Type 1 diabetes in adults: supporting self management

Type 1 Diabetes Self-Management From Emerging Adulthood Through Older Adulthood

“…Given the increased incidence of type 1 diabetes among youths during a relatively recent 10-year period (1.8% between 2002 and 2012) (37), in addition to the incidence of adults of all ages being newly diagnosed with type 1 diabetes (time period 2001-2015) (38), unique strategies may be needed as individuals mature and pass through life's developmental stages. Adults should have continued access to a multidisciplinary team that includes diabetes specialists, nutritionists, and clinical psychologists (39). Pediatric patients are viewed in light of their developmental stage, and a similar approach needs to be taken for developmental stages during adulthood.…”

Patient Perspectives on Nurse-led Consultations Within a Pilot Structured Transition Program for Young Adults Moving From an Academic Tertiary Setting to Community-based Type 1 Diabetes Care

“…The transition nurse's key contribution is in establishing a caring therapeutic relationship as a bridge to adult-oriented community-based practices and providing tailored therapeutic education promoting self-efficacy and supporting self-management. Indeed, recent meta-analyses have demonstrated the efficacy of therapeutic education for enhancing self-care (Reddy, Rilstone, Cooper, & Oliver, 2016;Tshiananga et al, 2012). Notably, nearly two-thirds of patients met with the nurse less than quarterly.…”

Data, Data Everywhere, and Still Too Hard to Link

“…For example, determining an insulin dosage might include: carbohydrate content of meal along with its glycemic index, the ratio of carbohydrates to insulin generally required for the user, current BG level, target BG level, and other adjustments for contextual insulin requirements [29].…”