DOCUMENT RESUMEED 248 675EC 170 454TITLEEducational Materials for and - PDF document

DOCUMENT RESUMEED 248 675EC 170 454TITLEEducational Materials for and about Young People withDiabetes.INSTITUTIONNational Diabetes Information Clearinghouse,.Bethesda, MD.; National Institutes of Health (DHHS),Bethesda, Md.REPORT NONIH-83-1871PUB DATESep 83NOTE89p.PUB TYPEReference MaterialsBibliographies (131)EDRS PRICEDESCRIPTORSMF01/PC04 Plus Postage.*Diabetes; *Health Materials; Health Personnel;*Special Health ProblemsABSTRACTThe annotated bibliography lists 205 materials forand about young people with diabetes,published from 1976 to 1983.Citations are organized, alphabetically by title within twomajor--seetions:1-11-resouices-for-uke-by-and-With-ptitielitt,-theit-ftMilieS-,and the public; (2) resources for use by health careproviders.Within each section, entries are further divided into print andnonprint materials. Citations include title, author, source,date,paging, a brief annotation, and price, as appropriate.Evaluationratings offered by organizations are included as aservice to readerswhen available. Readability ratings are supplied forpublic andpatient resources.'Non-print entries include formatdescription andlength and when available, leasinginformation. Print materials forthe public include many inexpensive or freepamphlets; professionalprint materials feature abstracts of journalarticles. Title, author,and subject indexes art appended.(JW)************************************************************************Reproductions supplied by EDRS are the best that can be madefrom the original document.************************************************************************ DEPARTMENT OF EDUCATIONNATIONAL INSTITUTE OF EDUCATION,EDUCATIONAL fiESOURCES INFORMATIONCENTER tERICIdocument has been reproduced asmcenred from the person or organizationmilt/ming n..MINN change% have been madeto improvereproduction qualityPoints of view o

r opinions slated in this docu-ment do not necessarily represent official NIEposition or policy.Seethed_ AnnotafionsOF Rf.),A,TH A NDHeil* GerviceNdhonalIndittika_ of2. Prepared by theNational Diabetes Information ClearinghouseBox NDIC,A.Lnesda, MD20205 EDUCATIONAL MATERIALSFOR AND ABOUTYOUNG PEOPLEWITH DIABETESU.S. DEPARTMENT OF HEALTH AND HUMAN SERVICESPublic Health ServiceNational Institutes of HealthNational Institute of Arthritis, Diabetes, and Digestive and Kidney DiseasesNIH Publication No. 83-1871Revised September 1983 PREFACEOrganizationThe National Diabetes Information Clearinghouse(NDIC)has preparedthisbibliographyofmaterialsforandaboutinfants,children,andadolescents.The bibliography is :..ivided into two sections:one containsresources.. for use by and with patients, theirfamilies, and the public; thesecond contains resources for use by health care providers.Eachsectioncontainsbothprintandnonprintmaterials.Thematerials are liMited to those from 1976 to the present.Location of MaterialsThe NDIC does riot distribute the materials listed inthe bibliography.To obtain additionalinformation-or-toorder-a-material,contact-the-source--directly.Information about price and ava..iiity was verified during theMonths preceding-pUblicatien,-but.thePrices'ar.9subject-to-Change.To lo-cate copies of the journal articles, please consult alocal. public library,a regional medical library, or alibrary affiliated with a university or-nen-cal-center".EvaluationsAlthough the NDIC does not evaluate materials, someof the materialshave been evaluated by other organizations.These ratings are included as aservice to readers.However, inclusion of a citation inthis bibliographydoes not imply an endorsement of anyjkind,regardless of the evaluativeinformation provided.Readability RatingsReadabilityratingshavebeenassessedforpublicandpatienteducational materi

