6/19/2021 The relationship between diabetes self‐management and metabolic control in youth with type 1 diabetes: an integrative review

tegrative review - Guo…

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The relationship between diabetes self-management and metabolic control in

youth with type 1 diabetes: an integrative review

Jia Guo,Robin Whittemore,Guo-Ping He

First published: 25 May 2011

https://doi.org/10.1111/j.1365-2648.2011.05697.x
Citations: 40

 G.-P. He: e-mail: hgpcsu@yahoo.com.cn

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Abstract
guo j., whittemore r.
& he g.-p. (2011)  The relationship between diabetes self-management
and metabolic control in youth with type 1 diabetes: an integrative review. Journal of
Advanced Nursing67(11), 2294–2310.

Abstract
Aims. The purpose of this integrative review was to describe the relationship between
diabetes self-management and metabolic control in youth with type 1 diabetes and to
explore factors which affect this relationship.

Background. In the past 15  years, research has indicated that youth with type 1
diabetes face considerable self-management challenges and are at increased risk for
poor metabolic control. To enhance the development of behavioural interventions for
youth with type 1 diabetes, the relationship between diabetes self-management and
metabolic control needs to be more clearly elucidated.

Data Sources. Research studies that examined the relationship between diabetes self-
management and metabolic control in youth with type 1 diabetes were included (n  = 
18). The electronic databases searched included OVID, MEDLINE (1996 to present),
SCOPUS (1996 to January 2010) and PubMed (1996 to January 2010).

Review Method. An integrative literature review was carried out using Whittemore’s
modified framework for data collection, analysis and synthesis.

Results. A positive relationship between diabetes self-management and metabolic

control in youth with type 1 diabetes was supported in longitudinal studies and in studies
where the mean age was >13  years. Factors influencing this relationship are identified.
Measurement of self-management was quite variable.

Conclusion. Interventions targeting self-management in youth with type 1 diabetes are

indicated, particularly in families of diverse race and ethnicity globally. Further evaluation

https://onlinelibrary.wiley.com/doi/epdf/10.1111/j.1365-2648.2011.05697.x 2/3
6/19/2021 The relationship between diabetes self‐management and metabolic control in youth with type 1 diabetes: an integrative review - Guo…

of the measures of self-management and more longitudinal research are also indicated.

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