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D W Guthrie

Publications and source records attributed to D W Guthrie.

29 records · Page 2Linked to original sources
PubMed1971

Diabetes in children.

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Diabetes Mellitus, Type 1↗
PubMedDate not supplied

Health-compromising behavior and diabetes mismanagement among adolescents and young adults with diabetes.

PURPOSE: This study examined the relationship between health-compromising behavior, age, gender, and diabetes mismanagement. METHODS: A total of 107 adolescents and young adults, 12 to 24 years old, with type 1 diabetes were asked to complete a health-compromising behavior scale and a diabetes mismanagement scale. RESULTS: Based upon participants' responses, the study population was divided into 2 different groups: those involved in health-compromising behavior and those not involved in such behavior. A multiple regression analysis was performed using age, gender, and health-compromising behavior as predictor variables and diabetes mismanagement as the outcome variable. Variables that accounted for significant variance in diabetes mismanagement were being female and being involved in health-compromising behavior. CONCLUSIONS: Adolescents and young adults with diabetes appear to be either involved or not involved in health-compromising behavior. Being female and being involved in health-compromising behavior were associated with diabetes mismanagement.

Adolescent↗
PubMedDate not supplied

Approach to management.

This paper describes a physiologic approach to diabetes management called pattern therapy and compares it with the sliding scale or "catch-up" type of management. Pattern therapy differs from the sliding scale approach in that it anticipates rather than reflects insulin needs, and it relies heavily on intensive patient education and intelligent self-management. Frequent blood glucose monitoring is also a key aspect of pattern therapy.

Blood Glucose↗
PubMedDate not supplied

Involvement in health behaviors among youth with diabetes.

PURPOSE: The purpose of this study was to examine involvement in a broad range of health behaviors among adolescents and young adults with diabetes. METHODS: The sample consisted of 107 adolescents and young adults (12 to 24 years old) with Type 1 diabetes mellitus. Participants were asked to report involvement in health-enhancing, health-compromising, and diabetes mismanagement behaviors. RESULTS: The participants reported low levels of health-compromising behaviors and high levels of health-enhancing behaviors. Females reported significantly higher levels of diabetes mismanagement than males. Males in late adolescence (18 to 24 years) reported significantly higher levels of health-compromising behaviors than males in early (12 to 14 years) and middle (15 to 17 years) adolescence. Females in late adolescence (18 to 24 years) reported significantly higher levels of health-compromising behaviors than females in early adolescence (12 to 14 years). CONCLUSIONS: Diabetes educators who work with youth may want to assess all of these health behaviors, keeping in mind age and gender differences.

Adolescent↗
PubMedDate not supplied

Self-care of young diabetics in practice.

UNLABELLED: To determine whether young diabetics follow the most important rules of diabetes educational programs as remembering to carry 'soluble sugars' and insulin shots in their daily life, the analysis using 263 simple and anonymous questionnaires was performed. The study involved 183 IDDM children from Kansas-USA (76 boys, 107 girls) and 80 IDDM children from Silesia, Poland (36 boys, 44 girls) of mean age 12.95 +/- 2.65, mean IDDM duration 4.77 +/- 3.15 years, mean HbA1c 8.53 +/- 1.93%. We found: (1) 79.85% of all IDDM children carry something to treat or prevent hypoglycemia, more girls than boys, and more American than Polish ones (p < 0.01). (2) Only 59.92% of IDDM children carry 'soluble sugars' (no statistically significant differences between sexes and nationalities). (3) No correlation between carrying 'sugars' and age, metabolic control, number of glycemia measurements, forgetting insulin injections and kind of insulin therapy. (4) Duration of diabetes was not correlated with carrying 'sugars' whereas it was correlated with carrying 'other food' (p < 0.05). (5) 53.4% of children never forget insulin injections (p < 0.01). (6) Forgetting insulin shots was correlated with IDDM duration in boys group, with increasing level of HbA1c and with smaller number of glycemia measurements in all children groups, with the intensive insulin therapy in girls and Polish groups (p < 0.01 in all cases). CONCLUSIONS: 1). Diabetic children quite often carry nothing or 'non-soluble sugars' with themselves to treat hypoglycemia. 2). Diabetic children more often forget to shoot insulin injections than to 'carry sugars'. 3). Children with a longer duration of diabetes more often forget their insulin injections. 4). Older girls with longer duration of IDDM demonstrating worse metabolic control check their glycemia less frequently and more often forget the insulin injections.

Adolescent↗