scholarly journals Shared decision-making: the perspectives of young adults with type 1 diabetes mellitus

2014 ◽  
pp. 423 ◽  
Author(s):  
Janice Wiley ◽  
Mary Westbrook ◽  
Jerry Greenfield ◽  
Ric Day ◽  
Jeffrey Braithwaite
Keyword(s):  
Diabetes Mellitus ◽  
Decision Making ◽  
Type 1 Diabetes ◽  
Young Adults ◽  
Type 1 Diabetes Mellitus ◽  
Shared Decision Making ◽  
Shared Decision

scholarly journals Codesigned Shared Decision-Making Diabetes Management Plan Tool for Adolescents With Type 1 Diabetes Mellitus and Their Parents: Prototype Development and Pilot Test (Preprint)

2017 ◽  
Author(s):  
Tamara S Hannon ◽  
Courtney M Moore ◽  
Erika R Cheng ◽  
Dustin O Lynch ◽  
Lisa G Yazel-Smith ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Decision Making ◽  
Type 1 Diabetes ◽  
Type 1 Diabetes Mellitus ◽  
Diabetes Management ◽  
Management Plan ◽  
Advisory Board ◽  
Shared Decision ◽  
Patient Centered

BACKGROUND Adolescents with type 1 diabetes mellitus have difficulty achieving optimal glycemic control, partly due to competing priorities that interfere with diabetes self-care. Often, significant diabetes-related family conflict occurs, and adolescents’ thoughts and feelings about diabetes management may be disregarded. Patient-centered diabetes outcomes may be better when adolescents feel engaged in the decision-making process. OBJECTIVE The objective of our study was to codesign a clinic intervention using shared decision making for addressing diabetes self-care with an adolescent patient and parent advisory board. METHODS The patient and parent advisory board consisted of 6 adolescents (teens) between the ages 12 and 18 years with type 1 diabetes mellitus and their parents recruited through our institution’s Pediatric Diabetes Program. Teens and parents provided informed consent and participated in 1 or both of 2 patient and parent advisory board sessions, lasting 3 to 4 hours each. Session 1 topics were (1) patient-centered outcomes related to quality of life, parent-teen shared diabetes management, and shared family experiences; and (2) implementation and acceptability of a patient-centered diabetes care plan intervention where shared decision making was used. We analyzed audio recordings, notes, and other materials to identify and extract ideas relevant to the development of a patient-centered diabetes management plan. These data were visually coded into similar themes. We used the information to develop a prototype for a diabetes management plan tool that we pilot tested during session 2. RESULTS Session 1 identified 6 principal patient-centered quality-of-life measurement domains: stress, fear and worry, mealtime struggles, assumptions and judgments, feeling abnormal, and conflict. We determined 2 objectives to be principally important for a diabetes management plan intervention: (1) focusing the intervention on diabetes distress and conflict resolution strategies, and (2) working toward a verbalized common goal. In session 2, we created the diabetes management plan tool according to these findings and will use it in a clinical trial with the aim of assisting with patient-centered goal setting. CONCLUSIONS Patients with type 1 diabetes mellitus can be effectively engaged and involved in patient-centered research design. Teens with type 1 diabetes mellitus prioritize reducing family conflict and fitting into their social milieu over health outcomes at this time in their lives. It is important to acknowledge this when designing interventions to improve health outcomes in teens with type 1 diabetes mellitus.

scholarly journals Alcohol Use in Young Adults With Type 1 Diabetes Mellitus

2017 ◽  
Vol 11 (6) ◽  
pp. 433-435 ◽  
Author(s):  
Nicole D. White
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Young Adults ◽  
Glucose Metabolism ◽  
Alcohol Use ◽  
Adverse Effects ◽  
Type 1 Diabetes Mellitus ◽  
Acute Ingestion ◽  
Chronic Ingestion

Although fewer individuals with type 1 diabetes mellitus (T1DM) drink alcohol, the potential and severity of harm associated with its consumption is higher in persons with diabetes. Alcohol use affects glucose metabolism and results in various potential adverse effects both from acute ingestion and chronic ingestion in persons with T1DM. The purpose of this article is to describe the effects of alcohol on glucose metabolism and diabetes control in persons with T1DM and propose counseling pearls for providers working with patients in this population.

Evidence for Altered Skeletal Muscle Repair in Healthy Young Adults With Type 1 Diabetes Mellitus

2021 ◽  
Vol 45 (7) ◽  
pp. S16
Author(s):  
Grace Grafham ◽  
Cynthia Monaco ◽  
Athan Dial ◽  
Mark Tarnopolsky ◽  
Thomas Hawke
Keyword(s):  
Diabetes Mellitus ◽  
Skeletal Muscle ◽  
Type 1 Diabetes ◽  
Young Adults ◽  
Type 1 Diabetes Mellitus ◽  
Muscle Repair

Health-Related Stigma in Young Adults With Type 1 Diabetes Mellitus

2018 ◽  
Vol 56 (10) ◽  
pp. 44-51 ◽  
Author(s):  
Yoo Mi Jeong ◽  
Laurie Quinn ◽  
Nahyun Kim ◽  
Pamela Martyn-Nemeth
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Young Adults ◽  
Type 1 Diabetes Mellitus ◽  
Related Stigma ◽  
Health Related

scholarly journals The epidemiology of Type 1 diabetes mellitus is not the same in young adults as in children

Diabetologia ◽  
2004 ◽  
Vol 47 (3) ◽  
pp. 377-384 ◽  
Author(s):  
K. O. Kyvik ◽  
L. Nystrom ◽  
F. Gorus ◽  
M. Songini ◽  
J. Oestman ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Young Adults ◽  
Type 1 Diabetes Mellitus

scholarly journals Assessing endothelial dysfunction in adolescents and young adults with type 1 diabetes mellitus using a non-invasive heat stimulus

2014 ◽  
Vol 16 (6) ◽  
pp. 434-440 ◽  
Author(s):  
Amy S. Shah ◽  
Zhiqian Gao ◽  
Lawrence M. Dolan ◽  
Dana Dabelea ◽  
Ralph B. D'Agostino ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Young Adults ◽  
Endothelial Dysfunction ◽  
Type 1 Diabetes Mellitus ◽  
Adolescents And Young Adults ◽  
Non Invasive ◽  
Heat Stimulus
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