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Self-Management of Childhood Diabetes in Family Context

  • Tim Wysocki
  • Peggy Greco

Abstract

This chapter surveys self-management of insulin-dependent diabetes mellitus among children and adolescents and emphasizes the critical role of family context in the acquisition and maintenance of these behaviors. Self-management refers to the responsibility assumed by patients and families in monitoring, evaluating, and adjusting diabetes treatment. This chapter reviews an extensive literature that illustrates that a wide range of cognitive, affective, behavioral, and social variables influence the effectiveness of self-management of diabetes by youngsters and their families. The chapter begins with a review of the pathophysiology of the disease and a summary of its medical management. From there, the chapter turns to a task analysis of the demands placed upon the family by virtue of parenting a child with IDDM and a review of the research pertinent to these responsibilities. Next, a model of family contributions to the cultivation of sophisticated diabetes self-management is proposed. The chapter concludes with a research agenda that addresses important knowledge gaps revealed in the foregoing discussion.

Keywords

Metabolic Control Treatment Adherence Diabetic Control American Diabetes Association Diabetes Care 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 1997

Authors and Affiliations

  • Tim Wysocki
    • 1
  • Peggy Greco
    • 1
  1. 1.Nemours Children’s ClinicJacksonvilleUSA

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