Adolescents, parents and physicians: a comparison of perspectives on type 1 diabetes self-care.

Abstract:

OBJECTIVE:No research to date has compared the beliefs of adolescents, parents and physicians with respect to type 1 diabetes mellitus self-care perceptions and barriers. This study examined how adolescents with type 1 diabetes, their parents and physicians perceive 4 key diabetes self-care behaviours (testing blood glucose, taking insulin, exercise and diet) and what influences those behaviours. METHOD:Forty-eight adolescent/parent dyads and 21 pediatric endocrinologists rated importance, difficulty and proficiency for 4 self-care behaviours, and provided up to 5 perceived influences on these behaviours. We compared adolescents to parents and families to physicians. RESULTS:Groups rated all self-care behaviours as important, with taking insulin as most important. Families rated behaviours as relatively easy compared to physicians. All groups agreed that diet was both the most difficult self-care behaviour and the behaviour at which adolescents were least proficient. Although families rated teens as proficient overall, physicians disagreed. Adolescent and parent perception of diet difficulty was related to poorer glycemic control, and blood glucose testing and insulin administration proficiency were linked to better glycemic control. Compared to other groups, teens were especially likely to mention internal and hindering influences, and more likely to mention other people as negative influences. CONCLUSIONS:Although all groups agreed that all self-care behaviours are important, there are key areas of discrepancy in perceptions, particularly between families and physicians. Further research should connect the beliefs examined in this study to actual self-care behaviours.

journal_name

Can J Diabetes

authors

Palladino DK,Helgeson VS

doi

10.1016/j.jcjd.2013.02.057

subject

Has Abstract

pub_date

2013-06-01 00:00:00

pages

175-81

issue

3

eissn

1499-2671

issn

2352-3840

pii

S1499-2671(13)00134-2

journal_volume

37

pub_type

杂志文章
  • Trends in Blood Glucose Test Strip Utilization: A Population-Wide Analysis in Saskatchewan, Canada.

    abstract:OBJECTIVES:To describe trends in blood glucose test strip (TS) utilization and cost in Saskatchewan. METHODS:A retrospective analysis of TS use between January 1, 1996, and December 31, 2013, was conducted using population-based health administrative databases in Saskatchewan. The prescription drug database was used t...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2017.01.004

    authors: Kosar L,Alsabbagh W,Lu X,Lix LM,Shevchuk Y,Teare GF,Champagne A,Blackburn DF

    更新日期:2018-02-01 00:00:00

  • Associations Between Depressive Symptoms and Indices of Obesity in Adults With Prediabetes and Normal Blood Glucose Levels: Results From the Emotional Health and Wellbeing Study.

    abstract:OBJECTIVES:This study describes associations between depressive symptoms and indices of obesity in a community sample of adults with prediabetes. The strengths of these associations were compared to those observed in individuals with normal blood glucose levels. METHODS:Cross-sectional data came from the baseline asse...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2018.05.005

    authors: Burns RJ,Deschênes SS,Schmitz N

    更新日期:2018-12-01 00:00:00

  • Screening for Atherosclerotic Cardiovascular Disease in Patients With Type 2 Diabetes Mellitus: Controversies and Guidelines.

    abstract::If a disease state is highly prevalent and its consequences are severe, it may be appropriate to seek methods to identify it early to forestall its development and complications. Diabetes mellitus is a proven risk factor for the development of atherosclerosis, although its face and outcome are changing, as shown in co...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章,评审

    doi:10.1016/j.jcjd.2019.08.009

    authors: Raggi P

    更新日期:2020-02-01 00:00:00

  • Ketogenic Diet as a Normal Way of Eating in Adults With Type 1 and Type 2 Diabetes: A Qualitative Study.

