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Contents

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PRELUDE: WHY WE WROTE THIS BOOK

I

The Challenges of Young Adulthood

Developmental Issues in the Young Adult (Emerging Adulthood)

The First Phase of the Young Adult Period

The Second Phase of the Young Adult Period

II

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

Keeping Perspective About Monitoring and Numbers

Bumps in the Journey: Intensive Therapy and Hypoglycemia

Will Real-time Continuous Glucose Monitoring Help Me?

More Bumps in the Journey: Intensive Therapy and Weight Gain

Some Advice for Your Journey

Problem Areas in Diabetes (PAID) Questionnaire

Preventing Complications

Relationships and Explaining Diabetes to Your Significant Other and Friends

Changing Ties with Your Family

Learning How to Be an Effective Patient

Health Insurance Issues

Pregnancy

Smoking

Alcohol

Getting Physical

III

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?

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?

What Can I Do to Help My Child Plan Ahead for College?

How Do I Cope with My Child’s Burgeoning Independence?

IV

Clinical Principles for the Health Care Professional

Implications in caring for Young Adults with Diabetes

Depression in the Young Adult with Diabetes

Clinical Focus During the Young Adult Period

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

Eating Disorders in Young Adults with Diabetes

Set realistic blood glucose goals

Minimize performance pressure about glycemic control

Recognize the Impact of Changing Family Roles and Social Relationships

Recognize Your Impact on the Mental Health of the Patient

Developing Guidelines

P O S T L U D E : L O O K I N G A H E A D

B I B L I O G R A P H Y

Transitions in Care

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