als using the SMOG grading formula.This procedure is asimple technique for predicting the reading gradelevel requiredof theaverage reader in order tounderstand writtenmaterials.Although only onegrade level is assigned to the, material, theactual range of understandingcan be.from 1.5 grades below theassigned level to 1.5 grades above it.Areadability testis usedonlyto indicate ifa-printed Pie66 is written at alevel which can be understood by most people in aspecific audience.Formore information about the SMOGformula, write the NDIC for -"Pretesting inHealth Communications."To submit suggestions, comments) or inquiriesabout this bibliographyor other NDIC services, write:National Diabetes Information ClearinghouseBox NDICBethesda, MD20205NOTE:READERS ARE FREE TO REPRODUCE THIS BIBLIOGRAPHYIN ANY QUANTITY.NDIC PUBLICATIONS ARE NOT SUBJECT TO COPYRIGHTRESTRICTIONS.iii PrefaceTABLE OF CONTENTSExplanatory NotesPatient Resources- -Print MaterialsNonprint MaterialsProfessional Resources---Print Materials--,Nonprint MaterialsTitle IndexAuthor IndexSubject Index81Pageiiivii123- 44,,74,., 4,637177 EXPLANATORY' NOTESThe format for the bibliographic citations generally follows NationalLibrary of Medicine bibliographic practices or those of American NationalStandard for Bibliographic References.Uncredited abstracts were preparedby the NDICstaff.Sourcesofother abstracts are indicated by the following abbreviations:AAAuthor abstractDADistributor abstractUMUniversity of Michigan, Learning ResourceCenter and Michigan Diabetes Research andTraining Center, Audiovisual Resources forDiabetes Education, 4th ed. Ann Arbor, MI.-M----Abstract modified by NDIC staffOther abbreviations used in this bibliography:[anon.]Author unknownn.d.]Publication date unknownrev. ed.Revised editionsd.Soundvii PUBLIC AND PATIENT RESOURCESPrint Materials1. The ABC's About Diabete

s and the School Child.[anon.--Jersey-State-Department-of Health;-Inid4b1 p.-Trenton: NewGeneralinformationisprovidedaboutdiabetesanditseffectsonchildren, including a discussion of treatment through. diet, exercise, andmedication;hypoglycemicorinsulinreaction;hygienicmeasures;andurinetesting.Parents'clubsandsummercampsforchildrenwithdiabetesinNewJersey,sourcesof additionalinformation,and----gested:reading material-Are-alio included.Readability Rating:Grade 13.Price:Free to NJ state residents; Out-of-State: $0.15.Source:NJ State Department of Health; Chronic Disease Service; CN364;----Trenton, NJ08625.(609) 984=1329.2. TheAdolescent Diabetic.F."tM.Hulse.Hackensack:ADA,New JerseyAffiliate; 1978.p.The problems of the adolescent with diabetes are described, and ways inwhich family and friends can provide positive support are detailed.Readability Rating:Grade 13.Price:Single copy free.Source:AmericanDiabetesAssociation;NewJerseyAffiliate,Incorporated; 345 Union Street; Hackensack, NJ07601.(201) 487-7228.3.AssciciationofInsulin-DependentDiabetics.[anon.].NewYork,NYvJuvenile Diabetes Foundation; 1982. 6 p.Thistrim -fold brochure describes the activities" of the Association of-Insulin-Dependent Diabetics, a self-help, peer support group for personswithdiabetes.Areplycardisprovidedforrequestingadditionalinformation.Readability Rating:12th Grade.Price:Free.Source:The' Juvenile Diabetes Foundation International;23East26thStreet; New York, NY10010.(212) 889-7575. 4. Back to School:A Parent's Guide.N.Richter.Diabetes Forecast.30(5):18-21; September-October 1977.Suggestions are offered to help parents send achild with diabetes toschool.A letter for theteacher explaining diabetes andoutliningemergency procedures is provided.. Aparents' checklist is.also given.Readability Rating10th Grade.5. A Book on Diabetes for Brothers andSisters.L. M. Siminerio

.Pitts-burgh, PA: Children's Hospital of Pittsburgh;1981. 12 p.\The narrator of this book, a child who isin the hospital wi't'h newlydiagnosed_ diabetes, writes about the disease in aletter to ,his /her....brothers and sisters at home.The book-long letter explainsdiabetes,insulin injections, urine testing, the needfor a special diet, insulinreactions, and what to do in the event of areaction.A short quiz atthe end of the booklet tests thereader's knowledge about diabetes.'.Readability Rating:8th Grade.Price:$1.25.Source:Children's 19spital of Pittsburgh; 125 De SotoStrew"burgh, PA15213.(41) 647-2345.\\6. Borrowing Time:Growing\ Up With Juvenile Diabetes.York: Harper and Row; 197. 160 p.A young man in hismid-twenties who has had diabetes since the age of10 describes hisexperieh.Ces.Hetells aboutthe early stages ofdealing with his diseaserebellion,rage,andfrustration--andhissubsequent adjustmenttolivingwith diabetesthroughthegradualassumption of responsibility for his ownwell-being.Readability Rating:10th Grade.Price:$11.49.Source;Harper and Row Publishers; KeystoneIndustrial Park; Scranton,PA18512.(800) 233-4175.Pitts-P.Covelli.New7. The Cagier with Diabetes: Guidelinesfor Counselors.[anon.].NewYork: American Diabetes Association; 1979.8 p.Information is provided about diabetes forthe camp counselor.Sug-gestions about ,how to handle insulinreactions, and what the campers2 should and should noteat, and information about urine testing areincluded.Readability Rating:llth Grade.Price:$0.15.SoUrce: --American- Diabetes-- AssoAation, Incorporated.; .2Park Aventi;New York, NY10016.(212) 683-7444.8.Care and Control of Your Diabetes.R. L. Jackson; R.A. Guthrie; [etal.J.Wichita: University of Kansas; School of Medicine; 1981. 111 p.Written in nontechnicallanguage,thispatienteducationbookisdesigned to.assistnewly diagnosed,insulin-dependent-pati