    abstract:OBJECTIVES:There are currently no recommendations on following the ketogenic diet (KD) in the context of diabetes and, therefore, health-care professionals may not be comfortable in supporting this dietary regimen. In this qualitative study, we aim to understand the perspective of patients with diabetes when following ...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2020.06.016

    authors: Wong K,Raffray M,Roy-Fleming A,Blunden S,Brazeau AS

    更新日期:2020-06-27 00:00:00

  • Dietary Patterns in Adults with Type 2 Diabetes Predict Cardiometabolic Risk Factors.

    abstract:OBJECTIVES:Examining the diets of people living with type 2 diabetes may improve understanding of how diet affects disease progression. We derived dietary patterns in adults living with type 2 diabetes and explored associations among patterns, sociodemographic variables and cardiometabolic risk factors. METHODS:Dietar...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2015.11.006

    authors: Mathe N,Pisa PT,Johnson JA,Johnson ST

    更新日期:2016-08-01 00:00:00

  • Alberta Healthy Living Program--a model for successful integration of chronic disease management services.

    abstract::The most common presentation of chronic disease is multimorbidity. Disease management strategies are similar across most chronic diseases. Given the prevalence of multimorbidity and the commonality in approaches, fragmented single disease management must be replaced with integrated care of the whole person. The Albert...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2013.04.001

    authors: Morrin L,Britten J,Davachi S,Knight H

    更新日期:2013-08-01 00:00:00

  • Modulatory effects of diosgenin on attenuating the key enzymes activities of carbohydrate metabolism and glycogen content in streptozotocin-induced diabetic rats.

    abstract:OBJECTIVE:Fenugreek and its active compound diosgenin are ancient herbal medicines recommended by the World Health Organization. In this study, the effect of diosgenin on changes in carbohydrate metabolic enzymes and glycogen content in muscle and kidneys of streptozotocin-induced diabetes rats were evaluated. METHODS...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2014.02.004

    authors: Saravanan G,Ponmurugan P,Deepa MA,Senthilkumar B

    更新日期:2014-12-01 00:00:00

  • Variability of Clinical Practice Management of Type 1 and Type 2 Diabetes During Surgery Across Canada.

    abstract:OBJECTIVE:As part of a larger project to develop quality standards in perioperative diabetes management, the goal of this project was to assess self-reported management of surgical patients with diabetes across healthcare institutions and specialties in Canada. METHODS:Current practice of perioperative management of p...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2020.10.011

    authors: Malcolm J,Halperin I,Moore S,Houlden RL,Canadian Standards for Perioperative\/Periprocedure Glycemic Management Expert Consensus Panel.

    更新日期:2020-10-27 00:00:00

  • Insights Into the Current Management of Older Adults With Type 2 Diabetes in the Ontario Primary Care Setting.

    abstract:OBJECTIVE:The Goal Oriented controL of Diabetes in the Elderly populatioN (GOLDEN) Program assessed the management of older persons with type 2 diabetes in Canadian primary care. METHODS:Data were extracted from the records of 833 consecutively identified persons 65 years of age or older who had type 2 diabetes and we...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2017.03.003

    authors: Meneilly GS,Berard LD,Cheng AYY,Lin PJ,MacCallum L,Tsuyuki RT,Yale JF,Nasseri N,Richard JF,Goldin L,Langer A,Tan MK,Leiter LA

    更新日期:2018-02-01 00:00:00

  • Understanding the Experiences of East African Immigrant Women With Gestational Diabetes Mellitus.

    abstract:OBJECTIVES:East African (EA) women are a subpopulation who are at very high risk for gestational diabetes (GDM) and poor obstetric outcomes, but little is known about the care experiences of this understudied group. The objective of this study was to document the impact of a diagnosis of GDM and the perceptions of diab...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2018.01.013

    authors: Siad FM,Fang XY,Santana MJ,Butalia S,Hebert MA,Rabi DM

    更新日期:2018-12-01 00:00:00

  • Efficacy of Carbohydrate Supplementation Compared With Bolus Insulin Dose Reduction Around Exercise in Adults With Type 1 Diabetes: A Retrospective, Controlled Analysis.

