J Korean Diabetes.  2018 Sep;19(3):175-179. 10.4093/jkd.2018.19.3.175.

Management of Type 1 Diabetes in Adolescents

• Kim YS

• KMID: 2421299
• DOI: http://doi.org/10.4093/jkd.2018.19.3.175

Abstract

The number of children diagnosed with type 1 diabetes has been increasing and reached 3.19 per 100,000 in Korea. Children aged 10 to 14 years had the highest rate of 4.46 per 100,000. There are about 1,720 children in Korea with type 1 diabetes under the age of 18 and 1,200 of those are between the ages 13 and 18. The target for type 1 diabetes is HbA1c level of 7.5%. However, due to rapid hormone changes during puberty, controlling blood sugar level can be challenging. Since successful management of blood sugar for patients with type 1 diabetes has many long-term benefits including reduced medical cost and improved quality of life, method to help patients maintain their daily routines such as motivational interviewing should be developed.

Keyword

Adolescent; Type 1 diabetes

MeSH Terms

Adolescent*
Blood Glucose
Child
Humans
Korea
Methods
Motivational Interviewing
Puberty
Quality of Life
Blood Glucose

Reference

1. Kim JH, Lee CG, Lee YA, Yang SW, Shin CH. Increasing incidence of type 1 diabetes among Korean children and adolescents: analysis of data from a nationwide registry in Korea. Pediatr Diabetes. 2016; 17:519–524.

2. The Office for Government Policy Coordination's Press Releases: Protection measures about pediatric diabetes in nursery and school. updated 2017 Nov 13. Available from: https://www.gov.kr/portal/ntnadmNews/1246190.

3. Ahn HS, Shin HY, Hong CE, Kim KS, Kim DW, Seo BK, Seo JW, Yoo CJ, Yoo HW, Yoon HS, Jeong JT, Jeong HI, Hong YM, Hong YJ. Hong Chang Eui Pediatrics. Seoul: Mirae N;2016.

4. Kim JH. Diagnosis and glycemic control of type 1 diabetes. J Korean Diabetes. 2015; 16:101–107.

5. Eagleman David. DH Jeon . The Brain. Seoul: Haenamu;2017.

6. Petitti DB, Klingensmith GJ, Bell RA, Andrews JS, Dabelea D, Imperatore G, Marcovina S, Pihoker C, Standiford D, Waitzfelder B, Mayer-Davis E. SEARCH for Diabetes in Youth Study Group. Glycemic control in youth with diabetes: the SEARCH for diabetes in Youth Study. J Pediatr. 2009; 155:668–672.e1-3.

7. Korean Diabetes Association. Treatment guideline for diabetes. Seoul: Korean Diabetes Association;2015. p. 41–42.

8. International Society for Pediatric and Adolescent Diabetes, International Diabetes Federation. Pocketbook for management of diabetes in childhood and adolescence in under-resourced countries. 2nd ed. Brussels: International Diabetes Federation;2017. p. 8.

9. Channon SJ, Huws-Thomas MV, Rollnick S, Hood K, Cannings-John RL, Rogers C, Gregory JW. A multicenter randomized controlled trial of motivational interviewing with diabetes. Diabetes Care. 2007; 30:1390–1395.

10. Kwon EY, Jung HJ, Kim HJ, Choi IJ, Lee JH, Yoo JH. Effects of family environment and parenting behavior on glycemic control and depressive symptoms in children with type 1 diabetes. J Korean Soc Pediatr Endocrinol. 2009; 14:100–109.

11. Yang SW, Shin CH, Lee SY, Jeong HL, Yoo JH, Ahn SY, Yim JS, Choi YJ, Hong SY, Koo MJ, Park MS, Kim JY, Kang YH, Park HY. Management of childhood onset diabetes mellitus. Seoul: Seoul National University Publishing Council;2011.

12. Im SC, Rhee CW. Parent-child communication and self-management of adolescents with type 1 diabetes: the mediating effect of diabetes-related family support. Korean J Fam Soc Work. 2011; 32:235–260.

13. Wysocki T, Harris MA, Buckloh LM, Mertlich D, Lochrie AS, Taylor A, Sadler M, White NH. Randomized, controlled trial of Behavioral Family Systems Therapy for Diabetes: maintenance and generalization of effects on parent-adolescent communication. Behav Ther. 2008; 39:33–46.

14. Corathers SD, Kichler J, Jones NH, Houchen A, Jolly M, Morwessel N, Crawford P, Dolan LM, Hood KK. Improving depression screening for adolescents with type 1 diabetes. Pediatrics. 2013; 132:e1395–e1402.

15. Grey M, Boland EA, Davidson M, Li J, Tamborlane WV. Coping skills training for youth with diabetes mellitus has long-lasting effects on metabolic control and quality of life. J Pediatr. 2000; 137:107–113.

16. Kim KH, Lee DY. The challenges of diabetes education for young diabetes patients: a 1:1 mentoring program teaching method. J Korean Diabetes. 2017; 18:49–52.