Dilemmas and directions in the care of the diabetic teenager: the Arnold Bloom Lecture 1999

Newton, R. W.; Connacher, A. A.; Morris, Andrew D.; Thompson, CJ; Greene, Stephen A.; Davies, R.

doi:10.1002/(sici)1528-252x(200001)17:1<15::aid-pdi20>3.0.co;2-m

Cited by 5 publications

(2 citation statements)

References 27 publications

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“…Adolescents with diabetes are perceived as presenting ‘special difficulties’ for services (Newton et al. 2000) and a greater understanding of their beliefs about their illness, together with the influence of maternal representations, should lead to ways to foster better adjustment.…”

Section: Introductionmentioning

confidence: 99%

“…Adolescents with diabetes are perceived as presenting 'special difficulties' for services (Newton et al 2000) and a greater understanding of their beliefs about their illness, together with the influence of maternal representations, should lead to ways to foster better adjustment. As adolescents mostly live within their immediate family environment and mothers tend to be both the parent with primary responsibility for diabetes management (Anderson et al 1990) and the parent to attend clinical appointments with their child (G. Urquhart Law, unpublished observation), this study set out to systematically compare adolescents' and mothers' illness representations regarding Type 1 diabetes.…”

Section: Introductionmentioning

confidence: 99%

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Dissimilarity in adolescent and maternal representations of Type 1 diabetes: exploration of relations to adolescent well‐being

Law

2002

Child

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Chronic illness in children and young people exists in a social context and the management of diabetes requires an ongoing supportive relationship between parent and child. The results show a high degree of consistency in the beliefs adolescents and their mothers hold, and such congruence is presumed to benefit psychological well-being. However, the mediators and moderators for family belief processes are unclear and several possibilities are discussed.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Dissimilarity in adolescent and maternal representations of Type 1 diabetes: exploration of relations to adolescent well‐being

Law

2002

Child

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Achieving optimal diabetic control in adolescence: the continuing enigma

McConnell¹,

Harper²,

Campbell³

et al. 2001

Diabetes Metab. Res. Rev.

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The transition from childhood through adolescence to adulthood is a difficult stage, particularly for patients with type 1 diabetes. The yearning for autonomy and independence, as well as the hormonal changes around the time of puberty, can manifest in poor glycaemic control. The focus on diet and weight increases the prevalence of eating disorders, compounding the difficulties in supervising diabetes patients. This can be exacerbated by the realisation that hyperglycaemia induces weight loss and the use of this knowledge to further manipulate diabetes control to gain a desired body image. The management of adolescents with type 1 diabetes is therefore challenging and requires close collaboration between psychological medicine and diabetes teams. This review describes the difficulties frequently encountered, with a description of four cases illustrating these points. Case 1 demonstrates the problem of needle phobia in a newly diagnosed patient with type 1 diabetes leading to persistent hyperglycaemia, the recognition of weight loss associated with this and the development of bulimia. The patient's overall management was further complicated by risk-taking behaviour. By the age of 24 years, she has developed diabetic retinopathy and autonomic neuropathy and continues to partake in risk-taking behaviour. Case 2 illustrates how the lack of parental support shortly after the development of type 1 diabetes led to poor glycaemic control and how teenagers often omit insulin to accommodate lifestyle and risk-taking behaviour. Case 3 further exemplifies the difficulty in managing patients with needle phobia and the fear of hypoglycaemia. Case 4 adds further weight to the need for parental support and the impact of deleterious life events on glycaemic control by manipulation of insulin dosage.

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Dietary Management: Optimising Diabetes Outcomes

Waldron¹

2007

Evidence‐based Paediatric and Adolescent Diabetes

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Dilemmas and directions in the care of the diabetic teenager: the Arnold Bloom Lecture 1999

Cited by 5 publications

References 27 publications

Dissimilarity in adolescent and maternal representations of Type 1 diabetes: exploration of relations to adolescent well‐being

Dissimilarity in adolescent and maternal representations of Type 1 diabetes: exploration of relations to adolescent well‐being

Achieving optimal diabetic control in adolescence: the continuing enigma

Dietary Management: Optimising Diabetes Outcomes

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