    abstract:OBJECTIVES:Individuals with type 1 diabetes try to manage the risk of exercise-induced hypoglycemia by either pre-exercise/pre-meal bolus insulin dose reductions and/or consuming additional carbohydrates during exercise. Both strategies have proven to be effective in offsetting hypoglycemia, but it remains unclear whic...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2020.03.003

    authors: Eckstein ML,McCarthy O,Tripolt NJ,Müller A,Birnbaumer P,Pferschy PN,Hofmann P,Bracken RM,Sourij H,Moser O

    更新日期:2020-12-01 00:00:00

  • Is Age a Risk Factor for Cerebral Edema in Children With Diabetic Ketoacidosis? A Literature Review.

    abstract::Cerebral edema (CE) is a rare but potentially fatal complication of diabetic ketoacidosis (DKA) in children with type 1 diabetes. CE is frequently mentioned as being more common in young children. The primary objective of this study was to review the evidence suggesting that younger age is a risk factor for the develo...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章,评审

    doi:10.1016/j.jcjd.2019.04.013

    authors: Glackin S,Metzger D,Hanas R,Chanoine JP

    更新日期:2020-02-01 00:00:00

  • Insulin infusion therapy in critically ill patients.

    abstract::While dysglycemia (hyperglycemia, hypoglycemia and glucose variability) is clearly associated with increased mortality in critically ill patients, target range of blood glucose control remains controversial. Standardized insulin infusion protocols constitute the basis of treatment of these patients. The choice of prot...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章,评审

    doi:10.1016/j.jcjd.2014.01.016

    authors: Boutin JM,Gauthier L

    更新日期:2014-04-01 00:00:00

  • Meaning of Health: The Perspectives of Aboriginal Adults and Youth in a Northern Manitoba First Nations Community.

    abstract:OBJECTIVE:To explore perspectives on the meaning of health to Aboriginal adults and youth living in a northern Manitoba First Nations community. METHODS:Six focus groups with 29 youth and individual interviews with 10 adults were audio-recorded, transcribed verbatim and thematically analyzed. RESULTS:Adults and older...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/S1499-2671(08)22008-3

    authors: Isaak CA,Marchessault G

    更新日期:2008-01-01 00:00:00

  • Impact of Resistance Training on Factors Involved in the Development of New-Onset Diabetes After Transplantation in Renal Transplant Recipients: An Open Randomized Pilot Study.

    abstract:OBJECTIVES:New-onsetdiabetes after transplant (NODAT) is a major contributor to cardiovascular disease after transplantation. Kidney transplantation (KT) recipients have low levels of exercise capacity. Resistance training (RT) might be of special benefit in this population because underlying disease and immunosuppress...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2015.08.014

    authors: Karelis AD,Hébert MJ,Rabasa-Lhoret R,Räkel A

    更新日期:2016-10-01 00:00:00

  • Downregulated Brain-Derived Neurotrophic Factor-Induced Oxidative Stress in the Pathophysiology of Diabetic Retinopathy.

    abstract::Brain-derived neurotrophic factor (BDNF), a member of neurotrophin growth factor family, physiologically mediates induction of neurogenesis and neuronal differentiation, promotes neuronal growth and survival and maintains synaptic plasticity and neuronal interconnections. Unlike the central nervous system, its secreti...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章,评审

    doi:10.1016/j.jcjd.2016.08.228

    authors: Behl T,Kotwani A

    更新日期:2017-04-01 00:00:00

  • Use patterns of antidiabetic regimens by patients with type 2 diabetes.

