Problems with adherence to treatment among adolescents with diabetes mellitus type 1
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.7322/jhgd.110023 http://hdl.handle.net/11449/234394 |
Resumo: | Introduction: Diabetes Mellitus type 1 (DM1) is a chronic degenerative disease with high impact on the lives of children and adolescents. The DM1 affects mainly children and young adults under 30 years old, with a predominance from 10 to 14 years old. As a chronic disease, involves changes in daily habits, being following the recommendations of health professionals one of the main conducts to achieve such changes, however, this follow-up is not easy and can directly infl uence the glycemic control and lead to complications. Objective: Identify the diffi culties of adolescent with DM1 to treatment adherence. The recommendations of this treatment are related to the blood glucose measurements, using a diet plan and insulin application. Methods: The study included 15 adolescent with DM1, of both genders, aged 10-19 years participating in a multidisciplinary group at an outpatient unit in São Paulo, Brazil, aged 13,93 ± 2.4 years, diagnosed with DM1 with an average time of 4.5 years. The following evaluations were employed:1) individual interviews for identifi cation and clinical characterization; 2) characterization of cardiovascular and metabolic parameters; 2) anthropometric assessment and 4) application of a questionnaire with questions about problems of blood glucose measurements, diet plan and insulin application. Data collection was performed before medical appointment with an endocrinologist in a hospital in São Paulo state. Results: The identifi ed diffi culties and cardio-metabolic variables showed the adolescents presented uncontrolled blood glucose levels, doing the rotation of insulin incompletely and face many daily diffi - culties to perform the appropriate treatment, being the most frequently reported the insulin application and proper nutrition. Conclusion: Adolescents with type 1 diabetes presented diffi culties in adherence to treatment, mainly o follow insulin treatment and proposals for changes in eating habits by following a diet. It is necessary that health professionals offer strategies and orientation to these individuals to improve the handling of their diffi culties that directly affect the course of the disease and leave them more susceptible to developing complications. |
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Problems with adherence to treatment among adolescents with diabetes mellitus type 1AdolescentDiabetes mellitusHealth assessmentLifestyleIntroduction: Diabetes Mellitus type 1 (DM1) is a chronic degenerative disease with high impact on the lives of children and adolescents. The DM1 affects mainly children and young adults under 30 years old, with a predominance from 10 to 14 years old. As a chronic disease, involves changes in daily habits, being following the recommendations of health professionals one of the main conducts to achieve such changes, however, this follow-up is not easy and can directly infl uence the glycemic control and lead to complications. Objective: Identify the diffi culties of adolescent with DM1 to treatment adherence. The recommendations of this treatment are related to the blood glucose measurements, using a diet plan and insulin application. Methods: The study included 15 adolescent with DM1, of both genders, aged 10-19 years participating in a multidisciplinary group at an outpatient unit in São Paulo, Brazil, aged 13,93 ± 2.4 years, diagnosed with DM1 with an average time of 4.5 years. The following evaluations were employed:1) individual interviews for identifi cation and clinical characterization; 2) characterization of cardiovascular and metabolic parameters; 2) anthropometric assessment and 4) application of a questionnaire with questions about problems of blood glucose measurements, diet plan and insulin application. Data collection was performed before medical appointment with an endocrinologist in a hospital in São Paulo state. Results: The identifi ed diffi culties and cardio-metabolic variables showed the adolescents presented uncontrolled blood glucose levels, doing the rotation of insulin incompletely and face many daily diffi - culties to perform the appropriate treatment, being the most frequently reported the insulin application and proper nutrition. Conclusion: Adolescents with type 1 diabetes presented diffi culties in adherence to treatment, mainly o follow insulin treatment and proposals for changes in eating habits by following a diet. It is necessary that health professionals offer strategies and orientation to these individuals to improve the handling of their diffi culties that directly affect the course of the disease and leave them more susceptible to developing complications.Universidade do Oeste PaulistaFaculdade de Medicina de São José do Rio PretoUniversidade Estadual Paulista Julio Mesquita FilhoUniversidade Estadual Paulista Julio Mesquita FilhoUniversidade do Oeste PaulistaFaculdade de Medicina de São José do Rio PretoUniversidade Estadual Paulista (UNESP)Pires, Mônica RochaDe Figueiredo Bani, Raissa CazzonattoDe Lima, Graziele ZamineliHaddad, Maria Isabela RamosTakamoto, Patricia MayumiDa Rocha Pires, Lúcia AlvesManganaro, Márcia MarcondesCroscioli, Márcia Regina Felippe BuenoFernani, Déborah Cristina Gonçalves LuizVanderlei, Luiz Carlos Marques [UNESP]Freire, Ana Paula Coelho FigueiraPacagnelli, Francis Lopes2022-05-02T13:59:33Z2022-05-02T13:59:33Z2016-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article21-27http://dx.doi.org/10.7322/jhgd.110023Journal of Human Growth and Development, v. 26, n. 1, p. 21-27, 2016.2175-35980104-1282http://hdl.handle.net/11449/23439410.7322/jhgd.1100232-s2.0-84964754278Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJournal of Human Growth and Developmentinfo:eu-repo/semantics/openAccess2022-05-02T13:59:33Zoai:repositorio.unesp.br:11449/234394Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462022-05-02T13:59:33Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Problems with adherence to treatment among adolescents with diabetes mellitus type 1 |
