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Type 1 Diabetes Self-Management From Emerging Adulthood Through Older Adulthood
Margaret M McCarthy1, Margaret Grey2
1New York University Rory Meyers College of Nursing, New York, NY mmm529@nyu.edu.
Diabetes Care
|May 27, 2018
Summary
Type 1 diabetes self-management varies by age. Younger adults struggle with glycemic control, while older adults achieve better results. Tailoring strategies to developmental stages is key.
Area of Science:
- Endocrinology
- Metabolic Diseases
- Public Health
Background:
- Type 1 diabetes (T1D) management requires lifelong self-care behaviors.
- Glycemic control in adults with T1D is influenced by various factors, including age and developmental stage.
- Understanding age-specific challenges is crucial for effective T1D management.
Purpose of the Study:
- To analyze diabetes self-management behaviors in adults with T1D.
- To identify predictors of glycemic control across different adult lifespan developmental stages.
Main Methods:
- Secondary cross-sectional analysis of 7,153 adults from the T1D Exchange Clinic Registry.
- Participants categorized into four developmental stages: emerging (18-<25), young (25-<45), middle-aged (45-<65), and older adults (≥65).
- Logistic regressions used to identify factors associated with hemoglobin A1c ≥7% within each group.
Main Results:
- Emerging adults exhibited the highest mean hemoglobin A1c (8.4%), while older adults had the lowest (7.3%).
- Emerging adults were less likely to use insulin pumps or continuous glucose monitors and more prone to missed insulin doses and diabetic ketoacidosis.
- Blood glucose monitoring frequency and missed insulin doses were key factors associated with elevated hemoglobin A1c across multiple age groups.
Conclusions:
- Diabetes self-management strategies should consider patient developmental stage, including competing demands and psychosocial factors.
- Age-specific approaches to T1D self-management may improve glycemic control.
- Healthcare providers should tailor recommendations based on the unique needs of different adult age groups.
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