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

缺乏有关IDDM患者日常糖尿病自我管理过程的基本临床数据。对于青少年来说尤其如此。目前的研究建议评估和描述患有IDDM的青少年和年轻人使用的饮食和糖尿病自我管理行为。将从莱利医院的儿童和青少年糖尿病诊所招募40名年龄在15-22岁之间、被诊断患有IDDM至少一年的受试者。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，了解如何准确完成每日食物摄入量和自我管理行为的监测表。培训结束后，受试者将被展示一套10个栩栩如生的食物模型，并被要求确定合适的份量。受试者最多将有三次机会达到90%的标准。通过标准的受试者将被要求填写为期10天的自我监控表。受试者还将被要求在监测期之前和之后在GCRC通过静脉穿刺法抽取两毫升血液，以确定果糖胺水平。尽管这项研究主要是描述性的，但它假设(1)果糖胺治疗前后的水平没有显著差异，(2)血糖控制与适当代偿行为的使用之间存在显著的负相关。从这项研究中获得的信息将被用来帮助开发基于技能的干预计划，旨在向这些人群传授补偿行为。

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.