title: Poor metabolic control during menstruation and sexual abuse issues in an adolescent with diabetes.
abstract: A case study is presented that describes the deterioration of a patient's diabetes control during her menstrual cycle in terms of her psychological functioning and family context. Therapeutic interventions pertinent toward improving diabetes control, resolving issues of abuse, and increasing family communication are addressed. The outcome of this case study supports the contention that psychological factors can impact diabetes control significantly during menstruation in young women.
authors.affiliation: Department of Psychiatry, University of Florida, Gainesville 32610-0234, USA. geffken@psych.med.ufl.edu
authors.forename: G R
authors.initials: GR
authors.lastname: Geffken
authors.forename: N
authors.initials: N
authors.lastname: Zelikovsky
authors.forename: J E
authors.initials: JE
authors.lastname: Clark-Rudman
authors.forename: J H
authors.initials: JH
authors.lastname: Silverstein
authors.forename: D
authors.initials: D
authors.lastname: Drobes
mesh_terms: D000293:Adolescent; D002650:Child Abuse, Sexual / Q000523:psychology*; D003142:Communication; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy* / Q000503:physiopathology*; D005192:Family Health; D005260:Female; D006801:Humans; D007003:Hypoglycemia / Q000188:drug therapy; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008598:Menstruation / Q000502:physiology*; D008603:Mental Health
chemical_list: D007004:Hypoglycemic Agents