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Executive Functioning, Daily Self-Regulation, and Diabetes Management while Transitioning into Emerging Adulthood
Deborah J Wiebe1, Cynthia A Berg2, Ascher K Munion2,3
1Department of Psychological Sciences and the Health Sciences Research Institute, University of California, Merced, USA.
Summary
Promoting daily self-regulation, not executive functioning, may improve Type 1 diabetes management during the critical transition after high school. This helps minimize diabetes problems and enhances daily self-care.
Area of Science:
- Psychology
- Endocrinology
- Public Health
Background:
- Executive functioning (EF) is linked to better Type 1 diabetes (T1D) management post-high school.
- The specific daily self-regulation processes underlying this link remain unclear.
Purpose of the Study:
- To investigate the association between EF and daily self-regulation in managing T1D.
- To determine if EF influences daily diabetes problem exposure or adverse reactions.
- To assess if these patterns intensify during the transition out of high school.
Main Methods:
- A measurement burst design was employed with 207 high school seniors with T1D.
- Participants completed self-report and performance measures of EF.
- A 14-day daily diary assessed self-regulation, diabetes problems, affect, and management indicators at baseline and 1 year.
Main Results:
- Lower self-reported EF problems correlated with fewer self-regulation failures and diabetes problems.
- Higher EF performance unexpectedly correlated with more diabetes problems in year 2.
- Daily self-regulation failures, not EF, predicted fewer diabetes problems and better management.
Conclusions:
- Daily self-regulation, irrespective of EF, is crucial for preventing diabetes problems.
- Interventions should focus on enhancing daily self-regulation for improved T1D management during high-risk transitions.
Keywords:
Daily diaryDiabetes self-managementEmerging adulthoodExecutive functioningSelf-regulationType 1 diabetesMore Related Videos
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