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The quest for glycemic control in children with type 1 diabetes. Can a parenting intervention such as Triple P help?

Parenting interventions such as Triple P have been shown to reduce mental health problems in children. But can a parenting intervention moderate the impact of type 1 diabetes in children as well as improve their mental health and wellbeing?

Two separate studies into the effects of Triple P – one conducted by a team across Melbourne, the other by an international team from Manchester and the University of Queensland’s Parenting and Family Support Centre – suggest these research questions are definitely worth pursuing.

The Melbourne randomised controlled trial (RCT), published in Pediatric Diabetes last year, tested whether Triple P could reduce or prevent mental health problems and improve glycemic control in children with type 1 diabetes.

Meticulous glycemic control is regarded as crucial in preventing serious complications for people diagnosed with type 1 diabetes.

If not managed properly, type 1 diabetes can lead to serious short-term consequences, such as extremely low and high blood glucose levels, both of which can be fatal. Long-term complications include blindness and damage to kidneys, nerves and heart.

Unfortunately, day to day management of type 1 diabetes is complicated and onerous, especially for teens who would prefer someone “just invent a cure already’’ and parents struggling with behaviour problems in their kids.

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Japanese researcher’s background as a nurse eventually leads her to publish on Triple P

Dr Rie Wakimizu

Dr Rie Wakimizu

Dr Rie Wakimizu is an Associate Professor from the University of Tsukuba in Japan.

She was part of an interdisciplinary group whose study on the effects of Group Triple P for families raising preschool or school-aged children with developmental disabilities adds to the growing Triple P evidence base in Japan.

In this translated version, Dr Wakimizu explains what prompted her interest in helping children with developmental disorders and their families.

During my two years nursing in a paediatric ward, I looked after a child with a developmental disorder who also suffered from malignant tumours.

The child’s mother was a single mother with severe depression. The patient’s sibling was neglected and then went on to develop problems such as refusing to go to school.

It was because of this case that I became really interested in interventions for children with developmental disorders and their families.

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