years or less), Hanson et al. ( 1989) found family cohesion and flexibility to be strongly related to (better) glycemic functioning; yet, for adolescents with a longer disease duration, associations between family variables and control declined substantially. Studies that are sensitive to the developmental aspects of the child as well as the developmental aspects of the disease will be important for understanding the challenge of diabetes management for youngsters and families affected by this complex, demanding, chronic illness.
The preparation of this chapter was supported in part by grant HL 36588-04 from the National Heart, Lung and Blood Institute of NIH.
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