Skip to main content

Advertisement

Log in

Self- and Social-Regulation in Type 1 Diabetes Management During Late Adolescence and Emerging Adulthood

  • Psychosocial Aspects (SS Jaser, Section Editor)
  • Published:
Current Diabetes Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

This paper aims to examine how self-regulation (i.e., cognition, emotion) and social-regulation (i.e., parents, friends, romantic partners) are interrelated risk and protective factors for type 1 diabetes management during late adolescence and emerging adulthood.

Recent Findings

Problems in cognitive (e.g., executive function) and emotional (e.g., depressive symptoms) self-regulation are associated with poorer management, both at the between- and within-person levels. Better management occurs when parents are supportive and when individuals actively regulate the involvement of others (e.g., seek help, minimize interference). Friends both help and hinder self-regulation, while research on romantic partners is limited.

Summary

Facets of self- and social-regulation are important risk and protective factors for diabetes management during emerging adulthood. At this time when relationships are changing, the social context of diabetes may need to be regulated to support diabetes management. Interventions targeting those with self-regulation problems and facilitating self- and social-regulation in daily life may be useful.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Arnett JJ. Conceptions of the transition to adulthood: perspectives from adolescence through midlife. J Adult Dev. 2001;8(2):133–43. https://doi.org/10.1023/A:1026450103225.

    Article  Google Scholar 

  2. Peters A, Laffel L. Diabetes care for emerging adults: recommendations for transition from pediatric to adult diabetes care systems. Diabetes Care. 2011;34:2477–85. https://doi.org/10.2337/dc11-1723.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Schwandt A, Hermann JM, Rosenbauer J, Boettcher C, Dunstheimer D, Grulich-Henn J, et al. Longitudinal trajectories of metabolic control from childhood to young adulthood in type 1 diabetes from a large German/Austrian registry: a group-based modeling approach. Diabetes Care. 2017;40(3):309–16. https://doi.org/10.2337/dc16-1625.

    Article  PubMed  Google Scholar 

  4. • Helgeson VS, Vaughn AK, Seltman H, Orchard T, Libman I, Becker D. Trajectories of glycemic control over adolescence and emerging adulthood: an 11-year longitudinal study of youth with type 1 diabetes. J Pediatr Psychol. 2017:1–11. https://doi.org/10.1093/jpepsy/jsx083. Article showing that facets of self- and social-regulation during early adolescence predict individual differences in longitudinal trajectories of glycemic control across adolescence and into emerging adulthood.

  5. •• Butner JE, Berg CA, Munion AK, Turner SL, Hughes-Lansing A, Winnick JB, et al. Coordination of self- and parental-regulation surrounding type 1 diabetes management in late adolescence. Ann Behav Med. 2017:1–13. https://doi.org/10.1007/s12160-017-9922-0. Article that models a dynamic systems approach to daily self- and social-regulation for type 1 diabetes management during late adolescence.

  6. Berg CA, Butner JE, Turner SL, Lansing AH, King P, Wiebe DJ. Adolescents’, mothers’, and fathers’ reports of adherence across adolescence and their relation to HbA1c and daily blood glucose. J Behav Med. 2016;39(6):1009–19. https://doi.org/10.1007/s10865-016-9771-5.

    Article  PubMed  Google Scholar 

  7. Wiebe DJ, Berg CA, Baker A, Stump T. Managing type 1 diabetes in late adolescence: individual and daily fluctuations in goal regulation. Health Psychol. 2018. https://doi.org/10.1037/hea0000624.

  8. Berg CA, Wiebe DJ, Suchy Y, Hughes AE, Anderson JH, Godbey EI, et al. Individual differences and day-to-day fluctuations in perceived self-regulation associated with daily adherence in late adolescents with type 1 diabetes. J Pediatr Psychol. 2014;39(9):1038–48. https://doi.org/10.1093/jpepsy/jsu051.

    Article  PubMed  PubMed Central  Google Scholar 

  9. • Suchy Y, Turner SL, Queen TL, Durracio K, Wiebe DJ, Butner J, et al. The relation of questionnaire and performance-based measures of executive functioning with type 1 diabetes outcomes among late adolescents. Health Psychol. 2016;35(7):661–9. https://doi.org/10.1037/hea0000326. Article demonstrating that both self-report and performance measures of executive functioning are related to diabetes management in late adolescence.