ents andtheir families learn the facts about diabetes, the principles of goodcontrol,andself-management.Itfocusesonnutrition anddiet,medioationr,es t ing--and recort--ke e pi ng , --exerc s estress, and foot care.Sample charts and records and a dictionary ofdiabetes-related terms are included.Readability Rating:10th Grade.Price:$15.00, plus postage.Source:University of Kansas; School of Medicine-Wichita;Topeka; Wichita, KS, 67214.(316) 264-6310.1122 North9.Dandy Dazzlers:A Workbook for Diabetics.P.Stenger.Bangor, ME:Eastern Maine Medical Center; 1982. 23 p.A collection of puzzles and games highlighting aspects of diabetescare,this workbook emphasizes the advantages of adhering to dailyroutines.Itisdesignedtoenhanceteachingandtoreinforcelearning in a relaxed, nonthreatening manner.Price:$2.75 each/1-10; $2.50 each/11-50; $2.25 each/50 or more.Source:Eastern Maine Medical Center; 489 State Street; Bangor, ME04401.(207) 947-3711.10.iriDgArDiabetes Learns Aboutand Hypoglycemia.G. Auten;J. Carawan; Let sad.Chapel Hill: Patient Education Center;1976.6p.With professional assistance, young children can use this booklet tolearn about hypoglycemia and hyperglycemia.Symptoms and actionstotakein an emergency are discussed.A word puzzle reinforces keyterms.3 Readability Rating:5th Grade.Evaluation:Recommended.NebraskaDiabetesStudyProject.April1981."rice:$2.00.Source:Patient Education Center; North CarolinaMemorial Hospital;Manni..4B_DNive; Chapel Hill, NC27514.(919) 966-1091.11.Danny Diabetes Learns to Test HisUrine:G. Auten;J.Carawan; [etU.71:ZRapel Hill: Patient Education Center; 1976. 8p.Step -by -step procedures for testing urine withClinitest tablets areexplained in this booklet for young childrem'It also emphasizes theimportance of testing thwleyel of ketonesin the urine with Acetesttablets.A connect-a-dot picture helpsreaders identify the

basicPart6OT'the-Rit.----Readability Rating:4th Grade.- _Price:$2.00.Source:Patient Education Center;North Carolina Memorial Hospital;Manning Drive; Chapel Hill, NC27514.(919) 966-1091.12.Diabetes.J. W. Mace; W.R. Centerwall.Loma Linda, CA: Departmentof Pediatrics, Loma LindaUniversity; 1977. 13 p.Written for parents of newlydiagnosed children, thebooklet providesa brief generalintroduction to insulin-dependentdiabetes to supple-ment a physician's moredetailed discussion.It includes a definitionof diabetes mellitus, explanationsof signs and symptoms, adiscussionof possible causes, and broadguidelines about-treatment-and-control .--Readability Rating:Grade 13.Price:$0.50 each/1-10; $0.40 each/11-99;$0.30 each/100 or more.Source:Department3813,School of Health;Loma LindaUniversity;LomaLinda,CA92350..',714)796-7311,ext.3736..Attn:DeniseOlson.13.Diabetes:A Book for Children.L.R.Parker.(Life With DiabetesSeries).Ann Arbor, MI: University ofMichigan; 1981. 44 P.Animatedline drawings of a cheerfulelephant accompany thetext'sexplanation of diabetes.The explanations are designedto reassure4 the child with diabetes about work, play, and plans for thefuture.The book includesinformationaboutthebody'sneedforinsulin,proper diet, and exercise; symptoms ofhypoglycemia and hyperglycemia;and urine and blood glucose testing.It provides space for the child'sname and the names and telephone numbersof the child's health careteam.Readability Rating: -6th Grade.Price:Available in multiples of 10 copies only;$15.00/set of 10;contact directly for information about bulk orders.Source:The University of Michigan Publications DistributionService;839 Greene St..; P.O. Bra 1104;. Ann Arbor, MI4810.(313) 764-4394.14.Diabetes:A Book for Parents.L.R. Parker.(Life With DiabetesSeries.Ann Arbor, MI: University of Michigan; 1982. 43 p.This booklet introduces the parent.

