The effects of targeting improvements in urine glucose on metabolic control in children with insulin dependent diabetes

Journal of Applied Behavior Analysis
L H EpsteinD J Becker

Abstract

A treatment program designed to increase the percentage of negative urine tests was implemented using a multiple-baseline across groups design in a sample of 19 families of children with insulin dependent diabetes. The treatment involved instruction in insulin adjustment, decrease in intake of simple sugars and saturated fats, and increase in exercise, along with teaching the parents to support improvements in children's self-regulatory behaviors using a point economy and praise. New procedures designed to measure and reinforce adherence to the urine testing regimen were developed. Results showed significant increases in percentage of negative urines consistent with implementation of treatment across the three treatment groups, which were maintained over the follow-up period. Metabolic measures of control, including glycosylated hemoglobin and serum glucose did not show improvements even though the relationship between the percentage of negative urine tests and glycosylated hemoglobin was very high during treatment.

Citations

Apr 1, 2009·Journal of Autism and Developmental Disorders·Timothy R Moore, Frank J Symons
Aug 5, 2005·The New England Journal of Medicine·Lars Osterberg, Terrence Blaschke
Jan 1, 1987·Journal of Adolescent Health Care : Official Publication of the Society for Adolescent Medicine·I M Friedman, I F Litt
Dec 7, 2005·Behavior Modification·Tim Wysocki
Aug 28, 2010·Journal of Child and Adolescent Psychiatric Nursing : Official Publication of the Association of Child and Adolescent Psychiatric Nurses, Inc·Vanya HamrinVeda Tyson
Apr 1, 1983·Journal of Youth and Adolescence·P BarglowE Dubow
May 29, 2013·Journal of Clinical Psychology in Medical Settings·Matthew J BitskoGary L Francis
Jan 1, 1993·Journal of Applied Behavior Analysis·K D AllenB R Kuhn
Nov 23, 2005·Pediatric Clinics of North America·Tim WysockiHolly Antal

❮ Previous
Next ❯

Related Concepts

Related Feeds

Autoimmune Diabetes & Tolerance

Patients with type I diabetes lack insulin-producing beta cells due to the loss of immunological tolerance and autoimmune disease. Discover the latest research on targeting tolerance to prevent diabetes.