Process of Diabetes Management in Young Adults with Type 1 Diabetes

West J Nurs Res. 2020 Apr;42(4):278-285. doi: 10.1177/0193945919860865. Epub 2019 Jul 26.

Abstract

This study investigated diabetes management processes among young adults with type 1 diabetes applying the grounded theory method. A total of 15 young adults, with an average age of 29 years, with type 1 diabetes were selected through theoretical sampling between November 2016 and October 2018. Data collected through in-depth interviews were analyzed using the constant comparative method. The core category of this study was defined as "living in a standardized frame." Participants managed diabetes through the trial-and-error process in addition to selective restriction or selective minimization. They restricted their diet, physical activity, social interactions, and range of thoughts, often following passive and avoidant strategies. Consequently, nurses are in a critical position to assist diabetic individuals via support programs and take the lead in mitigating social prejudice.

Keywords: grounded theory; nurse; patient education; self-management; type 1 diabetes.

MeSH terms

  • Adult
  • Diabetes Mellitus, Type 1 / psychology
  • Diabetes Mellitus, Type 1 / therapy*
  • Disease Management*
  • Female
  • Grounded Theory
  • Humans
  • Interviews as Topic
  • Male
  • Nurse's Role*
  • Qualitative Research