to diabetes andto thecareandtreatmentof a child with diabetes.Diabetes is defined andthemanagement of insulin, diet, and exercise -is explained. --Symptoms ofand actions to take for diabetic emergencies and how to carefor thechild during illness are discussed.The booklet includes a listing ,ofresources, a glossary, and blank pages for,writing insulin doaages,diet plans, self-testing procedures, and sick day care..Readability Rating:11th Grade".Price:Available in multiples of 10 copies only;$15.00/set of 10;contact directly for information about bulk orders.Source:The University of Michigan PublicationsDistribution Service;839 Greene St.; P.O. Box 1104! Ann Arbor,MI43109.(313) '764-4394.15.Diabetes Guide Toward Getting Started.M. A. Keller.Cleveland: Dia-betes Association of Greater Cleveland;DIA.]. 29 p.Thislarge-printillustratedbrochurecontainsgeneralinformationabout diabetes.It describes the role of the pancreas in producinginsulin andwhythebody needsthis hormone.Several aspectsofdiabetes self-care arealso discussed,includingthe avoidanceofhypoglycemiaandhyperglycemia,theimportanceofregularurinetesting, and the procedures involved in skin and foot care.Readability Rating:8th Grade.Price:$1.00 each; $0.90 each/100 or more.512 Source:Diabetes. Association of Greater Cleveland;2022LeeRoad;Cleveland, OH44118.(216) 371-3301.Diabetes Manual:Juvenile-Insulin Dependent.I.L.Spratt;D.S.Nov.pk;et al..San Bernardino, CA: Diabetes Medical Center; 1979.52 p.Written for children and adolescentswith'insulin-dependent diabetes,this looseleaf manual'Contains information aimed at attaining and main-taining optimal goodhealth.Proper diet,urine testing; smoking,exercise, sibk day rules, travel tips, and emergency diets are amongthe subjects covered.Quiz. questions,are included.Urine test forms,exchange lists,a brochure about insulin administration, and

anIDcard indicating that the person has diabetes complete the packet.Readability Rating:9th Grade.Price:Contact directly for details.Source:Diabetes Medical Center, Inc.; 399 E. Highland Avenue; Suite110; San Bernardino,-CA .92404.-(714) 886-6984.-i17.Diabetes MeilitUs:A Guide'for Teachers.J. Stokes; M. Laird; R. A.Dodson.Portland,OR:AmericanDiabetesAssociation,OregonAffiliate; 1982. 4 p.Prepared for school teachers,this four-pa.identifies the early,. late, and severe sympt eoand describes what to do in the event of atee,routine and its importance to good contrcGuidance is provided to help teachersto diabetes.A 'sample form shows the typeneeded from parents.Readability Htiting:11th Grade.Price:Free.lefines diabetes;,,nsun reaction;cnild's dailys are reviewed.adjustment,rmation that isSource:AmeriCan'Diabetes Association;' Oregon Affiliate, Incorporated;3607 S.W. Corbetti Portland, OR97201.(503) 228-0849.18.Diabetes: Stuff and Morecal Education. Foundation; 1980. 48 p.Stuff.[anon.].Lincoln, NE: Lincoln Medi-Children with diab,4tes can use this book to learn aboutdiet, insulin,and exercise requirements.Simple drawings and cartoons illustratethe main. teaching "points.A short glossary ("Words to Learn") and aresource list("1.iore,Toiff") are included.Personal anecdotes by a 12-year-old girl and a 13-year-old boy help place the material in con-text.A pocket in the back cover contains supplementary material forparents.Readability Rating:8th Grade.Price:$5.50 plus postage.Source:Hospital Educators Resource Catalog,Inc.(HERC);P.O. Box30090; Lincoln, NE68503.(402) 483-2646.19.Dia atic Dips.[anon.].Omaha: Centering; 1978. 6P.Shots bear,a cartoon character, provides the newly diagnosed Childwith basic information about diabetes and encourages self -care.Readability Rating:5th Grade.Price:$0.65.Spurn:Certertrig-CUrpO-rati-on; Bol-3367;-0maha,

