Journal Article

ISPAD Clinical Practice Consensus Guidelines 2018: Diabetes in adolescence

Acerini, Carlo L., Garvey, Katharine, Codner, Ethel, Cameron, Fergus J., Hood, Korey K.

2018

Overview

Many adolescents may experience a deterioration in metabolic control—attributable to one or several of the following: endocrine changes leading to increased insulin resistance (B) erratic meal and exercise patterns (C) poor adherence to treatment regimens (C) eating disorders (C) hazardous and risk-taking behaviors (C/E) It is essential to develop appropriate communication skills to facilitate teaching and education, and recognize the need for privacy and confidentiality for this age group (E). In the context of type 1 diabetes, many adolescents may experience a deterioration in metabolic control often attributable to erratic meal and exercise patterns, poor adherence to treatment regimens, hazardous and risk-taking behaviors, disordered eating behaviors, other mental health issues, and endocrine changes associated with puberty, leading to greater insulin resistance. Understand that attending to the developmental needs of young people may be just as important for quality of life as diabetes-specific treatment. When there is conflict between the needs of diabetes management and the adolescent's social development and peer activities, a stepwise approach with interim achievable goals can be used to bridge competing priorities Providing well-directed education to help understand the physiological changes of puberty, their effect on insulin dose, difficulties of weight control and dietary regulation.

• Publisher: John Wiley & Sons A/S,John Wiley & Sons, Inc
• Subject: Adolescence / Adolescent / Adolescent Behavior - physiology / Adolescent Behavior - psychology / Adolescent Health - standards / Adolescents / Age of Onset / Consensus / Diabetes / Diabetes mellitus / Diabetes Mellitus - diagnosis / Diabetes Mellitus - epidemiology / Diabetes Mellitus - psychology / Diabetes Mellitus - therapy / Endocrinology - organization & administration / Endocrinology - standards / Female / Humans / International Cooperation / Male / Patient Compliance - psychology / Pediatrics - organization & administration / Pediatrics - standards / Practice Patterns, Physicians' - standards / Psychology, Adolescent / Societies, Medical - organization & administration / Societies, Medical - standards / Teenagers / Transition to Adult Care - organization & administration / Transition to Adult Care - standards / type 1 diabetes