NURSING 3TT3 Study Guide - Final Guide: Diabetes Mellitus Type 1, Diabetes Care, Blood Sugar
8 Apr 2017
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Document Summary
Type 1 diabetes (t1d) is a difficult disease for children and adolescents. It requires the family to balance challenging medical tasks with dietary modification and exercise into already complex daily lives to maintain stable blood glucose levels to prevent complications to growth and development. 50% to 55% of youth are non-adherent and as many as 30% to 50% of youth are in poor glycemic control. These children face severe health complications such as increased risk for diabetic ketoacidosis (dka), damage to major organ systems and premature death. In addition to the direct consequences, nonadherence may impact clinical decisions made by health care providers, such as increasing insulin doses for high blood glucose levels. Further, poor adherence results in medication abuse and excessive use of health care services. Adherence to the diabetes regimen is influenced by many factors, such as initial adjustment and acceptance of the illness as well as coping with behavioral, school and family stressors.
