General Life and Diabetes-Related Stressors in Early Adolescents With Type 1 Diabetes.

Introduction: To examine general and diabetes-related stressors in early adolescents with type 1 diabetes (T1D).

Method: Data were from 205 participants (58% female; 33% minority; 11-14 years) enrolled in a clinical trial. Teens identified their top 3 stressors and responded to open-ended questions.

Anthropometric measures of abdominal adiposity for the identification of cardiometabolic risk factors in adolescents.

Sagittal abdominal diameter (SAD) was obtained in 65 adolescents referred for assessment of cardiometabolic risk. We found that SAD was associated with cardiometabolic risk factors independent of BMI in males, but that SAD was not superior to BMI or other measures of abdominal adiposity for the detection of metabolic syndrome.

Partnerships with providers: reflections from parents of children with type 1 diabetes.

Sixty-three parents with a child or an adolescent with type 1 diabetes participated in this study that focused on what helped them "live well with diabetes." Beyond medical expertise, parents described a partnering relationship with their provider as one of the factors that supported their efforts to live well with diabetes. Parents reported that a partnership was enhanced when the provider had the ability to understand the dynamic nature of the journey in living with diabetes, connect with their family and set the tone by inviting them to openly communicate about all aspects of family life impacting diabetes care, recognize when and how the provider may have to assume the role of Captain of the Ship in times of need, and empathize and respond therapeutically to intense emotions inherent in managing diabetes over time.

Racial disparities in screening for diabetic retinopathy in youth with type 1 diabetes.

Of 1112 children with type 1 diabetes, dilated eye exams were performed in 717 (64%). Children were less likely to be screened for diabetic retinopathy (DR) if they were black (OR=1.6; p=0.

Parental expectations in the care of their children and adolescents with diabetes.

There is little research about what parents of children with diabetes want and need from their health-care providers as they negotiate life with diabetes. Sixty-three parents of children with type 1 diabetes were interviewed. Interviews were tape-recorded and transcribed verbatim, and a content analysis of text data was conducted.

Seasonal trends in depressive symptoms in adolescents with type 1 diabetes.

Adolescents with type 1 diabetes reported more clinically significant depressive symptoms in the spring/summer months (22% in April-September) than in the fall/winter months (11% in October-March) (χ(2)=5.67, p=.018).

Risky business: risk behaviors in adolescents with type 1 diabetes.

Purpose: The purpose of this article is to review risk behaviors and their health consequences in adolescents with type 1 diabetes. The existing literature on common risk behaviors in adolescents is examined, with a focus on illicit drug use, alcohol use, smoking, unprotected sexual activity, and disordered eating behaviors.

Conclusions: A review of the literature highlights the lack of studies of risk behaviors in this population.

A new self-report measure of self-management of type 1 diabetes for adolescents.

Background: The development of instruments to measure self-management in youth with type 1 diabetes has not kept up with current understanding of the concept.

Objective: This study aimed to report the development and the testing of a new self-report measure to assess the Self-Management of Type 1 Diabetes in Adolescents (SMOD-A).

Methods: Following a qualitative study, items were identified and reviewed by experts for content validity.