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Treating adolescents with Type 1 diabetes: Psychological interventions to promote adherence
Author(s) -
Manning Alison,
DiPietro Jamie Gainor
Publication year - 2018
Publication title -
the brown university child and adolescent behavior letter
Language(s) - English
Resource type - Journals
eISSN - 1556-7575
pISSN - 1058-1073
DOI - 10.1002/cbl.30305
Subject(s) - worry , type 1 diabetes , diabetic ketoacidosis , context (archaeology) , mood , diabetes management , diabetes mellitus , psychological intervention , psychiatry , psychology , blood sugar , medicine , type 2 diabetes , clinical psychology , pediatrics , developmental psychology , endocrinology , anxiety , paleontology , biology
James is a 16‐year‐old male teen with attention‐deficit/hyperactivity disorder (ADHD) and Type 1 diabetes (T1D) diagnosed five years ago. His routine monitoring bloodwork reveals worsened lab values over the past year, indicating poor self‐management of his diabetes. This inadequate disease control has resulted in two inpatient medical hospitalizations to treat mild diabetic ketoacidosis. James has been struggling with following through on diabetes management tasks, refusing to check his blood sugar, and eating without taking insulin. His parents worry that he has seemed more anxious and withdrawn, and his mood has worsened in the context of increased academic difficulty at school. There is significant discord between his parents related to how to best address his nonadherence .