SELF MANAGEMENT OF FOOD INTAKE IN INSULIN DEPENDENT DIABETES MELITUS (IDDM)

胰岛素依赖型糖尿病 (IDDM) 患者食物摄入的自我管理

• 批准号: 6291005
• 负责人: JOHN GUARE
• 金额: $ 1.7万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-12-01 至 1999-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6291005
• 关键词: adolescence (12-20); behavioral /social science research tag; blood chemistry; clinical research; eating; health behavior; human subject; insulin dependent diabetes mellitus; nutrient intake activity; questionnaires

Basic clinical data are lacking regarding the process of daily diabetic self-management by individuals with IDDM. This is especially true for adolescents. The current study proposes to assess and describe the eating and diabetes self-management behaviors used by adolescents and young adults with IDDM. Forty subjects, aged 15-22, with a diagnosis of IDDM for at least one year's duration will be recruited from the pediatric and adolescent diabetes clinics at Riley Hospital. Subjects will complete a brief background questionnaire and participate in a 45- 60 minute training session on how to accurately complete a daily monitoring form for food intake and self-management behaviors. Following the training, subjects will be shown a set of 10 life-like food models and asked to identify the appropriate portion size. Subjects will be given up to three opportunities to meet a 90% criterion. Subjects who pass the criterion will be asked to complete self-monitoring forms for a 10-day period. Subjects also will be asked to have two mls of blood drawn by venipuncture at the GCRC before and after the monitoring period to determine fructosamine levels. Although the study is primarily descriptive, it is hypothesized that (1) there will be no significant difference between the pre and post fructosamine levels, and (2) there will be a significant negative correlation between glycemic control and the use of appropriate compensatory behaviors. Information gained from this study will be used to assist in the development of a skill-based intervention program designed to teach compensatory behaviors to this population.

缺乏关于日常糖尿病过程的基本临床数据。 自我管理的个人与胰岛素依赖型糖尿病。 更是如此 青少年。 目前的研究建议评估和描述饮食 青少年和年轻人使用的糖尿病自我管理行为 成年人IDDM 40名年龄在15-22岁之间的被诊断为IDDM的受试者 至少一年的时间将从儿科招募， 莱利医院的青少年糖尿病诊所 受试者将完成 简短的背景调查问卷，并参加45- 60分钟的培训 如何准确填写食品日常监测表 摄入量和自我管理行为。 培训结束后， 将展示一套10个仿真食物模型，并要求他们识别 适当的份量。 受试者将被给予最多三个 达到90%的标准。 通过标准的受试者 将被要求填写为期10天的自我监测表格。 还将要求受试者通过静脉穿刺抽取2 ml血液 在监测期之前和之后， 果糖胺水平。 虽然这项研究主要是描述性的，但它 假设（1）两组之间没有显著差异， 前和后果糖胺水平，和（2）将有一个显着的 血糖控制与使用适当的 补偿行为 将使用本研究获得的信息 协助发展以技能为基础的干预计划， 旨在向这一群体传授补偿行为。