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            "title": "Type 1 Diabetes Among Adolescents Reduced Diabetes Self-Care Caused by Social Fear and Fear of Hypoglycemia",
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                    "firstName": "Ashley M. Di",
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                    "firstName": "Trevor A.",
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            "abstractNote": "Purpose\nThe aim of this study was to examine the association between social anxiety and adherence to diabetes self-care and quality of life and to determine the effects of fear of hypoglycemia on these associations in adolescents with type 1 diabetes. It is hypothesized that (1) social anxiety will be negatively associated with adherence and quality of life and (2) that fear of hypoglycemia will mediate this relationship. It is also hypothesized that (3) girls will have higher social anxiety than boys.\nMethods\nAdolescents with type 1 diabetes were recruited during clinic visits at 2 international centers. Participants answered a survey containing questionnaires on social anxiety, behavioral adherence to the diabetes self-care regimen, quality of life, fear of hypoglycemia, and last hemoglobin A1C results.\nResults\nSeventy-six adolescents (33 boys, 43 girls), mean age 15.9 (1.44) years, participated. Social anxiety levels are not statistically different between genders. In boys, social anxiety is associated with worse diet and insulin injection adherence; no associations are found in girls. Social anxiety is positively correlated with poor quality of life in both genders. Fear of hypoglycemia mediates the relationship between social anxiety and insulin adherence in boys.\nConclusions\nFindings suggest that social anxiety, which is common in general populations of adolescents, may interfere with behavioral adherence and quality of life among adolescents with type 1 diabetes. Screening and treatment of social anxiety may result in better adherence and increased quality of life.",
            "publicationTitle": "The Diabetes Educator",
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            "title": "Type 1 diabetes in young people: The impact of social environments on self-management issues from young people’s and parents’ perspectives",
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            "abstractNote": "In the UK, young people with type 1 diabetes generally have poor glycaemic control. Managing type 1 diabetes in young people is complex, and is underpinned by relationships with significant others in the social environments they inhabit. This qualitative study explores the social environments of young people with type 1 diabetes and their potential influence on glycaemic control. Twenty young people with type 1 diabetes and their parents (n=27) were interviewed about their experiences in the environments of the home, with friends (social), at school and in the diabetes clinic. It was found that the diabetes clinic was vital to the medical management of type 1 diabetes, and the family provided stable support for most young people with type 1 diabetes. However, there were barriers to self-management in school and social environments. It was concluded that each family had a unique story about the social factors in the environments they encountered that affected self-management of type 1 diabetes.",
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