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Psychological adjustment and diabetic control.
  1. P Fonagy,
  2. G S Moran,
  3. M K Lindsay,
  4. A B Kurtz,
  5. R Brown
  1. Anna Freud Centre, London.


    Glycosylated haemoglobin concentrations, C peptide secretion, insulin dose, psychiatric state, intellectual functioning, and the extent to which the implementation of the diabetic regimen was shared between parent and child were studied in a cross sectional study of 50 children with diabetes aged 6-16. Indications of psychological disturbance in the children and their parents predicted low glycosylated haemoglobin concentrations in the children, and accounted for 44% of variance in blood glucose control. The child's early and independent participation in the implementation of the diabetic regimen was associated with poor control.

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