Dietary compliance among insulin-dependent diabetics

Webb, Karen; Dobson, Annette; O’Connell, Dianne; Tupling, Hilary; Harris, Gillian W.; Moxon, Jane Atkinson; Sulway, M.J.; Leeder, Stephen

doi:10.1016/0021-9681(84)90113-9

Cited by 46 publications

(18 citation statements)

References 13 publications

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“…Although a few studies have reported a positive association between patient adherence and diabetic control (Webb et al, 1984), several others have failed to do so (Connell et al, 1988;Cox et al, 1984;Glasgow et al, 1987;Schaefer et al, 1986;Watkins et al, 1967;Williams et al, 1967). In a study of 6-to 19-year-old diabetics (n = 78), Johnson et al (1990) found that adherence tended to be related to triglyceride levels but generally unrelated to glycosylated hemoglobin and glycosylated serum protein.…”

Section: Introductionmentioning

confidence: 94%

The impact of patient adherence on health outcomes for patients with chronic disease in the medical outcomes study

et al. 1994

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The association between adherence to medical recommendations and health outcomes (physical, role, and social functioning, energy/fatigue, pain, emotional well-being, general health perceptions, diastolic blood pressure, and glycohemoglobin) was examined in a 4-year longitudinal, observational study of 2125 adult patients with chronic medical conditions (hypertension, diabetes, recent myocardial infarction, congestive heart failure) and/or depression. Change score models were evaluated, controlling for disease and comorbidity. Patient adherence was associated minimally with improvement in health outcomes in this study. Only 11 of 132 comparisons showed statistically significant positive effects of adherence on health outcomes. We conclude that the relationship between adherence and health outcomes is much more complex than has often been assumed.

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Section: Introductionmentioning

confidence: 94%

The impact of patient adherence on health outcomes for patients with chronic disease in the medical outcomes study

et al. 1994

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“…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…”

Section: Introductionmentioning

confidence: 99%

ISPAD Clinical Practice Consensus Guidelines 2018: Diabetes in adolescence

et al. 2018

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“…In the context of type 1 diabetes, many adolescents experience a deterioration in metabolic control (3–5) (C) often attributable to erratic meal and exercise patterns (6, 7) (C), poor adherence to treatment regimens (8–11) (C), hazardous and risk‐taking behaviors (1, 2, 12, 13) (C, E), eating disorders (14–18) (C), and endocrine changes associated with puberty, leading to greater insulin resistance (19) (B).…”

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confidence: 99%