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

缺乏有关日常糖尿病病程的基础临床数据 IDDM患者的自我管理。这一点对于 青少年。目前的研究建议评估和描述进食 青少年和青少年使用的糖尿病自我管理行为 成人IDDM患者。40名年龄在15-22岁的被诊断为IDDM的受试者 为期至少一年的时间将从儿科和 莱利医院的青少年糖尿病诊所。受试者将完成一项 简要的背景调查问卷，并参加45-60分钟的培训 关于如何准确填写每日食品监测表的会议 摄取和自我管理行为。培训结束后，受试者 将展示一套10个栩栩如生的食物模型，并被要求识别 适当的份量。受试者将被给予最多三个 达到90%标准的机会。通过标准的受试者 将被要求填写为期10天的自我监控表。 受试者还将被要求通过静脉穿刺法抽取两毫升的血液。 在监测期前后在GCRC确定 果糖胺水平。尽管这项研究主要是描述性的，但它是 假设(1)两者之间没有显著差异 果糖胺的前后水平，以及(2)会有显著的 血糖控制与使用适当药物之间的负相关 补偿行为。从这项研究中获得的信息将被用于 协助制定以技能为基础的干预计划 旨在向这一人群传授补偿行为。

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.