    Article  Google Scholar 

  10. King PS, Berg CA, Butner JE, Butler JM, Wiebe DJ. Longitudinal trajectories of parental involvement in type 1 diabetes and adolescents’ adherence. Health Psychol. 2014;33(5):424–32. https://doi.org/10.1037/a0032804.

    Article  PubMed  Google Scholar 

  11. Wiebe DJ, Chow CM, Palmer DL, Butner JE, Butler JM, Osborn P, et al. Developmental processes associated with longitudinal declines in parental responsibility and adherence to type 1 diabetes management across adolescence. J Pediatr Psychol. 2014;39(5):532–41. https://doi.org/10.1093/jpepsy/jsu006.

    Article  PubMed  PubMed Central  Google Scholar 

  12. •• Berg CA, Butner JE, Wiebe DJ, Lansing AH, Osborn P, King PS, et al. Developmental model of parent-child coordination for self-regulation across childhood and into emerging adulthood: type 1 diabetes management as an example. Dev Rev. 2017;46:1–26. https://doi.org/10.1016/j.dr.2017.09.001. Comprehensive review linking social-regulation involving parents during childhood and adolescence, and involving peers and health care providers during late adolescence and emerging adulthood to diabetes management.

    Article  Google Scholar 

  13. Munion AK, Butner JE, Wiebe DJ, Berg CA. Self- and social-regulation in emerging adults with type 1 diabetes. Ann Behav Med. 2017;51(Suppl 1):S1072–2867. https://doi.org/10.1007/s12160-017-9903-3.

    Google Scholar 

  14. Lansing AH, Berg CA. Topical review: adolescent self-regulation as a foundation for chronic illness self-management. J Pediatr Psychol. 2014;39(10):1091–6. https://doi.org/10.1093/jpepsy/jsu067.

    Article  PubMed  PubMed Central  Google Scholar 

  15. • Monaghan M, Helgeson V, Wiebe DJ. Type 1 diabetes in young adulthood. Curr Diabetes Rev. 2015;11(4):239–50. https://doi.org/10.2174/1573399811666150421114957. Thorough review of the biopsychosocial challenges facing emerging adults with type 1 diabetes.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Berg CA, Hughes AE, King PS, Korbel C, Fortenberry KT, Donaldson D, et al. Self-control as a mediator of the link between intelligence and hba1c during adolescence. Child Heal Care. 2014;43(2):120–31. https://doi.org/10.1080/02739615.2013.837819.

    Article  Google Scholar 

  17. Duke DC, Harris MA. Executive function, adherence, and glycemic control in adolescents with type 1 diabetes: a literature review. Curr Diab Rep. 2014;14(10):532–42. https://doi.org/10.1007/s11892-014-0532-y.

    Article  PubMed  Google Scholar 

  18. Wasserman RM, Hilliard ME, Schwartz D, Anderson BJ. Practical strategies to enhance executive functioning and strengthen diabetes management across the lifespan. Curr Diab Rep. 2015;15(8):37–54. https://doi.org/10.1016/bs.mcb.2015.01.016.

    Article  Google Scholar 

  19. Broadley MM, White MJ, Andrew B. A systematic review and meta-analysis of executive function performance in type 1 diabetes mellitus. Psychosom Med. 2017;79:684–96. https://doi.org/10.1097/PSY.0000000000000460.

    Article  PubMed  Google Scholar 

  20. Ryan CM, van Duinkerken E, Rosano C, van Duinkerken E, Rosano C. Neurocognitive consequences of diabetes. Am Psychol. 2016;71(7):563–76. https://doi.org/10.1037/a0040455.

    Article  PubMed  Google Scholar 

  21. Miller MM, Rohan JM, Delamater A, Shroff-Pendley J, Dolan LM, Reeves G, et al. Changes in executive functioning and self-management in adolescents with type 1 diabetes: a growth curve analysis. J Pediatr Psychol. 2012;38(1):18–29. https://doi.org/10.1093/jpepsy/jss100.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Suchy Y, Queen TL, Huntbach B, Wiebe DJ, Turner SL, Butner J, et al. Iowa gambling task performance prospectively predicts changes in glycemic control among adolescents with type 1 diabetes. J Int Neuropsychol Soc. 2017;23(3):204–13. https://doi.org/10.1017/S135561771600103X.

