emotions provide information that the self-regulatory system requires adjustment (e.g., [58]).…”

“…Negative emotions are associated with adolescent reports of poorer diabetes management across a number of studies [20,21]. In a sample of adolescents with type 1 diabetes, Stewart and colleagues found evidence supporting a pathway leading from overall emotional distress to poorer glycemic control via lower self-efficacy and reports of poorer diabetes management [22], and this pathway was supported longitudinally in a 1-to 2-year follow-up [23]. Little is understood, however, about how adolescents' negative affect, perceptions of competence with respect to diabetes tasks, and blood glucose may play out in the day-today life of adolescents coping with diabetes, which is likely to be important because management of diabetes occurs at an ongoing daily level.…”

Effect of telephone follow‐up on adherence to a diabetes therapeutic regimen

“…As we found in this study, Maljanian, Grey, Staff and Conroy (2005) reported an increase in the proportion of patients who checked their blood glucose level at least once per day. About the importance of these adherence behaviors, Stewart et al (2003) reported that, among the different adherence behaviors, the regular testing of blood glucose and taking action to keep the blood glucose at the recommended level significantly contributed a unique variance to concurrent glycemic control. Changes in glycemic control were associated with selfreported changes in these two specific components of the diabetes self-care regimen.…”

“…An improvement in adherence has been identified as an important strategy to improve glycemic control (Morris et al, 1997). Adherence can predict glycemic control (Stewart et al, 2003).…”

Cognitive functions and glycemic control in children and adolescents with type 1 diabetes

“…On the other hand, family cohesion and adaptability (Leonard et al 2002 ;Urbach et al 2005), positive coping strategies (Beardsley & Goldstein, 1993 ;Amer, 1999), younger age of onset, social support (Amer, 1999) and adequate self-regulatory behavior (Stewart et al 2003) favourably influence glycemic control.…”