NE68103.(402)553-1200.20.Diet Delight Cookbook for Diabetic Children arid Their ParentsToo:Jones.San Francisco: California Canners and Growers; 1976. 35 p.J.In addition to providing a collection ofrecipes for breakfast, lunch,dinner, snacks, and parties, this illustrated cookbook lists the dif-ferent exchange groups and gives approximate carbohydrate,protein,and calorie content of each group.Price:$1.25.Source:California Canners and Growers;Cookbook Department;3100Ferry.Buildingt-San-Franciscoi-CA--94111,(415) 981-0101.21.Dining with Your Diabetic Child.C. Briggs.Salt Lake City: Kerry andChristy Briggs; 1978. 79 p.The 6 weeks of complete dinner plans included in this book are designedto enable families of children who have diabetes to eat according tnthe child's diet without lossof variety,nutrition,or enjoyment.Fifty recipes include soups, casseroles, salads, meat dishes, seafood,chicken, syrups, and gelatins.The recipes are approved by the patienteducation committee of the ADA, Utah Affiliate, Incorporated.Price:$4.95 plus postage.7 Source:Ms.-Christy-Briggs; 433 E. Deepdale Road; Phoenix, AZ85022.(602) 993-8215.22.GreatAtAnyAge.C.Bandurski;E.Simpson;.[etal.].DiabetesForecast. 34(2):36-39; March-April 1981.Innovative summer camps:for children with diabetes are described.Onecf the camps that makes a specific effort toinvolve the familiesincludes parents as part of the regular camp program.A wildernessadventure trip involving hiking and canoeing for teenage girls withdiabetes is described, and tips for planning forthiskind of trip,including exchanges for typical camp foods, are provided.Camps foradults are also discussed.Readability Rating:12th Grade..23.Growing Up.T. Stewart.DiabetesForecast. 33(4):36-37; July-August1980.Aphysicianwhobecameinsulin-dependentatage11recountshisexperiences with athletics, medical school, Jtarriage,and p

arenthood___The dependency that can develop in children with diabetes andtheimportance of outgrowing it and taking responsibility are discussed.Readability Rating:11th Grade.24.Healthy Eating for Healthy'Growing:A Nutrition Plan for Growing WithDiabetes.American Association.of Diabetes Educators, Child NutritionBook Committee.Pitman, NJ: American Association of Diabetes Educa-tors; 1982. 21 p.Inthiscoloringbook, ,ayoungboywith diabetesexplainsdailydietary care to a young girl with newly diagnosed diabetes.Carbo-hydrate, protein, fat, and fiber are described, and examplesof eachare given.The characters discuss theimportance of meal schedulesand develop a 1-day meal plan.Space is Iprolvidedfor a childtocreate another meal 'pa-iiff.Readability Rating:5th Grade.Price:$.50 for AADE members; $.75 for nonmembers; bulk rate:$.45each for 10 or more.Source:American Association of Diabetes Educators;North WoodburyRoad; Box 56; Pitman, NJ08071.(609) 589-4831.25.How to Cope With Children's Parties.[anon.].Detroit: ADA; MichiganAffiliate; 1977.1 p.8 Suggestions for maintaining diet control atschool parties are pre-sented.Some nutritious party refreshments are recommended.Readability Rating:9th Grade.Price:Free; one-copy limit for out-of-state residents.Source:American Diabetes Association; Michigan Affiliate, Incorpor-ated; 23100 Providence Drive; Suite 475; Southfield, 'MI48075.(313)552-0480.26.Information About the Student With Diabetes.[anon.].Great Falls,MT: American Diabetes Association, Montana Affiliate; 1982. 1 p.Written for teachers and school administrators,this one-page flyeridentifies what to watch for and what actions to take for .high bloodsugar(hyperg1;1.Jemia)andlowbloodsugar(hypoglycemia).Briefinformation aboudiabeies, blood and urine testing, and diet, as wellas space for recordingmergency phone numbers and the student's nameare

provided.Readability Rating:9th Grade.Price:Free.Source:American Diabetes Association,MontanaAffiliate,Incorpo-b.rated; 600 Central Plaza, Suite 304; Box 2411; Great Falls, MT59403.(406) 761-0908..27.An Instructional Aid on Juvenile Diabetes Mellitus.(6th ed.)L.B.Travis.Austin,TX:AmericanDiabetesAssociation,SouthTexasAffiliate; 1980. 222 p.This manual uses a question-and-answer format to explain diabetes andteach children techniques of self-care.Red, green, and black printand the use of,numerous illustrations-emphasi-ze-and clarify important-points.The_manual_diacussea .gluGase/insulin metabolism. and, a_rangeof self-care issues, such as urine testing, types of insulin,injectiontechniques,recognizing andhandling insulin reaction andketoaci-dosis, and exercise and sports activities.This sixth edition alsodiscusses recent advances in diabetes management including hemoglobinA10 tests and the insulin pump. Each section is followed by a brieftest of the section's material.Readability Rating:10th Grade.Price:$6.00 plus shipping and handling.,9 Source:American. Diabetes Association; Texas Affiliate,Inc.;P.O.Box 14926; Austin, TX78761.(512) 454-7614.28.Just Like Any Other Kid.[anon.].Toronto,Ontario: Canadian Dia-betes Association; Li177]. 4 p.Directedtotheparents bf Children with diabetes,thisbrochureaddresses coping with the child's disease.The brochure recordsadiscussion that takes place among a group of parents who share theirexperienceswithacceptingthediagnosis,handlingdailycare,allowing the child freedom, enabling the child to enjoy holiday meals,........ e..and enCouragingt-6-da6417e* 'redlibilantlitY-r6tReadability Rating: 12th Grade,Price:Contact directly for details.Source:CanadianDiabetesAssociation;NationalOffice;78BondStreet; Toronto, Ontario M5B 2J8. (416). 3t2 -4440.29.Kid's Corner:Fun for Children With Diabetes.N.Richter and

