Successful use of family‐based therapy interventions for uncontrolled type 1 diabetes in an adolescent. (April 2017)

• Record Type: Journal Article
• Authors: Wilfahrt, Robert P; Matthews, Abigail; Lenz, Katrina R; Sim, Leslie A
• Is Part Of: Practical diabetes. Volume 34:Number 3(2017:Apr.)
• Page Start: 95
• Page End: 98
• Publication Date: 2017-04
• Subjects: family‐based therapy -- case report -- adolescence -- type 1 diabetes -- insulin‐dependent -- diabetes mellitus; Diabetes -- Treatment -- Periodicals; Medical protocols -- Periodicals; 616.46206
• DOI: 10.1002/pdi.2091
• Languages: English
• ISSNs: 2047-2897

Abstract

Abstract: Adolescents with type 1 diabetes mellitus (T1DM) are at increased risk for poor treatment adherence and glycaemic lability. Parental involvement in a youth's diabetes regimen is associated with better outcomes, yet supported treatments may be inaccessible due to limited community resources and financial constraints. Furthermore, existing interventions emphasise a collaborative effort between family members, which may not be effective with youth with particular vulnerabilities. Similarities between T1DM and anorexia nervosa prompted our use of modified family‐based therapy (FBT) with a 16‐year‐old male with poor glycaemic control. FBT‐guided strategies were brief and implemented by a family medicine physician at routine visits. Medical symptoms dramatically improved over a four‐month period, demonstrating that FBT tailored to T1DM warrants further investigation for youth with poor treatment adherence. Copyright © 2017 John Wiley & Sons.