Preliminary Study: Care of Type1 diabetes in emerging adulthood at Burapha University Hospital
Keywords:
Type1 diabetes, Emerging adulthood, Diabetes self-management program, Complications of diabetes, EmotionAbstract
Context: Incidence of Type1 diabetes in emerging adulthood is increasing in Thailand.
Objective: To determine level of glycemic control of type 1 diabetes after Diabetes SelfManagement Program (DSMP) for one year, prevalence of acute and chronic complications of
type 1 diabetes.
Methods: The participants were 4 from 6 cases of type 1 diabetes patients in Burapha University
Hospital and can be followed up with the DSMP treatment for one year. All participants
were given the knowledge about disease, survival skills for hypoglycemia and hyperglycemia
management, Carbohydrate or “carb (CHO) counting”, insulin therapy. All of them received
glucose strips and urine ketone strips for 1 year. HbA1C level was checked up every 3 months.
The acute complications (DKA and severe hypoglycemia) and chronic complications were
accessed. The emotional state and energy level were monitored.
Results: Four participants diagnosed with type 1 diabetes were recruited. All of them received
Basal-Bolus insulin regimen. The first female patient aged 21 year-6- months has been
diagnosed for more than 10 years. Her HbA1C level before and after treatment were 9.7%,
7.8% respectively. The second female patient aged 24 years has been diagnosed nearly 4 years.
Her HbA1C level before and after treatment were 13.8%, 12.1% respectively. The third female
patient aged 20 year-11-months has been diagnosed nearly 10 years. Her HbA1C level before
and after treatment were 10.9%, 9.7% respectively. The last male patient aged 20 year-11-
months has been diagnosed more than 7 years. His HbA1C level before and after treatment
were 7.6%, 8.2% respectively. Acute and chronic complications were not demonstrated in all
of them. The HbA1C level was decreased at least 1 percent in 3/4 participants. The factors
that influenced the HbA1C level were self-monitoring of blood glucose and insulin adherence
individually. All of them were anxious during the first 6 months, then normal feelings.
Conclusions: The three-fourths of participants had decreased the HbA1C level at least 1 percent
within one year by using the DSMP. Acute and chronic complications were not demonstrated
in all of them.
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