theEditorsofDiabetesForecast.NewYork,NY:AmericanDiabetesAssociStion; 1983. 29 p.-Using games, quizzesand cartoons, -this fUli-colOr bookIe-t -teacheschildren 11 years of age and younger about diabetes.It is adaptedfrom "Kids Corner," a regular column in the magazineDiabetes Forecastand addresses issues'of self-care and self-image.Price:$1.00 single copies; $50.00 for 100 copies.Source:American Diabetes Association, Incorporated; 2 ParkAvenue;New York, NY10016.(212) 683-7444.30. -Kindergarten--DiabetesForecast-. -3 (5)117741;--SepteMbe-t4dtair-1978.-,A mother's experiences in preparing her daughter forthe first year ofschoolandin notifyingtheschoolofthechild'sdiabetesaredescribed.Readability Rating:12th Grade.31.Lee Ducat's Sweet Revenge Will Be Finding a Cure forthe National Kil-ler--Diabetes.S. Moore.People Weekly.8C2 )146 -748r11 iily77.A mother's reactions to herson's diabetes are described.Through aninterview,sheexplainsthedifferencebetweenjuvenile-onsetand1017 adult-onset diabetes,theroleofinsulin,andhow children withdiabetes and their families can cope with the disease.Readability Rating:9th Grade.32.Management of Juvenile Diabetes.J.J.Levinsky.Hackensack: ADA,New Jersey Affiliate; 1978. 4 p.The psychological, physical, and emotional development of the child isdiscussedasafocusinthe managementof diabetesinchildren.Insulin, diet, and exercise are described as the primary methods of- --traatment..--The-leaflat-14--atranacr-ipt-.of-A-tape-used,441a- telephone-information program.'Price:Single copy free.Rt'ability Rating:Grade 14.Source:AmericanDiabetesAssociation;NewJerseyAffiliate,Incorporated; 345 Union Street; Hackensack, NJ07601.(201) 487-7228.3.-Me Too:B. Goldberg.Diabetes Forecast.32(6):29-30, 52;November--December 1979.Special needs of the h'eal'thy child in a family in which a sibling hasdiabetes are discussed.These includ

e reassurance by parents that thechildrenarelovedequallyandthatthehealthychildisnotresponsible for the illness.Readability Rating:10th Grade.34.Parent to Parent:Your Child "Ras Diabetes.[anon.].New York,NY:Juvenile Diabetes FoundaticT; 1982. 8 p._This pamphlet-offers parents of children withiriYuliii-40rit dia--bet-es reassurance-and-Information to help them cope with-the diseaseand their own and the child's anxiety.Giving the child responsibil-'ity for self-care and control is discussed.It also addresses theattitudes of the parents and other family members toward the child and_diabetes.Itis notedthat adolescence may bethe most difficultstagebecauseofthe psychologicalandphysiologicalchangesthatoccur.Readability Rating:12th Grade.Price:Free.Source:The Juvenile Diabetes Foundation International; 23 East 26thStreet; New York, NY10010.(212) 8897575.18 35.Parent'sGuide:PsychologicalAspectsofDiabetes.O.C.Page.Portland, OR: American Diabetes Association, Oregon Affiliate;1982.6 p.This tri-fold pamphlet for parentswho have children with diabetesaddresses issues to consider when adjusting to the diagnosisof thedisease.Italsogivesguidanceforhelpingachildtomanageemotional responses during various stages of growth.Readability Rating: Grade 13.Price:Free.Source:American Diabetes Association; Oregon Affiliate, Incorporated;3607 S.W. Corbett; Portland, OR97201.(503) 228-0849.36.Parents of Diabetic Youngsters Look at Themselves:PartI.J.B.Leibovich.Diabetes Forecast.30,2 :10-12; March-April 1977.Part I of this article examines the feelings expressedby parents ofchildren with diabetes during an 8-week discussion group.Parents whohad previously felt isolated shared emotions of anxiety,guilt, fear,and anger and came,to realize that they were not alone.Many also wereable to set more realistic goals and gain more c'.fidence in theirabilitieslaYer1,..Reada

