If your child is very young, she may not quite understand all the life changes that may come with a diagnosis of type 1 diabetes. Your child may experience feelings of vulnerability, anger, difference from peers (“Why me?”).
Researchers believe the growth hormone produced during adolescence that stimulates bone and muscle growth may also act as an anti-insulin agent. Blood sugar levels become harder to control—resulting in blood sugar levels that swing from too low to too high. This lack of control over blood sugar levels can be very frustrating for your teen.
A study8 using the Child Behavior Checklist to determine whether having diabetes as a child affects psychological adjustment found that both internalized and externalized behavior problems were increased in children with diabetes. Boys with diabetes became more aggressive than boys without diabetes. The initial findings of Hausen and associates9 demonstrated that health care professionals can predict short- and long-term adherence based on the answers to a questionnaire related to family conflict, cohesion, and organizational skills. Northam and associates10 found that the impact of a diabetes diagnosis varied with the age of the child and the socioeconomic status of the family. They also found that Australian families became less flexible over time in diabetes-related activities. Holmes and associates11 demonstrated that if intervention is not carried out immediately after diagnosis or whenever problems arise, behavior problems are more likely to develop or compound. A high level of family conflict acted as a predictor of behavioral problems, especially if the family was less cohesive, reinforcing the need for a team approach.
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