title: Self-Management Strategies in Emerging Adults With Type 1 Diabetes.
abstract: We examined changes in self-management behaviors after high school graduation in a cohort of emerging adults with type 1 diabetes.
  
  
  
  Sixty-four emerging adults reported on diabetes self-management behaviors at three time points over a 1-year period. Glycemic control and blood glucose monitoring frequency data were collected from the medical chart.
  
  
  
  Collaboration with parents decreased, diabetes problem-solving and communication increased, and glycemic control worsened during the first year after high school (p < .05). Problem solving appeared to be protective against worsening glycemic control; higher baseline diabetes problem solving significantly predicted better glycemic control at the 1-year follow-up.
  
  
  
  Emerging adults demonstrate increased independence in diabetes problem solving and communication with health care providers in the year after high school. Problem-solving skills may help emerging adults adapt type 1 diabetes self-care in response to unpredictable schedules after high-school, and promoting these skills may prevent deteriorations in glycemic control during this risky period.
authors: Elora
authors: E
authors: Majumder
authors: Fran R
authors: FR
authors: Cogen
authors: Maureen
authors: M
authors: Monaghan
mesh_terms: D000293:Adolescent; D015190:Blood Glucose Self-Monitoring / Q000523:psychology / Q000706:statistics & numerical data*; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy* / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D055118:Medication Adherence / Q000523:psychology; D010290:Parents; D010353:Patient Education as Topic; D011340:Problem Solving; D000073278:Self-Management / Q000379:methods* / Q000523:psychology; D011795:Surveys and Questionnaires; D060305:Transition to Adult Care; D014481:United States; D055815:Young Adult; D016903:Drug Monitoring
keywords: Type 1 diabetes; adherence; adolescents; glycemic control; problem solving; self-management