    Article  PubMed  Google Scholar 

  23. Gioia GA, Isquith PK, Retzlaff PD, Espy KA. Confirmatory factor analysis of the behavior rating inventory of executive function (BRIEF) in a clinical sample. Child Neuropsychol. 2002;8(4):249–57. https://doi.org/10.1076/chin.8.4.249.13513.

    Article  PubMed  Google Scholar 

  24. McNally K, Rohan J, Pendley JS, Delamater A, Drotar D. Executive functioning, treatment adherence, and glycemic control in children with type 1 diabetes. Diabetes Care. 2010;33(6):1159–62. https://doi.org/10.2337/dc09-2116.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Perez KM, Patel NJ, Lord JH, Savin KL, Monzon AD, Whittemore R, et al. Executive function in adolescents with type 1 diabetes: relationship to adherence, glycemic control, and psychosocial outcomes. J Pediatr Psychol. 2017;42(6):636–46. https://doi.org/10.1093/jpepsy/jsw093.

    PubMed  Google Scholar 

  26. • Rohan JM, Rausch JR, Pendley JS, Delamater AM, Dolan L, Reeves G, et al. Identification and prediction of group-based glycemic control trajectories during the transition to adolescence. Health Psychol. 2014;33(10):1143–52. https://doi.org/10.1037/hea0000025. Article showing that self-report of problems in executive function predict poor trajectories of glycemic control across three years during adolescence.

    Article  PubMed  Google Scholar 

  27. Goethals ER, de Wit M, Van Broeck N, Lemiere J, Van Liefferinge D, Böhler S, et al. Child and parental executive functioning in type 1 diabetes: their unique and interactive role toward treatment adherence and glycemic control. Pediatr Diabetes. 2017:1–7. https://doi.org/10.1111/pedi.12552.

  28. Hagger V, Hendrieckx C, Sturt J, Skinner TC, Speight J. Diabetes distress among adolescents with type 1 diabetes: a systematic review. Curr Diab Rep. 2016;16(1):9. https://doi.org/10.1007/s11892-015-0694-2.

    Article  PubMed  Google Scholar 

  29. Johnson B, Eiser C, Young V, Brierley S, Heller S. Prevalence of depression among young people with type 1 diabetes: a systematic review. Diabet Med. 2013;30(2):199–208. https://doi.org/10.1111/j.1464-5491.2012.03721.x.

    Article  CAS  PubMed  Google Scholar 

  30. de Groot M, Golden SH, Wagner J. Psychological conditions in adults with diabetes. Am Psychol. 2016;71(7):552–62. https://doi.org/10.1037/a0040408.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Sturt J, Dennick K, Due-Christensen M, McCarthy K. The detection and management of diabetes distress in people with type 1 diabetes. Curr Diab Rep. 2015;15(101):1–14. https://doi.org/10.1007/s11892-015-0660-z.

    CAS  Google Scholar 

  32. Compas BE, Jaser SS, Bettis AH, Watson KH, Gruhn MA, Dunbar JP, et al. Coping, emotion regulation, and psychopathology in childhood and adolescence: a meta-analysis and narrative review. Psychol Bull. 2017;143(9):939–91. https://doi.org/10.1037/bul0000110.

    Article  PubMed  Google Scholar 

  33. Galambos NL, Barker ET, Krahn HJ. Depression, self-esteem, and anger in emerging adulthood: seven-year trajectories. Dev Psychol. 2006;42(2):350–65. https://doi.org/10.1037/0012-1649.42.2.350.

    Article  PubMed  Google Scholar 

  34. Kessler RC, Mickelson KD, Walters EE, Zhao S, Hamilton L. Age and depression in the MIDUS survey. In: Brim OG, Ryff CD, Kessler RC, editors. How heal. Are we? A Natl. Study well-being midlife. Chicago: University of Chicago Press. p. 227–51.

