• Alan M. DelamaterEmail author
  • David G. Marrero


The complexity and sophistication of treatments for diabetes has increased dramatically in recent years, but despite these advances, many people with both type 1 and type 2 diabetes continue to have less than optimal metabolic control and suffer from preventable complications and reduced quality of life. Increasing awareness of the central role that patients play in achieving optimal outcomes has also given rise to the understanding that self-management is vastly more complex than the individual exercising “self-control.” In addition to individual characteristics, the environment in which behaviors occur has great influence, from family dynamics and access to different modes of health care to the workplace and national health policies. This book examines the synthesis of individual and context using a social ecological perspective and explores ideas for clinical practice and improving approaches to promoting engagement in diabetes care, effective diabetes self-management, and quality of life among pediatric and adult populations. We describe the organization of this book, with parallel sections on children and adults, each exploring individual, social, community, and policy-level issues in diabetes management, and summaries and discussion of implications for clinical practice and research.


Diabetes Self-management Social-ecological model Children Adults 


  1. Bagnasco, A., Di Giacomo, P., Da Rin Della Mora, R., Catania, G., Turci, C., Rocco, G., & Sasso, L. (2014). Factors influencing self-management in patients with type 2 diabetes: A quantitative systematic review protocol. Journal of Advanced Nursing, 70, 187–200.CrossRefGoogle Scholar
  2. Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press.Google Scholar
  3. Delamater, A., Jacobson, A., Anderson, B., Cox, D., Fisher, L., Lustman, P., … Wysocki, T. (2001). Psychosocial therapies in diabetes. Diabetes Care, 24, 1286–1292.CrossRefGoogle Scholar
  4. Delamater, A. M. (2006). Improving patient adherence. Clinical Diabetes, 24, 71–77.CrossRefGoogle Scholar
  5. Delamater, A. M., de Wit, M., McDarby, V., Malik, J., Hilliard, M. E., Northam, E., & Acerini, C. L. (2018). ISPAD clinical practice consensus guidelines: Psychological care of children and adolescents with type 1 diabetes. Pediatric Diabetes, 19(Supplement 27), 237–249.CrossRefGoogle Scholar
  6. Fisher, E., Walker, E. A., Bostrom, A., Fischhoff, B., Haire-Joshu, D., & Johnson, S. B. (2002). Behavioral science research in the prevention of diabetes: Status and opportunities. Diabetes Care, 25, 599–606.CrossRefGoogle Scholar
  7. Garber, A. J., Abrahamson, M. J., Barzilay, J. I., Blonde, L., Bloomgarden, Z. T., Bush, M. A., … Davidson, M. H. (2015). AACE/ACE comprehensive diabetes management algorithm 2015. Endocrine Practice, 21, 438–447.CrossRefGoogle Scholar
  8. Glanz, K., Rimer, B. K., Viswanath, K., Sallis, J. F., Owen, N., & Fisher, E. B. (2008). Ecological models of health behavior. In K. Glanz & K. V. BK Rimer (Eds.), Health behavior and health education: Theory, research, and practice (4th ed., pp. 462–484). San Francisco, CA: Jossey-Bass.Google Scholar
  9. Inzucchi, S. E., Bergenstal, R. M., Buse, J. B., Diamant, M., Ferrannini, E., Nauck, M., … Matthews, D. R. (2015). Management of hyperglycemia in type 2 diabetes, 2015: A patient-centered approach: Update to a position statement of the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care, 38, 140–149.CrossRefGoogle Scholar
  10. Lorig, K. R., & Holman, H. (2003). Self-management education: History, definition, outcomes, and mechanisms. Annals of Behavioral Medicine, 26, 1–7.CrossRefGoogle Scholar
  11. Marrero, D. G., Ard, J., Delamater, A. M., Peragallo-Dittko, V., Mayer-Davis, E. J., Nwankwo, R., & Fisher, E. B. (2013). Twenty-first century behavioral medicine: A context for empowering clinicians and patients with diabetes: A consensus report. Diabetes Care, 36, 463–470.CrossRefGoogle Scholar
  12. Steed, L., Cooke, D., & Newman, S. (2003). A systematic review of psychosocial outcomes following education, self-management and psychological interventions in diabetes mellitus. Patient Education and Counseling, 51, 5–15.CrossRefGoogle Scholar
  13. Young-Hyman, D., de Groot, M., Hill-Briggs, F., Gonzalez, J. S., Hood, K., & Peyrot, M. (2016). Psychosocial care for people with diabetes: A position statement of the American Diabetes Association. Diabetes Care, 39, 2126–2140.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of PediatricsUniversity of Miami Miller School of MedicineMiamiUSA
  2. 2.Center for Border Health DisparitiesUniversity of ArizonaTusconUSA

Personalised recommendations