    abstract:OBJECTIVE:To describe the use patterns of metformin-based antidiabetic regimens in patients with type 2 diabetes and to identify predictors of initiating metformin monotherapy. METHODS:By using administrative databases from Alberta, Canada, we identified all metformin users ages 65 years and older between 1998 and 201...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2013.04.008

    authors: Abdelmoneim AS,Eurich DT,Gamble JM,Simpson SH

    更新日期:2013-12-01 00:00:00

  • Basal Glucose on Tolerance Test During Pregnancy Predicts Impaired Fasting Glucose and Type 2 Diabetes Within 2 Months After Gestational Diabetes.

    abstract:OBJECTIVES:Postpartum mothers with gestational diabetes may remain with either type 2 diabetes mellitus, impaired glucose tolerance or impaired fasting glucose. Our aim in this study was to identify maternal variables that could predict 1 or more of these conditions. METHODS:In 193 singleton pregnancies with gestation...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2020.06.008

    authors: Olmos P,Borzone G,Poblete A

    更新日期:2020-06-17 00:00:00

  • Type 2 Diabetes Risk in Older Adults Living in Social Housing: A Cross-Sectional Study.

    abstract:OBJECTIVES:This study aimed to describe the risk of developing diabetes and the probable prevalence of diabetes and prediabetes in residents of subsidized or social housing who were 55 years of age or older. METHODS:We conducted a cross-sectional study using data collected from an ongoing community health program in s...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2020.10.005

    authors: Angeles R,Zhu Y,Pirrie M,Marzanek F,Agarwal G

    更新日期:2020-10-16 00:00:00

  • Uptake of Community Pharmacist-Delivered MedsCheck Diabetes Medication Review Service in Ontario between 2010 and 2014.

    abstract:OBJECTIVES:The objective of the study was to describe the demographic and clinical characteristics of MedsCheck Diabetes (MCD) recipients in Ontario between program launch on September 1, 2010, and March 31, 2014. METHODS:This cohort study leveraged linked administrative claims data. Trends in MCD claims and recipient...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2016.12.001

    authors: MacCallum L,Consiglio G,MacKeigan L,Dolovich L

    更新日期:2017-06-01 00:00:00

  • TITRATION: A Randomized Study to Assess 2 Treatment Algorithms with New Insulin Glargine 300 units/mL.

    abstract:OBJECTIVE:It was uncertain whether an algorithm that involves increasing insulin dosages by 1 unit/day may cause more hypoglycemia with the longer-acting insulin glargine 300 units/mL (GLA-300). The objective of this study was to compare safety and efficacy of 2 titration algorithms, INSIGHT and EDITION, for GLA-300 in...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.jcjd.2017.06.007

    authors: Yale JF,Berard L,Groleau M,Javadi P,Stewart J,Harris SB

    更新日期:2017-10-01 00:00:00

  • Diabetic mastopathy: case report and summary of literature.

    abstract::Diabetic mastopathy is an uncommon, benign breast condition seen in type 1 and less frequently type 2 diabetic patients. It is characterized by a dense fibrous stromal proliferation of breast tissue, clinically mimicking cancerous masses, thus leading to worrisome investigations. Clinicians and pathologists must disti...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章,评审

    doi:10.1016/j.jcjd.2013.12.008

    authors: Leroux-Stewart J,Rabasa-Lhoret R

    更新日期:2014-10-01 00:00:00

  • Risk Factors for Adverse Outcomes in Adult and Pediatric Patients With Hyperglycemia Presenting to the Emergency Department: A Systematic Review.

    abstract::Hyperglycemia is a significant cause of morbidity and mortality, often resulting in adverse outcomes. This review aimed to identify predictors of adverse outcomes, such as repeated hospital visits, hospitalization or death, in patients presenting to the emergency department (ED) with hyperglycemia. Electronic searches...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2018.11.008

    authors: Siddiqi L,VanAarsen K,Iansavichene A,Yan J

    更新日期:2019-07-01 00:00:00

  • Perceived Barriers to and Facilitators of Patient-to-Provider E-Mail in the Management of Diabetes Care.