  35. Lašaitė L, Dobrovolskienė R, Danytė E, Stankutė I, Ražanskaitė-Virbickienė D, Schwitzgebel V, et al. Diabetes distress in males and females with type 1 diabetes in adolescence and emerging adulthood. J Diabetes Complicat. 2016;30(8):1500–5. https://doi.org/10.1016/j.jdiacomp.2016.08.013.

    Article  PubMed  Google Scholar 

  36. Fisher L, Polonsky WH, Hessler DM, Masharani U, Blumer I, Peters AL, et al. Understanding the sources of diabetes distress in adults with type 1 diabetes. J Diabetes Complicat. 2015;29(4):572–7. https://doi.org/10.1016/j.jdiacomp.2015.01.012.

    Article  PubMed  PubMed Central  Google Scholar 

  37. • Rassart J, Luyckx K, Bijttebier P, Berg CA, Moons P, Weets I. Psychosocial functioning and glycemic control in emerging adults with type 1 diabetes: a 5-year follow-up study. Health Psychol. 2015;34(11):1058–65. https://doi.org/10.1037/hea0000212. Longitudinal study showing associations of diabetes distress and depressive symptoms with diabetes management across time during emerging adulthood.

    Article  PubMed  Google Scholar 

  38. Hood KK, Beavers DP, Yi-Frazier J, Bell R, Dabelea D, Mckeown RE, et al. Psychosocial burden and glycemic control during the first six years of diabetes: results from the SEARCH for diabetes in youth study. J Adolesc Health. 2014;55(4):498–504. https://doi.org/10.1016/j.jadohealth.2014.03.011.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Hilliard ME, Wu YP, Rausch J, Dolan LM, Hood KK. Predictors of deteriorations in diabetes management and control in adolescents with type 1 diabetes. J Adolesc Health. 2013;52(1):28–34. https://doi.org/10.1016/j.jadohealth.2012.05.009.

    Article  PubMed  Google Scholar 

  40. King PS, Berg CA, Butner JE, Drew LM, Foster C, Donaldson D, et al. Longitudinal trajectories of metabolic control across adolescence: associations with parental involvement, adolescents’ psychosocial maturity, and health care utilization. J Adolesc Health. 2012;50(5):491–6. https://doi.org/10.1016/j.jadohealth.2011.09.007.Longitudinal.

    Article  PubMed  Google Scholar 

  41. Baucom KJW, Queen TL, Wiebe DJ, Turner SL, Fortenberry KT, Anderson JH, et al. Depressive symptoms, daily stress, and adherence in adolescents with type 1 diabetes. Health Psychol. 2015;34:522–30. https://doi.org/10.1037/hea0000219.

    Article  PubMed  PubMed Central  Google Scholar 

  42. • Helgeson VS, Vaughn AK, Seltman H, Orchard T, Becker D, Libman I. Relation of parent knowledge to glycemic control among emerging adults with type 1 diabetes: a mediational model. J Behav Med. 2017:1–9. https://doi.org/10.1007/s10865-017-9886-3. Article demonstrating the importance of parental involvement in emotion regulation and diabetes management during emerging adulthood.

  43. Bachle C, Lange K, Stahl-Pehe A, Castillo K, Holl RW, Giani G, et al. Associations between HbA1c and depressive symptoms in young adults with early-onset type 1 diabetes. Psychoneuroendocrinology. 2015;55:48–58. https://doi.org/10.1016/j.psyneuen.2015.01.026.

    Article  PubMed  Google Scholar 

  44. Hughes-Lansing A, Berg CA, Butner JE, Wiebe DJ. Self-control, daily negative affect and blood glucose control in adolescents with type 1 diabetes. Health Psychol. 2016;35(7):643–61. https://doi.org/10.1037/hea0000325.

    Article  Google Scholar 

  45. Fortenberry KT, Butler JM, Butner JE, Berg CA, Upchurch R, Wiebe DJ. Perceived diabetes task competence mediates the relationship of both negative and positive affect with blood glucose in adolescents with type 1 diabetes. Ann Behav Med. 2009;37(1):1–9. https://doi.org/10.1007/s12160-009-9086-7.

