Journal of Clinical Pediatrics and Neonatal Care

Glucometer Manipulation in Adolescents with Type 1 Diabetes Mellitus

*Dr. Holley Allen
Department Of Pediatrics, Springfield, MA 01199, United States

*Corresponding Author:
Dr. Holley Allen
Department Of Pediatrics, Springfield, MA 01199, United States
Email:holley.allen@baystatehealth.org

Published on: 2016-06-15

Abstract

This study sought to determine the frequency of and reasons for manipulation of glucometers in adolescents with Type 1 diabetes. Using a cross sectional study design, adolescents with Type 1 diabetes who attended Baystate Pediatric Endocrinology Clinic, completed a brief, confidential questionnaire assessing intentional glucometer manipulation. Eligible subjects were aged 12-22 years with a Type 1 diabetes diagnosis for greater than two years. One hundred thirteen teenagers (mean age 16.7 ± 2.7) with Type 1 diabetes for an average of 8.7 years (± 4.2 years) and an average A1c of 8.7% (SD=1.5) participated in this study. Fourteen (12.4%) teenagers admitted to intentionally manipulating their glucometer, reasons included: high readings make them feel bad (55.8%), make their parents upset (61.1%), and make their doctors upset (54.0%). Clinicians caring for adolescents with type 1 diabetes should be aware of the possibility and implications of glucometer manipulation.

Keywords

Diabetes Mellitus; Type 1; Adolescent; Blood Glucose; Patient Compliance; Patient Adherence

Introduction

Type 1 diabetes mellitus is one of the most common chronic diseases affecting adolescents. With the onset of adolescence comes the desire for greater autonomy and control over one’s life and body. As a result, adolescents with type 1 diabetes start to assume a more active role in their disease management, and the transition from parental control to patient control occurs. While some adolescents do a very good job with their diabetes management, others will use their newly granted autonomy as a chance to rebel and manage their disease on their own terms. Thus, commonly there is a deterioration in diabetes management during this time period, particularly around ages 14-15