title |
Problems with adherence to treatment among adolescents with diabetes mellitus type 1 |
spellingShingle |
Problems with adherence to treatment among adolescents with diabetes mellitus type 1 Pires, Mônica Rocha Adolescent Diabetes mellitus Health assessment Lifestyle |
title_short |
Problems with adherence to treatment among adolescents with diabetes mellitus type 1 |
title_full |
Problems with adherence to treatment among adolescents with diabetes mellitus type 1 |
title_fullStr |
Problems with adherence to treatment among adolescents with diabetes mellitus type 1 |
title_full_unstemmed |
Problems with adherence to treatment among adolescents with diabetes mellitus type 1 |
title_sort |
Problems with adherence to treatment among adolescents with diabetes mellitus type 1 |
author |
Pires, Mônica Rocha |
author_facet |
Pires, Mônica Rocha De Figueiredo Bani, Raissa Cazzonatto De Lima, Graziele Zamineli Haddad, Maria Isabela Ramos Takamoto, Patricia Mayumi Da Rocha Pires, Lúcia Alves Manganaro, Márcia Marcondes Croscioli, Márcia Regina Felippe Bueno Fernani, Déborah Cristina Gonçalves Luiz Vanderlei, Luiz Carlos Marques [UNESP] Freire, Ana Paula Coelho Figueira Pacagnelli, Francis Lopes |
author_role |
author |
author2 |
De Figueiredo Bani, Raissa Cazzonatto De Lima, Graziele Zamineli Haddad, Maria Isabela Ramos Takamoto, Patricia Mayumi Da Rocha Pires, Lúcia Alves Manganaro, Márcia Marcondes Croscioli, Márcia Regina Felippe Bueno Fernani, Déborah Cristina Gonçalves Luiz Vanderlei, Luiz Carlos Marques [UNESP] Freire, Ana Paula Coelho Figueira Pacagnelli, Francis Lopes |
author2_role |
author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade do Oeste Paulista Faculdade de Medicina de São José do Rio Preto Universidade Estadual Paulista (UNESP) |
dc.contributor.author.fl_str_mv |
Pires, Mônica Rocha De Figueiredo Bani, Raissa Cazzonatto De Lima, Graziele Zamineli Haddad, Maria Isabela Ramos Takamoto, Patricia Mayumi Da Rocha Pires, Lúcia Alves Manganaro, Márcia Marcondes Croscioli, Márcia Regina Felippe Bueno Fernani, Déborah Cristina Gonçalves Luiz Vanderlei, Luiz Carlos Marques [UNESP] Freire, Ana Paula Coelho Figueira Pacagnelli, Francis Lopes |
dc.subject.por.fl_str_mv |
Adolescent Diabetes mellitus Health assessment Lifestyle |
topic |
Adolescent Diabetes mellitus Health assessment Lifestyle |
description |
Introduction: Diabetes Mellitus type 1 (DM1) is a chronic degenerative disease with high impact on the lives of children and adolescents. The DM1 affects mainly children and young adults under 30 years old, with a predominance from 10 to 14 years old. As a chronic disease, involves changes in daily habits, being following the recommendations of health professionals one of the main conducts to achieve such changes, however, this follow-up is not easy and can directly infl uence the glycemic control and lead to complications. Objective: Identify the diffi culties of adolescent with DM1 to treatment adherence. The recommendations of this treatment are related to the blood glucose measurements, using a diet plan and insulin application. Methods: The study included 15 adolescent with DM1, of both genders, aged 10-19 years participating in a multidisciplinary group at an outpatient unit in São Paulo, Brazil, aged 13,93 ± 2.4 years, diagnosed with DM1 with an average time of 4.5 years. The following evaluations were employed:1) individual interviews for identifi cation and clinical characterization; 2) characterization of cardiovascular and metabolic parameters; 2) anthropometric assessment and 4) application of a questionnaire with questions about problems of blood glucose measurements, diet plan and insulin application. Data collection was performed before medical appointment with an endocrinologist in a hospital in São Paulo state. Results: The identifi ed diffi culties and cardio-metabolic variables showed the adolescents presented uncontrolled blood glucose levels, doing the rotation of insulin incompletely and face many daily diffi - culties to perform the appropriate treatment, being the most frequently reported the insulin application and proper nutrition. Conclusion: Adolescents with type 1 diabetes presented diffi culties in adherence to treatment, mainly o follow insulin treatment and proposals for changes in eating habits by following a diet. It is necessary that health professionals offer strategies and orientation to these individuals to improve the handling of their diffi culties that directly affect the course of the disease and leave them more susceptible to developing complications. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-01-01 2022-05-02T13:59:33Z 2022-05-02T13:59:33Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.7322/jhgd.110023 Journal of Human Growth and Development, v. 26, n. 1, p. 21-27, 2016. 2175-3598 0104-1282 http://hdl.handle.net/11449/234394 10.7322/jhgd.110023 2-s2.0-84964754278 |
url |
http://dx.doi.org/10.7322/jhgd.110023 http://hdl.handle.net/11449/234394 |
identifier_str_mv |
Journal of Human Growth and Development, v. 26, n. 1, p. 21-27, 2016. 2175-3598 0104-1282 10.7322/jhgd.110023 2-s2.0-84964754278 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Journal of Human Growth and Development |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
21-27 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1797789555392249856 |