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. 2010 Nov;35(10):1152-60.
doi: 10.1093/jpepsy/jsq012. Epub 2010 Mar 10.

Parental involvement buffers associations between pump duration and metabolic control among adolescents with type 1 diabetes

Deborah J Wiebe  1 , Andrea Croom, Katherine T Fortenberry, Jonathan Butner, Jorie Butler, Michael T Swinyard, Rob Lindsay, David Donaldson, Carol Foster, Mary Murray, Cynthia A Berg
Affiliations

Parental involvement buffers associations between pump duration and metabolic control among adolescents with type 1 diabetes

Deborah J Wiebe et al. J Pediatr Psychol. 2010 Nov.

Abstract

Objectives: To examine pump duration associations with adolescents' metabolic control and whether parental involvement moderated this association.

Methods: This study used a cross-sectional sample of 10- to 14-year-olds with diabetes (N = 252, 53.6% female) and parents' reported parental involvement; HbA1c was obtained from medical records. Half (50.8%) were on an insulin pump (continuous subcutaneous insulin infusion, CSII), with the remainder prescribed multiple daily injections (MDI).

Results: Adolescents on CSII displayed better HbA1c than those on MDI. A curvilinear association revealed that participants on CSII for <2 years showed a positive pump duration-HbA1c association, while those on CSII longer showed no association. Parental involvement interacted with pump duration to predict HbA1c. Pump duration was associated with poorer HbA1c only when parents were relatively uninvolved.

Conclusions: Within the limitations of a cross-sectional design, data suggest that adolescents on CSII have better HbA1c than those on MDI, but may experience a period of deterioration that can be offset by parental involvement.

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Figures

Figure 1.
Figure 1.
Fit line (solid line) with confidence intervals (dotted lines) for the curvilinear effect of pump duration predicting HbA1c among adolescents on CSII. (The displayed fit line is based on a cubic effect which more accurately reflected the raw data, but was not significant beyond the quadratic effect).
Figure 2.
Figure 2.
Parental involvement × pump duration predicting HbA1c.
See this image and copyright information in PMC

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