BLOOD GLUCOSE MONITORING AND METABOLIC CONTROL IN YOUTH WITH TYPE 1 DIABETES: RELATION TO DISEASE CARE

Better disease care behaviors in youth with type 1 diabetes (T1D) are strongly related to better metabolic control (HbA1c). However, HbA1c results are only available, on average, every three months, and may not accurately capture intricacies of blood glucose fluctuations. Youth then must rely on blood glucose levels obtained throughout the day to determine which disease care behaviors to perform to maintain optimal metabolic control. Youth may have difficulty performing these disease care behaviors properly or consistently, which makes parental monitoring a crucial aspect of the diabetes regimen. Additionally, youth who experience frequent or severe hypoglycemia may develop a fear of hypoglycemia, which may impact their disease care behaviors and blood glucose levels directly. Average blood glucose levels strongly related to HbA1c which verifies HbA1c as a good indicator of average blood glucose levels. The Average Daily Risk Range (ADRR) index had a stronger relation to HbA1c than Mean Amplitude of Glycemic Excursions (MAGE) index; however, the percentage of blood glucose levels below, within, and above range may be the best indicator of glycemic variability, as it is more easily calculated and understood. More parental monitoring related to more diabetes prevention behaviors but not intervention behaviors or less glycemic variability.

Name thesis:degree_name

Master of Science

Level thesis:degree_level

Thesis

Discipline thesis:degree_discipline

Psychology

Year dc:date.available

2012

Author dc:creator

• Borschuk, Adrienne

Contributors dc:contributor

• Clarissa Holmes

• Pediatric
• Type 1 Diabetes
• Blood Glucose Variability
• Psychology
• Social and Behavioral Sciences

Statement dc:rights

• © The Author

Identifier

https://scholarscompass.vcu.edu/etd/309

OAI identifier oai:identifier

oai:scholarscompass.vcu.edu:etd-1308