Introduction: We examined changes in self-management behaviors after high school graduation in a cohort of emerging adults with type 1 diabetes.
Methods: Sixty-four emerging adults reported on diabetes self-management behaviors at three time points over a 1-year period. Glycemic control and blood glucose monitoring frequency data were collected from the medical chart.
Results: Collaboration with parents decreased, diabetes problem-solving and communication increased, and glycemic control worsened during the first year after high school (p < .05). Problem solving appeared to be protective against worsening glycemic control; higher baseline diabetes problem solving significantly predicted better glycemic control at the 1-year follow-up.
Discussion: Emerging adults demonstrate increased independence in diabetes problem solving and communication with health care providers in the year after high school. Problem-solving skills may help emerging adults adapt type 1 diabetes self-care in response to unpredictable schedules after high-school, and promoting these skills may prevent deteriorations in glycemic control during this risky period.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4976043 | PMC |
| http://dx.doi.org/10.1016/j.pedhc.2016.01.003 | DOI Listing |
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