    Article  PubMed  Google Scholar 

  46. Hilliard ME, Perlus JG, Clark LM, Haynie DL, Plotnick LP, Guttmann-Bauman I, et al. Perspectives from before and after the pediatric to adult care transition: a mixed-methods study in type 1 diabetes. Diabetes Care. 2014;37(2):346–54. https://doi.org/10.2337/dc13-1346.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Sparud-Lundin C, Öhrn I, Danielson E. Redefining relationships and identity in young adults with type 1 diabetes. J Adv Nurs. 2010;66(1):128–38. https://doi.org/10.1111/j.1365-2648.2009.05166.x.

    Article  PubMed  Google Scholar 

  48. Majumder E, Cogen FR, Monaghan M. Self-management strategies in emerging adults with type 1 diabetes. J Pediatr Health Care. 2016;31(1):29–36. https://doi.org/10.1016/j.pedhc.2016.01.003.

    Article  PubMed  PubMed Central  Google Scholar 

  49. • Raymaekers K, Oris L, Prikken S, Moons P, Goossens E, Weets I, et al. The role of peers for diabetes management in adolescents and emerging adults with type 1 diabetes: a longitudinal study. Diabetes Care. 2017;40:1678–84. https://doi.org/10.2337/dc17-0643. Longitudinal study showing helpful and unhelpful aspects of relationships with friends are associated with diabetes distress and diabetes management during adolescence and emerging adulthood.

    Article  PubMed  Google Scholar 

  50. Wiebe DJ, Helgeson VS, Berg CA. The social context of managing diabetes across the life span. Am Psychol. 2016;71(7):526–38. https://doi.org/10.1037/a0040355.

    Article  PubMed  PubMed Central  Google Scholar 

  51. Goethals ER, Oris L, Soenens B, Berg CA, Prikken S, Van Broeck N, et al. Parenting and treatment adherence in type 1 diabetes throughout adolescence and emerging adulthood. J Pediatr Psychol. 2017;42:1–11. https://doi.org/10.1093/jpepsy/jsx053.

    Article  Google Scholar 

  52. Helgeson VS, Palladino DK, Reynolds KA, Becker DJ, Escobar O, Siminerio L. Relationships and health among emerging adults with and without type 1 diabetes. Health Psychol 2014;33:1125–1133. https://doi.org/10.1002/aur.1474.Replication.

  53. Hanna KM, Weaver MT, Stump TE, Guthrie D, Oruche UM. Emerging adults with type 1 diabetes during the first year post-high school: perceptions of parental behaviors. Emerg Adulthood. 2014;2(2):128–37. https://doi.org/10.1177/2167696813512621.

    Article  PubMed  Google Scholar 

  54. Berg CA, Queen TL, Butner JE, Turner SL, Lansing AH, Main A, et al. Adolescent disclosure to parents and daily management of type 1 diabetes. J Pediatr Psychol. 2017;42(1):75–84. https://doi.org/10.1093/jpepsy/jsw056.

    PubMed  Google Scholar 

  55. Main A, Wiebe DJ, Van Bogart K, Turner SL, Tucker C, Butner JE, et al. Secrecy from parents and type 1 diabetes management in late adolescence. J Pediatr Psychol. 2015;40(10):1075–84. https://doi.org/10.1093/jpepsy/jsv060.

    Article  PubMed  PubMed Central  Google Scholar 

  56. Peters LWH, Nawijn L, van Kesteren NMC. How adolescents with diabetes experience social support from friends: two qualitative studies. Scientifica. 2014. p 8. https://doi.org/10.1155/2014/415849.

  57. Palladino DK, Helgeson VS. Friends or foes? A review of peer influence on self-care and glycemic control in adolescents with type 1 diabetes. J Pediatr Psychol. 2012;37(5):591–603. https://doi.org/10.1093/jpepsy/jss009.

    Article  PubMed  PubMed Central  Google Scholar 

  58. Kelly CS, Berg CA, Ramsey MA, Baker AC, Donaldson DL, Swinyard MT, et al. Relationships and the development of transition readiness skills into early emerging adulthood for individuals with type 1 diabetes. Child Heal Care. 2017:1–18. https://doi.org/10.1080/02739615.2017.1354294.

