“…Furthermore, parents are expected to acquire a sophisticated understanding of the disease process in order to effectively respond to potentially life-threatening situations, such as hyper-or hypoglycaemia and ketoacidosis. Perhaps unsurprisingly, increased parental and family stress, and lower parental self-esteem, efficacy and satisfaction, have been reported (Helgeson et al, 2012;Lewin et al, 2005;Mitchell et al, 2009;Sullivan-Bolyai et al, 2002). Parents also report posttraumatic stress symptoms triggered by their child's IDDM (Horsch et al, 2007;Horsch et al, 2012;Landoldt et al, 2002).…”