The influence of the family on control of diabetes.

The aim of this paper was to determine if the adult diabetic's perception of his family environment influenced control of his diabetes. Diabetic men (N = 97) living with their families completed a 10-factor Family Environment Scale. Family scores at baseline were then used to predict metabolic control 6 months later using stepwise multiple regression analysis. Diabetic control was derived from weighted scales for hemoglobin A1, fasting blood glucose, triglyceride and cholesterol. Three of the family factors were significant statistically. Those patients in better control of their disease perceived their families to be low in conflict and organization and oriented toward achievement. The high achievement environment activates responsibility towards success, which apparently carries into physical management of the disease. Lower conflict among family members as well as less organization creates a more relaxed atmosphere which perhaps encourages flexibility, less anxiety, less pressure and greater support associated with better metabolic control.