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: 6291131
• 负责人: JOHN GUARE
• 金额: $ 0.04万
• 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/6291131
• 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IDDM患者日常糖尿病自我管理过程的基本临床数据。 这对青少年来说尤其如此。 目前的研究建议评估和描述青少年和年轻人的饮食和糖尿病自我管理行为与胰岛素依赖型糖尿病。 将从Riley医院的儿科和青少年糖尿病诊所招募40名年龄在15-22岁、诊断为IDDM至少持续1年的受试者。 受试者将完成一份简短的背景调查问卷，并参加45- 60分钟的培训课程，内容是如何准确填写食物摄入和自我管理行为的每日监测表。 训练结束后，受试者将看到一组10个逼真的食物模型，并要求确定适当的份量。 受试者最多有三次机会达到90%的标准。 将要求通过标准的受试者完成为期10天的自我监测表。 还将要求受试者在监测期前后在GCRC通过静脉穿刺抽取2 ml血液，以测定果糖胺水平。 虽然这项研究主要是描述性的，但假设（1）果糖胺水平在治疗前和治疗后没有显著差异，（2）血糖控制和使用适当的代偿行为之间存在显著负相关。 从本研究中获得的信息将用于帮助开发一个基于技能的干预计划，旨在向这一人群教授补偿行为。