The role of the family in managing therapy in minority children with type 2 diabetes mellitus.
The difficulties of managing therapy in minority children with type 2 diabetes mellitus (DM) are discussed, and the importance of family support for patients in adhering to their therapy schedules and requirements is emphasized. The results of a study comparing the efficacy of family involvement in managing treatment for children with type 2 DM are discussed. The study compared two groups of African-American children: group 1 (7 children), direct family supervision, with the caregiver actively participating in diabetes management; and group 2 (5 children), without direct supervision by a family caregiver, who randomly and inconsistently participated in management. Glycosylated hemoglobin (HbA1c) was measured at baseline and 1 year later by high performance liquid chromatography. Results of the study indicate that direct supervision of children with DM has a positive effect on glycemic control, resulting in a statistically significant decrease of HbA1c as compared to the group of unsupervised children. Despite some adolescents' demands for greater autonomy, or cultural pressures to assume greater personal responsibilities during teenage years, continuing family involvement in the management of adolescent patients with DM is strongly advised for optimum therapeutic results.
Bradshaw
Beulah
B
Ambulatory Care Services, Kings County Hospital Center, Brooklyn, NY 11203, USA. beaulahb@cs.com
D000293:Adolescent; D000328:Adult; D001741:Black or African American; D015992:Body Mass Index; D002648:Child; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D004032:Diet; D015444:Exercise; D005190:Family; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage; D007328:Insulin / Q000008:administration & dosage; D008297:Male; D008687:Metformin / Q000008:administration & dosage; D009519:New York City; D010349:Patient Compliance; D011203:Poverty; D011627:Puberty
D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; D007328:Insulin; D008687:Metformin