Is the relationship between adherence behaviours and glycaemic control bi-directional at adolescence? A longitudinal cohort study

• Published in: Diabetic medicine 2005-04, Vol.22 (4), p.427-433
• Main Authors: Du Pasquier-Fediaevsky, L., Chwalow, A. J., Tubiana-Rufi, N.
• Format: Article
• Language: English
• Subjects: adherence to diabetes regimen; Adolescent; Adolescent Behavior; adolescents; Aging - psychology; Biological and medical sciences; Child; children; diabetes knowledge; Diabetes Mellitus, Type 1 - blood; Diabetes Mellitus, Type 1 - psychology; Diabetes Mellitus, Type 1 - therapy; Diabetes. Impaired glucose tolerance; Endocrine pancreas. Apud cells (diseases); Endocrinopathies; Female; Glycated Hemoglobin A - metabolism; HbA1c; Health Knowledge, Attitudes, Practice; Humans; longitudinal cohort study; Longitudinal Studies; Male; Medical sciences; metabolic control; Patient Compliance - psychology; Puberty - psychology; Regression Analysis; Self Care - psychology; self-care behaviours; Type 1 diabetes
• ISSN: 0742-3071; 1464-5491
• DOI: 10.1111/j.1464-5491.2005.01429.x

Aim  To analyse the change in adherence to diabetes treatment and its association with metabolic control from childhood to adolescence. The Tanner pubertal staging model was selected as a marker of developmental maturity. Methods  In a multicentre, longitudinal cohort study, 142 children with Type 1 diabetes completed a scale that assessed adherence to treatment and a test of diabetes knowledge at the beginning of the study (T0) and four years later (T4). HbA1c and clinical data were collected at T0 and at T4. Results  From T0 to T4, the mean HbA1c increased from 8.2 ± 1.6 to 9.1 ± 1.4% (P