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Contents
Prelude: Why We Wrote This Book
P A R T
The Challenges of Young Adulthood. DEVELOPMENTAL ISSUES IN THE YOUNG ADULT (EMERGING ADULTHOOD)
THE FIRST PHASE OF THE YOUNG ADULT PERIOD
Lessons from Psychosocial Research in Youth with Type 1 Diabetes After Adolescence
Issues That Affect the Transition of Care for Adolescents with Type 1 Diabetes
STEVE’S STORY: The Impact of Negative Feedback
THE SECOND PHASE OF THE YOUNG ADULT PERIOD
JIM’S STORY: Finding a Diabetes Team That Fits Your Lifestyle
P A R T
Getting Prepared for Your Journey. with Diabetes through Young Adulthood. YOU DON’T NEED A SERMON, BUT THE BASICS WON’T HURT
UNDERSTANDING INSULIN REPLACEMENT
APPROACHES TO INSULIN TREATMENT
DECIDING WHICH INSULIN PROGRAM IS RIGHT FOR YOU
FUNDAMENTAL SKILLS IN MANAGING DIABETES
Pros and Cons of Pump Therapy
KEEPING PERSPECTIVE ABOUT MONITORING AND NUMBERS
BUMPS IN THE JOURNEY: INTENSIVE THERAPY AND HYPOGLYCEMIA
WILL REAL-TIME CONTINUOUS GLUCOSE MONITORING HELP ME?
What Are the Benefits of CGM?
What Is the Downside of CGM?
Key Considerations Before Getting Started with CGM
Important Pointers for Success with CGM
Practical ABCs of CGM
MORE BUMPS IN THE JOURNEY: INTENSIVE THERAPY AND WEIGHT GAIN
SOME ADVICE FOR YOUR JOURNEY
Potholes and Speed Bumps Frequently Encountered on the Road of Life with Diabetes
Problem Areas In Diabetes (PAID) Questionnaire
Transition Checklist: Preparing for Handling Diabetes on Your Own
Preparing for the College Years
PREVENTING COMPLICATIONS
Retinopathy (eye disease)
How to Prevent Visual Loss from Diabetes
Nephropathy (kidney disease)
How to Prevent Kidney Damage from Diabetes
Foot Complications
How to Prevent Foot Problems from Diabetes
What Are the Chances My Children Will Have Diabetes?
RELATIONSHIPS AND EXPLAINING DIABETES TO YOUR SIGNIFICANT OTHER AND FRIENDS
Whom to Tell?
What to Tell?
When to Tell?
CHANGING TIES WITH YOUR FAMILY
LEARNING HOW TO BE AN EFFECTIVE PATIENT
Health Insurance Issues
PREGNANCY
SMOKING
ALCOHOL
Getting Physical
Driving and Diabetes: A Serious Matter
P A R T
For Parents: Helping Your Child. During the Transition to. Young Adulthood
HOW DO I SUPPORT MY CHILD WITHOUT HER FEELING LIKE I’M BEING INTRUSIVE OR NAGGING?
HOW CAN I HELP MY CHILD FIND A GOOD ADULT PROVIDER?
HOW CAN I HELP MY CHILD MAKE THE MOST OUT OF EACH MEDICAL VISIT?
The Story of Judy and Her Mother
HOW CAN I HELP MY CHILD STAY CONNECTED TO THE DIABETES COMMUNITY SO THAT HE CAN ACCESS INFORMATION WHEN HE NEEDS IT?
HOW DO I STAY CONNECTED WITH MY CHILD’S DIABETES CARE?
Helpful Websites for Staying Connected to the Diabetes Community
WHAT CAN I DO TO HELP MY CHILD PLAN AHEAD FOR COLLEGE?
HOW DO I COPE WITH MY CHILD’S BURGEONING INDEPENDENCE?
P A R T
Clinical Principles for the. Health Care Professional. IMPLICATIONS IN CARING FOR YOUNG ADULTS WITH DIABETES
DEPRESSION IN THE YOUNG ADULT WITH DIABETES
Depression Is a Continuum of Symptoms
CATHY’S STORY: A Complex Case of Depression in a Young Adult with Type 1 Diabetes and Multiple Psychosocial Challenges Who Recently Transitioned to Adult Care
CLINICAL FOCUS DURING THE YOUNG ADULT PERIOD
MICHAEL’S STORY: A Case of Balancing Competing Demands
IMPORTANCE OF THE BEHAVIORAL/DEVELOPMENTAL CONTEXT
CLINICAL CHALLENGES OF THE EARLIER PHASE OF YOUNG ADULTHOOD
REALISTIC EXPECTATIONS AND GOALS FOR THE CLINICIAN DURING THE EARLIER PHASE OF YOUNG ADULTHOOD
BUILDING MOTIVATION TO CHANGE SELF-CARE BEHAVIOR
Different Perspectives About Intensive Therapy
Uncovering Barriers to Intensive Therapy
Misconceptions that equate intensive diabetes control with intensive self-control
Fear of hypoglycemia
Unrealistic expectations leading to perfectionism
KATE’S STORY: Pediatric Diabetes Care and the Young Adult Transition
Concerns about weight gain associated with intensification of glycemic control
Eating Disorders in Young Adults with Diabetes
How to reduce the risk of disordered eating in young adult patients:
How to identify an eating disorder or “disordered eating” in young adult patients:
How to intervene when you suspect an eating disorder or disordered eating in young adult patients:
How to minimize weight gain related to intensification of glycemic control:
D.D.’S STORY
Set Realistic Blood Glucose Goals
Minimize Performance Pressure About Glycemic Control
RECOGNIZE THE IMPACT OF CHANGING FAMILY ROLES AND SOCIAL RELATIONSHIPS
Josh: A story of “miscarried helping”
How to Prevent “Miscarried Helping” and Teach Positive Involvement of Parents of Young Adults
Helping Guide the Patient in Social Relationships
RECOGNIZE YOUR IMPACT ON THE MENTAL HEALTH OF THE PATIENT
DEVELOPING GUIDELINES
Postlude: Looking Ahead
Bibliography
Index. A
B
C
D
E
F
G
H
I
J
K
L
M
N
P
R
S
T
U
V
W
Y
Other Titles from the American Diabetes Association
in Care
Meeting the Challenges
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III
For Parents: Helping Your Child During the Transition to Young Adulthood
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