Unstable Diabetes and Unstable Families: A Psychosocial Evaluation of Diabetic Children with Recurrent Ketoacidosis

摘要: To investigate the physical and psychological factors associated with labile diabetic control, 30 children adolescents recurrent ketoacidosis were included in a retrospective longitudinal review covering an 8-year period. The details of episodes psychosocial characteristics patient his family summarized from medical record. Only minority overtly solely related to intercurrent illness or poor compliance. A majority subjects studied lived families substantial dysfunction, including chronic unresolved interpersonal conflict, inadequate parenting, father not home, financial stress, lack involvement diabetes. Many displayed behavioral personality problems. In most these cases, there was evidence that dysfunctions existed prior onset These problems immediately apparent many instances, thus requiring more comprehensive assessment by social worker and/or psychologist. Ongoing emotional support counseling instrumental reversing pattern ketoacidosis, coordination care all members diabetes team. findings this experience suggest warrants prompt evaluation as well perspective.