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Chapter 2: Stages of type 1 diabetes in children and adolescents
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Dear Members,
Dear Friends,

Puberty is being recognized as one of the most challenging developmental stages of life. Adolescence is the transitional phase of development between childhood and emerging adulthood that incorporates the biological and psychosocial changes of puberty. It poses unique challenges on the individual with diabetes, the family, and the diabetes care team.
 
Although the majority of adolescents adapt well to the challenges of puberty, it must be recognized that their healthcare and emotional needs are distinctly different from those of younger children or older adults. Adolescence involves training to become an independent adult and may result in mistakes and failures as well as learning experiences and successes. In the context of type 1 diabetes, many adolescents may experience a deterioration in metabolic control, often attributable to erratic meal and exercise patterns, poor adherence to treatment regimens, hazardous and risk-taking behaviors, disordered eating behaviors, other mental health issues, and endocrine changes associated with puberty, leading to greater insulin resistance.

Therefore this ISPAD chapter focuses solely on Diabetes in Adolescents and aims to explain the challenges above, propose advice to solve or avoid them, and highlights the adolescents’ needs, including a need for independence, diabetes education about sexual health and contraception, alcohol and drug intake, and transition into adulthood and adult care. It’s a must read for any diabetes team member, both pediatric and adult care specialists.
 
Check out the study on adolescent and parent attitudes towards transition and adolescent diabetes services by Vincent McDarby.
 
Find out more about behavioral interventions in adolescents with type 1 diabetes by Elizabeth Mayer-Davis.

The Conference Resource Platform has been made possible thanks to an independent educational sponsorship from
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If you have any questions, please contact:

ISPAD Conference Secretariat
K.I.T. Group GmbH
Association & Conference Management
Tel.: +49 30 24 60 3-270
Fax: +49 30 24 60 3-200
 
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Association & Conference Management

© 2019 International Society for Pediatric and Adolescent Diabetes (ISPAD)

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Representatives: Willy E. Kausch, Jocelyne Mülli and Merryn Scholz



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