ABSTRACT
Research indicates that poor glycemic or blood glucose control in persons with diabetes
is eventually associated with serious health complications, including kidney disease,
retinopathy, and neuropathy (Clark & Lee, 1995). Attainment and maintenance of good
glycemic control has therefore been considered a significant factor in diabetes
management and prevention of complications (Diabetes Control and Complications Trial
Research Group, 1993), with improved glycemic control shown to reduce the risk of
health complications even among adolescents (Diabetes Control and Complications Trial
Research Group, 1994). Therefore, although the goal of diabetes management is to
achieve normal glycemic control, the process by which good glycemic control is
achieved is through adherence to regimen prescriptions. Thus, it is important for health
care professionals working with children and adolescents with diabetes to accurately
determine whether they are adhering well to the prescribed medical regimen.