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.