Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2010 Nov;35(10):1161-7.
doi: 10.1093/jpepsy/jsq011. Epub 2010 Feb 26.

Brief report: trajectories of glycemic control over early to middle adolescence

Vicki S Helgeson  1 , Pamela R Snyder, Howard Seltman, Oscar Escobar, Dorothy Becker, Linda Siminerio
Affiliations

Brief report: trajectories of glycemic control over early to middle adolescence

Vicki S Helgeson et al. J Pediatr Psychol. 2010 Nov.

Abstract

Objectives: To identify distinct patterns of glycemic control over early to middle adolescence, and to determine whether psychosocial variables predicted those patterns.

Methods: We used trajectory analysis to examine glycemic control over 5 years among adolescents with type 1 diabetes who were of age 12 on average at study start (n = 132). Well-being, relationships, and self-care behavior were assessed with in-person interviews. Blood glucose testing was determined from blood glucose meters, and missed clinic appointments and glycosolated hemoglobin were obtained from medical records.

Results: We identified two distinct clusters of individuals, a stable good glycemic control group and a poorer deteriorating glycemic control group. Individuals in the deteriorating control group were characterized by higher peer conflict, more negative diabetes emotions, fewer blood glucose tests, and more missed clinic appointments.

Conclusion: Psychosocial variables and behavioral markers of self-care may predict the course of glycemic control over early to middle adolescence.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Trajectory analysis reveals two distinct clusters of individuals, a group who has relatively stable good metabolic control (group 1) and a group who has poorer metabolic control that deteriorates over time (group 2)
See this image and copyright information in PMC

References

    1. Berndt TJ, Keefe K. Friends’ influence on adolescents’ adjustment to school. Child Development. 1995;66:1312–1329. - PubMed
    1. Carskadon MA, Acebo C. A self-administered rating scale for pubertal development. Journal of Adolescent Health. 1993;14:190–195. - PubMed
    1. Diabetes Control and Complications Trial. The effect of intensive treatment of diabetes on the development and progression of long-term complications of insulin-dependent diabetes mellitus. The New England Journal of Medicine. 1993;329:977–986. - PubMed
    1. Gaines S. Culture, ethnicity, and personal relationship processes. New York, NY: Routledge; 1997.
    1. Greening L, Stoppelbein L, Konishi C, Jordan SS, Moll G. Child routines and youths’ adherence to treatment for type 1 diabetes. Journal of Pediatric Psychology. 2007;32:437–447. - PubMed

Publication types

Substances