Stressors and self-care challenges faced by adolescents living with type 1 diabetes.

The American Diabetes Association currently recommends that all youth with type 1 diabetes over the age of 7 years follow a plan of intensive management. The purpose of this study was to describe stressors and self-care challenges reported by adolescents with type 1 diabetes who were undergoing initiation of intensive management. Subjects described initiation of intensive management as complicating the dilemmas they faced. The importance of individualized and nonjudgmental care from parents and health care providers was stressed. This study supports development of health care relationships and environments that are teen focused not merely disease-centered and embrace exploring options with the teen that will enhance positive outcomes.