Factors that Impact Glycemic Control in Adolescents with Type 1 Diabetes

The incidence of Type 1 Diabetes (T1D) is increasing worldwide and is diagnosed disproportionately in adolescent populations. Additionally, studies show that adolescents with T1D experience worse glycemic control during this developmental period. Maintaining glycemic control in patients with T1D decreases the risk of developing future diabetic-related complications. Factors such as race, ethnicity, gender identity, sexual orientation, socioeconomic status, and medical comorbidities influence disparities in maintaining glycemic control in adolescents. The recognition of these factors on the management of T1D through an integrative team approach leads to increased glycemic control and decreased diabetic- related complications. This paper explores the effects of psychosocial factors and addresses recommendations for effective interventions through multidisciplinary care. The literature reviewed in this paper indicates that improving healthcare access, implementing behavioral interventions, and increasing the use of diabetic technologies in adolescent populations have improved glycemic control and decrease disparities in healthcare outcomes. A multidisciplinary team increases patient education and aids in managing and screening for comorbidities. Team-based management of T1D also provides behavioral specialists that can implement strategies that improve self-management skills and familial involvement. Modern diabetic technology has given patients the tools to increase their healthcare access. It has been shown to improve their self-management skills and has allowed providers to individualize treatment plans further using data analytic software. Improving glycemic control in adolescence relies on physical and emotional support from healthcare providers and caregivers