  59. Seiffge-Krenke I. Diversity in romantic relations of adolescents with varying health status: Links to intimacy in close relationships. J Adolesc Res. 2000;15(6):611–36. https://doi.org/10.1177/0743558400156001.

    Article  Google Scholar 

  60. Helgeson VS, Mascatelli K, K a R, Becker D, Escobar O, Siminerio L. Friendship and romantic relationships among emerging adults with and without type 1 diabetes. J Pediatr Psychol. 2015;40:359–72.

    Article  PubMed  Google Scholar 

  61. Trief PM, Sandberg JG, Dimmock JA, Forken PJ, Weinstock RS. Personal and relationship challenges of adults with type 1 diabetes. Diabetes Care. 2013;36(9):2483–8. https://doi.org/10.2337/dc12-1718.

    Article  PubMed  PubMed Central  Google Scholar 

  62. vanDellen MR, Shah JY, Leander NP, Delose JE, Bornstein JX. In good company: managing interpersonal resources that support self-regulation. Personal Soc Psychol Bull. 2015;41(6):870–82. https://doi.org/10.1177/0146167215580778.

    Article  Google Scholar 

  63. Sturt J, Dennick K, Hessler D, Hunter BM, Oliver J, Fisher L. Effective interventions for reducing diabetes distress: systematic review and meta-analysis. Int Diabetes Nurs. 2015;12(2):40–55. https://doi.org/10.1179/2057332415Y.0000000004.

    Article  Google Scholar 

  64. Young-Hyman D, De Groot M, Hill-Briggs F, Gonzalez JS, Hood K, Peyrot M. Psychosocial care for people with diabetes: a position statement of the American diabetes association. Diabetes Care. 2016;39(12):2126–40. https://doi.org/10.2337/dc16-2053.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  65. Jaser SS, Patel N, Rothman RL, Choi L, Whittemore R. Check it!: a randomized pilot of a positive psychology intervention to improve adherence in adolescents with type 1 diabetes. Diabetes Educ. 2014;40(5):659–67. https://doi.org/10.1177/0145721714535990.

    Article  PubMed  PubMed Central  Google Scholar 

  66. Grey M, Boland EA, Davidson M, Li J, Tamborlane WV. Coping skills training for youth with diabetes mellitus has long-lasting effects on metabolic control and quality of life. J Pediatr. 2000;137(1):107–13. https://doi.org/10.1067/mpd.2000.106568.

    Article  CAS  PubMed  Google Scholar 

  67. Mulvaney SA, Rothman RL, Wallston KA, Lybarger C, Dietrich MS. An internet-based program to improve self-management in adolescents with type 1 diabetes. Diabetes Care. 2010;33(3):602 LP–604. https://doi.org/10.2337/dc09-1881.

    Article  Google Scholar 

  68. Mayberry LS, Berg CA, Harper KJ, Osborn CY. The design, usability, and feasibility of a family-focused diabetes self-care support mHealth intervention for diverse, low-income adults with type 2 diabetes. J Diabetes Res. 2016;2016(13):1–13. https://doi.org/10.1155/2016/7586385.

    Article  Google Scholar 

Download references

Acknowledgements

Deborah J. Wiebe and Cynthia A. Berg received grant support from the National Institute of Diabetes and Digestive and Kidney Diseases.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Deborah J. Wiebe.

Ethics declarations

Conflict of Interest

Deborah J. Wiebe, Cynthia A. Berg, Daniel Mello, and Caitlin S. Kelly declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

All reported studies with human subjects performed by the authors have been previously published and complied with all applicable ethical standards (including the Helsinki declaration and its amendments, institutional/national research committee standards, and international/national/institutional guidelines). Informed consent was obtained from all individual participants included in these studies.

Additional information

This article is part of the Topical Collection on Psychosocial Aspects

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wiebe, D.J., Berg, C.A., Mello, D. et al. Self- and Social-Regulation in Type 1 Diabetes Management During Late Adolescence and Emerging Adulthood. Curr Diab Rep 18, 23 (2018). https://doi.org/10.1007/s11892-018-0995-3

Download citation

  • Published:

  • DOI: https://doi.org/10.1007/s11892-018-0995-3

Keywords

Navigation