A focus on blood glucose monitoring: relation to glycemic control and determinants of frequency.
OBJECTIVE
To re-examine the relation of blood glucose monitoring to glycemic control among adolescents with type 1 diabetes and to evaluate the relation of demographic, behavioral, and psychosocial characteristics of adolescents who monitor more and less frequently.


METHODS
Participants were 132 adolescents with type 1 diabetes (average age = 12 yr) and their parents, recruited from Children's Hospital of Pittsburgh. Adolescents were interviewed annually for five consecutive years after routine clinic appointments. At each assessment, data from blood glucose meters were downloaded and glycosylated hemoglobin A1c was recorded from medical records.


RESULTS
More frequent blood glucose monitoring was related to better glycemic control. Adolescents who monitored more frequently were younger, from higher social status families, on insulin pumps, and had higher self-efficacy. Age-related declines in blood glucose monitoring occurred among adolescents with low self-esteem, high stressful life events, and lower parental support.


CONCLUSIONS
Given the importance of blood glucose monitoring for good glycemic control, future research should enhance adolescents' self-efficacy for monitoring and intervene with those who are at risk for age-related declines in blood glucose monitoring.
Department of Psychology, Carnegie Mellon University, Pittsburgh, PA 15213, USA. vh2e@andrew.cmu.edu
Vicki S
VS
Helgeson
Erin
E
Honcharuk
Dorothy
D
Becker
Oscar
O
Escobar
Linda
L
Siminerio
D000293:Adolescent; D001786:Blood Glucose / Q000032:analysis* / Q000378:metabolism; D015190:Blood Glucose Self-Monitoring; D002648:Child; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D010349:Patient Compliance; D020377:Self Efficacy
D001786:Blood Glucose; D006442:Glycated Hemoglobin