bility Rating:Grade 13.37.Parents of Diabetic Youngsters Look atThemselves: Part II.J.B.Leibovich.Diabetes Forecast.30(3):12-13, 40-41; May-June 1977.This article explores the added problems andstresses experienced bygrowing children who have diabetes and theirparents.The dilemma ofwatchingoverthesechildren-whileallowing,themtodevelop'ind.e p end enc.Readability Rating:Grade 13.38.Picture Pages for Insulin.G.Auten;J.Carawan;[et al.].ChapelHill: Patient Education Center; 1976. 9 p.The authors recommend that a health careprofessional assist newlydiagnosed young children in using this booklet tolearn the steps tofollow when injecting insulin.The do's and don'ts for storage andhandlinginsulinaresuggested.Aconnect-a-dotpicturepuzzlecompl.tes the booklet.Readability Rating:5th Grade.1219 Price:$.25.Source:- --American- Diabetes 'Association; North Carolina Affiliate; 100Station Plaza:Suite210;P.O.Box4.621;Rocky Mount,NC27801.(919) 446-1108.39.Put the Pleasure Back into Parenting.J. I. Malone; A. L. Rosenbloom.Diabetes Forecast.34(5):39-41, 55-57; September-tOctober 1981.Strategiesfor managing diabetesinchildren andadolescentsareoutilned.--The-,importance and impact of parental attitudes and reac-'---tifihs-are-iliacuSaed. General advice is given about stages of growthfrom early childhood through adolescence withregardtoa child'sreadiness to assume responsibility for self-care.Goals are providedfor daily care of insulin, nutrition, and exercise.Readability Rating:12th Grade.40.Raising A Diabetic Child.D.Canova.Hackensack:. ADA,INewJerseyAffiliate; 1978.,6 p.One family's- experience-in raising a child with diabetes is outlined..-..insulin, sports, exercise, and complications are considered..psychological effects.of_the disease-are.noted, and the importance c4'instilling positive attitudes andself-confidencein thechildisemphasized.Readability

Rating:11th Grade,Price:Single copy free.Source:AmericanDiabetes,Association;NewJerseyAffiliate,Incorporated; 345 Union Street; Hackensack, NJ07601.(201) 487-7228.41.Rap- Session.- lanon.].-. .DiabetesForecast.-30(0:14-17;--September-October 1977.Four young adults, ages 20-24, describe their experiences and feelingsabout .growing up with diabetes.Readability Rating:8th grade.42.Runaway Sugar:All About Diabetes.A. Silverstein; V. B. Silverstein.New York, NY: J. B. Lippincott;.%981. 34 p.Illustrated with sketches of children, this storybook explains possiblecauses of diabetes and what happens tothe body when diabetes occurs.The authors discuss how a healthy body digests and uses food and how1320 these processesdiffer ta personwith diabetes.Urine and bloodtesting, insulinadminis%eation, properdiet, and self -care arealsoexplained.The book includes aglossary.Readability Rating:7th Grade.Price:$9.13;Source:J. B. LippincottJunior Books; 10East 53rd Street;New York,NY10022.(212) 593-7000.Order No.:ISBN-0-397-31928-2.43.The School, theTeacher and the DiabeticChild.[anon.].Richmond:State;Department ofHealth; 1978. 74.The signs andsymptoms of diabetesin school-agechildren are describedin this booklet,and proceduresteachers should followin a diabeticemergency areexplained.Methods of accommodatingthe school lunchplan to thechild's diet are discussed.Readability Rating:10th Grade.Price:Free.Source:Virginia State Departmentof Health; Bureauof Public Health-Nutrition; 109Governor's Street; JamesMadison Building;6th Floor;Richmond, VA23219.(804) 786-5420.44."Sing NYDA".R. Rusting.Diabetes Forecast.34(2) :30 -34; March-April1981.A camp operatedby the New YorkDiabetes Affiliatefor children aged11-14 years isdesigned to minimizethe feelings aboutbeing different.Each camper learnshow to controldiabetes by performingdaily careroutines under thesupervisi

