Insulin Dependent Diabetes Mellitus: Regimen Adherence in Children and Young People

Abstract

Insulin dependent diabetes mellitus (IDDM) is a relatively common chronic endocrine disorder amongst children. Treatment comprises regular insulin injections, along with dietary control and exercise. It is also necessary to monitor blood glucose levels on a regular basis and adjust insulin dosage, diet and exercise accordingly. This treatment regimen is complicated and adherence to it is time consuming. Psychological factors appear to be associated with good adherence to the treatment regimen and with good metabolic control of the illness. Behavioural approaches have been used to improve aspects of adherence and to structure the teaching of some of the complex management skills required. These areas are reviewed, highlighting some of the recent advances, current challenges and the promise that psychology brings to the field.