Resilience, diabetes-related confidence, and help in diabetes management among Turkish adolescents with type 1 diabetes: A cross-sectional study

Abstract

Diabetes resilience is key to adolescents' effective type 1 diabetes management. This descriptive, cross-sectional study examined the relationships between diabetes resilience scores and behavioral and health indicators and individual and family factors in 202 older adolescents (aged 14-18 years) with type 1 diabetes presenting to a pediatric endocrinology outpatient clinic and ward in T & uuml;rkiye. Data were collected using a background information form and the Diabetes Strengths and Resilience Measure for Adolescents with Type 1 Diabetes (DSTAR-Teen). Higher DSTAR-Teen scores were associated with higher maternal education level, absence of sibling diabetes, shorter diabetes duration, at least four blood glucose self-checks daily, and three or fewer hyperglycemic episodes in the last month (p < 0.05). DSTAR-Teen scores negatively correlated with HbA1c (p = 0.001) and postprandial blood glucose levels (p < 0.05). Understanding the factors associated with diabetes resilience in adolescents with type 1 diabetes may enable the development of targeted interventions to support diabetes management.