Abstract
The Diabetes Control and Complications Trial has established the role of chronic hyperglycemia in the development of retinal, renal, and neuropathic complications of insulin-dependent diabetes mellitus. This paper discusses the special physiologic and developmental considerations that affect glycemic control in adolescents. We also review the prevalence of eating disorders and insulin omission in this age group as well as nutritional, gynecologic, and contraceptive issues. We emphasize the importance of family support, promotion of self-esteem, and the setting of realistic and attainable goals in improving long-term care for teenage patients with this disease.
Citations
Dec 1, 2006·Diabetologia·N C OverbyL F Andersen
Jun 29, 1999·Pediatric Clinics of North America·K Owens, A Honebrink
Aug 16, 2000·Current Opinion in Pediatrics·S T Callahan, M J Mansfield
Oct 10, 2007·European Journal of Pediatrics·E-M GerstlR W Holl
Oct 29, 2002·Diabetes Care·Stefanie A SchwartzLawrence C Perlmuter
Jun 8, 2006·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Lorraine Levitt Katz, Máire Abraham
Nov 25, 2003·The Diabetes Educator·Deborah BurnetMarshall H Chin
Jun 21, 2005·Pediatric Diabetes·Stacey L UrbachThomas M Becker