Ramchandani N, Cantey-Kiser J M, Alter C A, Brink S J, Yeager S D, Tamborlane W V, Chipkin S R
Yale University School of Nursing, New Haven, Connecticut (Ms Ramchandani)
The Data Coordinating Center, Boston University School of Public Health, Massachusetts (Dr Cantey-Kiser)
Diabetes Educ. 2000 Jul-Aug;26(4):656-66. doi: 10.1177/014572170002600413.
This study examined the self-reported impact of different factors on the overall diabetes care of college students with type 1 diabetes.
An 18-item questionnaire was mailed to 164 students with type 1 diabetes attending college away from home; results from 42 students fulfilled study criteria and were analyzed. Metabolic control was assessed by relative changes in glycosylated hemoglobin (HbA1c) levels from medical records.
HbA1c levels did not change significantly between high school and college, yet most college students reported that diabetes was more difficult to manage in college. Commonly reported barriers to diabetes control included diet, irregular schedules, lack of parental involvement, peer pressure, drugs and alcohol, fear of hypoglycemia, and finances. Factors identified as improving diabetes control were an increased sense of responsibility, increased frequency of blood glucose testing, exercise, contact with healthcare providers, fear of hyperglycemia, and knowledge of the results of the Diabetes Control and Complications Trial. Many students reported testing their blood more frequently and taking more injections than in high school; most were on intensive insulin regimens.
Despite the perception that diabetes management was more difficult in college, metabolic control was maintained during college, possibly due to a more intensive treatment approach.
本研究调查了不同因素对1型糖尿病大学生整体糖尿病护理的自我报告影响。
向164名离家上大学的1型糖尿病学生邮寄了一份包含18个条目的问卷；42名学生的结果符合研究标准并进行了分析。通过病历中糖化血红蛋白（HbA1c）水平的相对变化评估代谢控制情况。
高中和大学期间HbA1c水平没有显著变化，但大多数大学生报告称糖尿病在大学期间更难管理。常见的糖尿病控制障碍包括饮食、作息不规律、父母参与度低、同伴压力、药物和酒精、低血糖恐惧以及经济状况。被认为有助于改善糖尿病控制的因素包括责任感增强、血糖检测频率增加、运动、与医疗服务提供者的接触、高血糖恐惧以及对糖尿病控制与并发症试验结果的了解。许多学生报告称，与高中相比，他们更频繁地检测血糖且注射次数更多；大多数人采用强化胰岛素治疗方案。
尽管感觉糖尿病在大学期间更难管理，但大学期间代谢控制得以维持，这可能得益于更强化的治疗方法。
