Young Adults With Type I Diabetes Mellitus

A study conducted by MacFarlane, Grove, and Wallymahmed (2001) examined changed in the prevalence of smoking in young adult diabetic patients between 1990 and 1999. Direct questioning as well as the urinary continine:creatinine ratio were used to assess the smoking habits of a sample of 99 young Type I diabetic patients in 1991. Subjects had a mean age of 21.5 years and an average duration of diabetes of 7.3 years. A sample of 112 similar patients in 1999 (mean age 23.4 years, duration of diabetes 9.6 years) was also drawn.

Results reported by MacFarlane, et al (2001) indicated that the admitted smoking rate was 21/99 (31 percent) in 1990 as compared with 31/112 (28 percent) in 1999. However, in 1990 there were additional covert smokers who denied smoking but whose urinary continine:creatinine ratio was high; there were only 3 subjects identified as smokers via this test in 1999. This gave a corrected validated smoking rate of

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aseline in both the intensive and passive educational groups at 12 months, and there was no difference of any significance between the two groups at any evaluation time. Both groups had significantly higher declines in the measurement of glycosylated hemoglobin than the patched control group. The research suggests that education per se, and not delivery method of type, is associated with lifestyle changes that are associated in turn with improved glycemic control. Had the study employed a larger sample, or been focused specifically on a narrowly defined age cohort, its results may have been different. No effort to determine why patients with diabetes declined to participate was apparently made; understanding a lack of receptiveness to participation in diabetic care education might have resulted in the development of new strategies for gaining compliance from resisters. A study conducted by Raile, Kapellen, Schweiger, Hunkert, Nietzschmann, Dost and Kiess (1999) addressed the effects of physical activity and competitive sports on children and adolescents with Type I diabetes. The researches noted that all levels of exercise, ranging from leisure activities to recreational and competitive sports can be managed by individuals
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Some common words found in the essay are:
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Approximate Word count = 1878
Approximate Pages = 8 (250 words per page)

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