    abstract:OBJECTIVES:1) to describe current utilization of e-mail in the clinical care of patients with diabetes; and 2) to identify barriers to and facilitators of the adoption of e-mail in diabetes care. METHODS:Participants included diabetes care providers, including 9 physicians and 7 allied health professionals (AHPs). Par...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2015.07.001

    authors: Popeski N,McKeen C,Khokhar B,Edwards A,Ghali WA,Sargious P,White D,Hebert M,Rabi DM

    更新日期:2015-12-01 00:00:00

  • Implementation and Evaluation of the "Metformin First" Protocol for Management of Gestational Diabetes.

    abstract:OBJECTIVES:Although metformin has traditionally been avoided in pregnancy, evidence now supports its safety and efficacy for management of gestational diabetes mellitus (GDM). The primary objective of this study was to evaluate the clinical impact of a metformin-based approach for GDM management through assessment of p...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2019.06.005

    authors: Kumar R,Lowe J,Thompson-Hutchison F,Steinberg D,Shah B,Lipscombe L,Halperin I

    更新日期:2019-12-01 00:00:00

  • Classification of Support Needs for Elderly Outpatients with Diabetes Who Live Alone.

    abstract:OBJECTIVES:To investigate the support needs of elderly patients with diabetes and to classify elderly patients with diabetes living alone on the basis of support needs. METHODS:Support needs were derived from a literature review of relevant journals and interviews of outpatients as well as expert nurses in the field o...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jcjd.2015.09.005

    authors: Miyawaki Y,Shimizu Y,Seto N

    更新日期:2016-02-01 00:00:00

  • Implementation of a Diabetes Management Flow Sheet in a Long-Term Care Setting.

    abstract:OBJECTIVES:Physicians lack clear guidance about adaptation of clinical practice guidelines for elderly institutionalized patients with diabetes. In a large long-term care facility, a diabetes management flow sheet was trialed to determine which clinical parameters were found useful by clinicians in the management of di...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2014.12.001

    authors: Williams E,Curtis A

    更新日期:2015-08-01 00:00:00

  • Do Cultural and Psychosocial Factors Contribute to Type 2 Diabetes Risk? A Look Into Vancouver's South Asian Community.

    abstract:OBJECTIVES:South Asian immigrants are generally healthy upon arrival, but precipitously develop diabetes after immigration. Whether cultural and psychosocial factors contribute to diabetes risk in this ethnic minority group remains unclear. Existing prediction models focus primarily on clinical and lifestyle factors. T...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2019.04.015

    authors: Tang TS,Halani K,Sohal P,Bains P,Khan N

    更新日期:2020-02-01 00:00:00

  • WITHDRAWN: Performance of Community Blood Glucose Meters in Calgary, Alberta: An Analysis of Quality Assurance Data.

    abstract:OBJECTIVE:The self-monitoring of blood glucose plays a critical role in management of diabetes mellitus. Although laboratory comparisons of glucose meter accuracy are often acceptable, clinical comparisons show frequent inaccuracies. In this paper, we evaluate the accuracy of self-monitoring blood glucose meters using ...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章,撤回出版物

    doi:10.1016/j.jcjd.2016.04.004

    authors: Naugler C,Zhang Z,Redman L

    更新日期:2016-05-01 00:00:00

  • Is YouTube Useful as a Source of Health Information for Adults With Type 2 Diabetes? A South Asian Perspective.

    abstract:OBJECTIVES:To investigate the content, quality and popularity of information about type 2 diabetes available on YouTube. METHODS:We searched YouTube with the terms Diabetes, Diabetes type 2, Diabetes South Asians, Diabetes Punjabi and Diabetes Hindi to identify videos concerning type 2 diabetes. A team of health-care ...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2017.10.056

    authors: Leong AY,Sanghera R,Jhajj J,Desai N,Jammu BS,Makowsky MJ

    更新日期:2018-08-01 00:00:00