title: CE: Diabetes and puberty: a glycemic challenge.
abstract: As children with diabetes enter adolescence, the physical and psychological changes of puberty add to the challenges of disease management. This often leads to increased stress for both parent and child and to poor overall glucose control with potential short- and long-term complications. During this period of transition, nurses play a central role in teaching patients and their families about the effects of puberty on insulin sensitivity and glucose metabolism, and in discussing how the emotional and behavioral changes associated with this challenging time can affect diabetes management.
authors.affiliation: Jeniece Trast is a clinical research nurse and certified diabetes educator in the Division of Pediatric Endocrinology and Diabetes at the Children's Hospital at Montefiore Medical Center, Bronx, NY. Contact author: jtrast@gmail.com. The author and planners have disclosed no potential conflicts of interest, financial or otherwise.
authors.forename: Jeniece
authors.initials: J
authors.lastname: Trast
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D001786:Blood Glucose / Q000378:metabolism*; D002648:Child; D015897:Comorbidity; D003479:Curriculum; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy / Q000453:epidemiology / Q000378:metabolism* / Q000451:nursing* / Q000523:psychology; D004509:Education, Nursing, Continuing; D005260:Female; D019382:Human Growth Hormone / Q000097:blood / Q000378:metabolism; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000378:metabolism; D007333:Insulin Resistance / Q000502:physiology; D008297:Male; D055118:Medication Adherence / Q000523:psychology; D024802:Nurse's Role; D010353:Patient Education as Topic; D011627:Puberty / Q000502:physiology*; D012741:Sexual Maturation / Q000502:physiology; D013315:Stress, Psychological / Q000453:epidemiology; D055815:Young Adult
chemical_list: D001786:Blood Glucose; D007004:Hypoglycemic Agents; D007328:Insulin; D019382:Human Growth Hormone