Stress and Disease Processes

By Neil Schneiderman; Philip McCabe et al. | Go to book overview
Save to active project

Compliance and Control in Insulin-Dependent Diabetes: Does Behavior Really Make a Difference?

Suzanne Bennett Johnson University of Florida Health Science Center

Pancreatic beta-cell destruction and the resultant inability of the pancreas to produce insulin is the pathological process underlying insulin-dependent diabetes mellitus (IDDM). Because insulin insufficiency is the underlying cause of this disease, treatment involves insulin replacement by injection once or twice a day. Exogenous insulin replacement prolongs life, but only crudely approximates normal pancreatic function. Although the goal of treatment is to maintain the patient's blood glucose within the normal range, blood glucose excursions readily occur in response to eating, exercise, illness, and stress. Consequently, the management of this disease requires a complex array of daily insulin injection, dietary, and exercise behaviors. In addition, the patient is taught to conduct multiple blood glucose tests to monitor current health status and to take appropriate action should significant blood glucose excursions occur.

IDDM is only one form of diabetes. Also known at Type I diabetes, onset typically occurs in childhood. Consequently, it is commonly referred to as juvenile or childhood diabetes. IDDM has no cure; children diagnosed with this disease remain diabetic throughout their lives. Hence, IDDM is a disease of both childhood and adulthood.

Most adult diabetics, however, suffer from noninsulin-dependent diabetes mellitus (NIDDM), also known as adult or Type II diabetes. When discussing the prevalence of IDDM, it is common to compare it with the prevalence of NIDDM. This comparison makes the problem of diabetes in children appear small because only 5% of all persons with diabetes in the United States have the juvenile form of the disorder. However, if one compares IDDM with other chronic diseases of childhood, a different


Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
Loading One moment ...
Project items
Cite this page

Cited page

Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited page

Bookmark this page
Stress and Disease Processes
Table of contents

Table of contents



Text size Smaller Larger
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

While we understand printed pages are helpful to our users, this limitation is necessary to help protect our publishers' copyrighted material and prevent its unlawful distribution. We are sorry for any inconvenience.
Full screen
/ 333

matching results for page

Cited passage

Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.

Are you sure you want to delete this highlight?