The relationship between diabetes self-management and metabolic control in youth with type 1 diabetes: an integrative review

J Adv Nurs. 2011 Nov;67(11):2294-310. doi: 10.1111/j.1365-2648.2011.05697.x. Epub 2011 May 25.

Abstract

Aims: The purpose of this integrative review was to describe the relationship between diabetes self-management and metabolic control in youth with type 1 diabetes and to explore factors which affect this relationship.

Background: In the past 15 years, research has indicated that youth with type 1 diabetes face considerable self-management challenges and are at increased risk for poor metabolic control. To enhance the development of behavioural interventions for youth with type 1 diabetes, the relationship between diabetes self-management and metabolic control needs to be more clearly elucidated.

Data sources: Research studies that examined the relationship between diabetes self-management and metabolic control in youth with type 1 diabetes were included (n = 18). The electronic databases searched included OVID, MEDLINE (1996 to present), SCOPUS (1996 to January 2010) and PubMed (1996 to January 2010).

Review method: An integrative literature review was carried out using Whittemore's modified framework for data collection, analysis and synthesis.

Results: A positive relationship between diabetes self-management and metabolic control in youth with type 1 diabetes was supported in longitudinal studies and in studies where the mean age was >13 years. Factors influencing this relationship are identified. Measurement of self-management was quite variable.

Conclusion: Interventions targeting self-management in youth with type 1 diabetes are indicated, particularly in families of diverse race and ethnicity globally. Further evaluation of the measures of self-management and more longitudinal research are also indicated.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adaptation, Psychological
  • Adolescent
  • Adolescent Behavior*
  • Age Factors
  • Blood Glucose Self-Monitoring / psychology
  • Child
  • Databases, Bibliographic
  • Diabetes Mellitus, Type 1 / metabolism
  • Diabetes Mellitus, Type 1 / psychology
  • Diabetes Mellitus, Type 1 / therapy*
  • Female
  • Humans
  • Insulin / administration & dosage
  • Insulin / therapeutic use
  • Longitudinal Studies
  • Male
  • Parent-Child Relations
  • Patient Compliance*
  • Risk Factors
  • Self Care*
  • Young Adult

Substances

  • Insulin