Transitions
in Care
Meeting the Challenges
of Type I Diabetes
in Young Adults
Director, Book Publishing, Robert Anthony; Managing Editor, Abe Ogden; Acquisitions Editor, Professional Books, Victor Van Beuren; Editor, Wendy M. Martin; Production Manager, Melissa Sprott; Composition, Circle Graphics; Cover Design, Koncept, Inc.; Printer, Victor Graphics.
©2009 by the American Diabetes Association, Inc. All Rights Reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including duplication, recording, or any information storage and retrieval system, without the prior written permission of the American Diabetes Association.
Printed in the United States of America
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The suggestions and information contained in this publication are generally consistent with the Clinical Practice Recommendations and other policies of the American Diabetes Association, but they do not represent the policy or position of the Association or any of its boards or committees. Reasonable steps have been taken to ensure the accuracy of the information presented. However, the American Diabetes Association cannot ensure the safety or efficacy of any product or service described in this publication. Individuals are advised to consult a physician or other appropriate health care professional before undertaking any diet or exercise program or taking any medication referred to in this publication. Professionals must use and apply their own professional judgment, experience, and training and should not rely solely on the information contained in this publication before prescribing any diet, exercise, or medication. The American Diabetes Association—its officers, directors, employees, volunteers, and members—assumes no responsibility or liability for personal or other injury, loss, or damage that may result from the suggestions or information in this publication.
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American Diabetes Association
1701 North Beauregard Street
Alexandria, Virginia 22311
DOI: 10.2337/9781580403641
Library of Congress Cataloging-in-Publication Data
Wolpert, Howard, 1958-
Transitions in care : a guide on the challenges of type 1 diabetes in the young adult period for patients, their families, and health care providers / Howard A. Wolpert, Barbara J. Anderson, Jill Weissberg-Benchell.
p.; cm.
Includes bibliographical references and index.
ISBN 978-1-58040-324-5 (alk. paper)
I. Diabetes in youth. 2. Diabetes in adolescence. I. Anderson, Barbara J. (Barbara Jane), 1947-II. Weissberg-Benchell, Jill. III. American Diabetes Association. IV. Title.
[DNLM: 1. Diabetes Mellitus, Type 1. 2. Young Adult. 3. Adolescent. WK 810 W866ta 2009]
RJ420.D5W65 2009
616.4′6200835--dc22
2008050822
eISBN: 978-1-58040-364-1
Contents
PRELUDE: WHY WE WROTE THIS BOOK
The Challenges of Young Adulthood
Developmental Issues in the Young Adult (Emerging Adulthood)
The First Phase of the Young Adult Period
The Second Phase of the Young Adult Period
Getting Prepared for Your Journey with Diabetes through Young Adulthood
You Don’t Need a Sermon, But the Basics Won’t Hurt
Understanding Insulin Replacement
Approaches to Insulin Treatment
Deciding Which Insulin Program Is Right for You
Fundamental Skills in Managing Diabetes
Keeping Perspective About Monitoring and Numbers
Bumps in the Journey: Intensive Therapy and Hypoglycemia
Will Real-time Continuous Glucose Monitoring Help Me?
More Bumps in the Journey: Intensive Therapy and Weight Gain
Problem Areas in Diabetes (PAID) Questionnaire
Relationships and Explaining Diabetes to Your Significant Other and Friends
Changing Ties with Your Family
Learning How to Be an Effective Patient
Health Insurance Issues
Getting Physical