Diabetes management and glycemic control in youth with type 1 diabetes: Test of a predictive model

Dennis Drotar, Richard Ittenbach, Jennifer M. Rohan, Resmi Gupta, Jennifer Shroff Pendley, Alan Delamater

Research output: Contribution to journalArticlepeer-review

30 Scopus citations


The objective of this study was to test a comprehensive model of biologic (pubertal status), family (communication and conflict), and psychological influences (behavioral autonomy) on diabetes management and glycemic control in a sample of youth (N = 226) with type 1 diabetes recruited during late childhood/early adolescence (ages 9-11 years). The study design was a prospective, multisite, multi-method study involving prediction of diabetes management and glycemic control 1 year post-baseline. The primary outcome measures included diabetes management behaviors based on the Diabetes Self-Management Profile (DSMP) administered separately to mothers and youth and glycemic control measured by glycated hemoglobin (HbA1c) obtained by blood samples and analyzed by a central laboratory to ensure standardization. Our hypothesized predictive model received partial support based on structural equation modeling analyses. Family conflict predicted less adequate glycemic control 1 year later (p < 0.05). Higher conflict predicted less adequate diabetes management and less adequate glycemic control. More advanced pubertal status also predicted less adequate glycemic control, but behavioral autonomy did not. Family conflict is an important, potentially clinically significant influence on glycemic control that should be considered in primary and secondary prevention in the management of type 1 diabetes in youth.

Original languageEnglish (US)
Pages (from-to)234-245
Number of pages12
JournalJournal of Behavioral Medicine
Issue number3
StatePublished - Jun 2013


  • Adherence
  • Glycemic control
  • Pediatrics
  • Self-management
  • Type 1 diabetes

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health


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