Individualized Medical Nutrition Therapy For Adolescents With Type I Diabetes

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Individualized Medical Nutrition Therapy for Adolescents with Type I Diabetes: A Possible Means to Improve Self-management of the Disease Danielle R. O’Reggio-Christopher Rutgers School of Nursing NURS 6060, Clinical Inquiry for Evidence Based Practice Professor A. Forrester October 10, 2015 Introduction Type 1 Diabetes affects large numbers of children and adolescents nationwide. Gan, Albanese-O’Neil and Haller (2012) describe Type 1 diabetes (T1D) as: “an autoimmune disease mediated by a combination of genetic and environmental triggers resulting in lymphocytic infiltration of pancreatic islets, destruction of beta cells, and lifelong dependency on exogenous insulin. Although T1D is prevalent (1 in 300) and its incidence is steadily increasing worldwide (3% per year), the exact gene-environment interactions precipitating the disease remain unknown.” (p. 269) The occurrence of disease in a family is itself, taxing, both emotionally and financially; adding another element of the disease being incurable and requiring life-long treatment, and the propensity for negative coping behaviors in both the patient and family, and ineffective self-management of the disease, is high. Interest in this topic came about from the view that the probability of a primary care Family-practice DNP clinician treating and managing patients with this disease, is relatively high. Gan et al. (2012) solidified this perception by stating that, “Living with T1D is

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