title: Adolescent diabetes management and mismanagement.
abstract: OBJECTIVE
  To document the existence and prevalence of adolescent-generated diabetes management techniques.
  
  
  METHODS
  One hundred forty-four adolescents completed the confidential questionnaire developed for this study. Glycohemoglobin was also obtained for each individual.
  
  
  RESULTS
  Within the 10 days before their clinic visit, many adolescents admitted to engaging in various mismanagement behaviors, with 25% admitting to missing shots. Parents tend to underestimate adolescent mismanagement. Missing shots was significantly related to poor control (P < 0.01). Older adolescents engaged in more mismanagement than their younger cohorts (P < 0.001). The questionnaire factored into two subscales: blatant mismanagement and faking.
  
  
  CONCLUSIONS
  This study shows the importance of recognizing the prevalence of mismanagement among adolescents.
authors.affiliation: Children's National Medical Center, Department of Endocrinology, Washington, DC 20010.
authors.forename: J
authors.initials: J
authors.lastname: Weissberg-Benchell
authors.forename: A M
authors.initials: AM
authors.lastname: Glasgow
authors.forename: W D
authors.initials: WD
authors.lastname: Tynan
authors.forename: P
authors.initials: P
authors.lastname: Wirtz
authors.forename: J
authors.initials: J
authors.lastname: Turek
authors.forename: J
authors.initials: J
authors.lastname: Ward
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000328:Adult; D000367:Age Factors; D001786:Blood Glucose / Q000032:analysis; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000208:ethnology / Q000523:psychology* / Q000628:therapy; D003927:Diet, Diabetic / Q000523:psychology; D005260:Female; D006801:Humans; D007328:Insulin / Q000008:administration & dosage / Q000097:blood; D008297:Male; D010349:Patient Compliance; D011795:Surveys and Questionnaires
chemical_list: D001786:Blood Glucose; D007328:Insulin