on of counselorsor nurses.In addition_ta diabetesself-careeducation, camp activitiesinclude volleyball,boating, swimming,and singing.-Daily rap groups.afferan outlet,for..the feelings andquestions that manychildren who havediabetes maykeep hidden.Readability Rating:9th Grade.45.Some ChildrenHave Diabetes.M. A. Keller.Cleveland: DiabetesAsso-ciation of GreaterCleveland; 1979. 16 p.This handprinted,illustrated bookletexplains treatmentfor diabetes,the exchange system,the use of insulin,symptoms and treatmentforinsulinreaction,andhowexerciseaffectsthechild'sdietandinsulin control.14 Readability Rating:7th Grade.;Price:$1.00 each; $.90 each /100.Source:Diabetes Association of Greater Cleveland;2022LeeRoad;Cleveland, OH44118.(216) 371-3301.46.The Student With Diabetes.S. M. Wentworth;J.Hoover. Journal ofthe NationalEducation Association.p. 42-44; February-March 1981.Intended for elementary school teachers, this article presents basicfacts about diabetes.Health and behavior problems resulting from achange in blood glucose levels, including procedures to follow in theevent of an insulin reaction, are explained.Also, diet,exercise,emotionalstress,,and insulin injection are discussed.The articleemphasizes avoiding an overprotective attitude toward the child.47.The Student With Diabetes: Information for Teachers and Adult Leaders.[anon.].Toronto, Ontario: :anadian Diabetes Association; 1980. 2 p..Methods for preventing,identifying,and treating insulin reactionsare outlined.Information about the child's treatment regimen thatshould be obtained from parents is specified.Readability Rating:12th Grade.Evaluation:HighlyRecommended.ChicagoDiabetesResearchandTraining Center.1981.Price:$.20 each; minimum order $10.00.Source:Canadian DiabetesAssociation;NationalOffice; :41. BondStreet; Toronto, Ontario M5B 2J8. (416) 362-4440.48.The Sugar Disease:Diabe

tes.A. Silverstein; V. B. Silverstein.NewYork, NY: J. B. Lippicott; 1980. 111 p.This basic introduction to diabetes for young peoplediscusses whatdiabetes is, how it affects the body, how it is treated, and the stateof current research.Readability Rating:11th Grade.Price:$9.57.Source:J. B. Lippincott Company; 10 East 53rd Street; New York, NY10022.(212) 893-7000.Order No.:ISBN 0-397-31844-8.15 49.Summer Campsfor Children With DiabetesintheUnitedStates andCanada:1983.AmericanDiabetesAssociation.NewYork,NY:American Diabetes Asvciation; 1983. 27 p.Camps operated by the American Diabetes Association and/or independentorganizationsintheUnitedStatesandCanadaforchildren withdiabetes arelisted.Each listingincludestheaddress,sponsor,cost, schedule, and the age group of children who usually attend..Price:Free.Source:American Diabetes Association; 2 Park Avenue; New York, NY10016.(212) 683-7444.50.Too Great ExB.J.Anderson;W.F.Auslander.DiabetesForecast.WI):22-25; January-February 1983.Goal-setting as a way for parentsto help in the control of theirchild'sdiabetesisexplained.Thearticlepresentsalistofdevelopmental"tasks".that. can _help guidetheparent- informingreasonable expectations for the different stages of development, i.e.,infant and toddler years, 'early and middle school years, early andlate adolescence, and early adulthood.Readability Rating:12th Grade.51.Understanding Insulin Dependent Diabetes.H. P. Chase; B. Davis.LosAngeles, CA: United Artists Corporation; 1983. 110 p.Designed for persons with diabetes and their families, this book usesthe Pink Panther character to explain diabetes and its care.The bookbeginsbyexplainingdiabetesandits .potentialcausesandbyexploring the feelings and concerns of the family and the child withdiabetes.Managementandcontroldiscussionsaddressinsulin,self-monitoring, nutrition and meal planning, exercise, e

mergencies,and sick days.Other topics include long-term complications, school,babysitters, and camps and vacations.Readability Rating:10th Grade.Price:$5.00KSource: The Guild of The Children's Diabetes Foundationat Denver; 700Delaware Street; Denver, CO80204.(303) 623-CURE.52.A Visit With Danny Diabetes.G. Auten; J. Carawan;[et al.].ChapelHill: Patient Education Center; 1976. 13 p.1623 Designed for use by children with newly diagnosed cases of diabetes inconjunction with guidance from a health professional,thisbookletexplains diabetes and introduces the concepts of glucose, ketones, andinsulin.I4ustrations for the reader to color are included.Readability Rating:6th Grade.Price:$2.00.Source:Patient Education Center; North Carolina Memorial Hospital;Manning E 've; Chapel Hill, NC27514.(919) 966-1091.5WhatAboutDriving,Dating,Drinking ...andDiabetes?[anon.].Toronto, Ontario: Canadian Diabetes Association; 1980. 7 p.Questions that adolescents and young adults with diabetes often askregarding school, driving, travel, career choices, social activities,marriage, and parenthood are answered.Some of the information, suchas obtaining a driver's license, is based on Canadian law.Readability Rating:11th Grade.Price:$.40 each; minimum order $10.00.Source:CanadianDiabetesAssociation;NationalOffice;78BondStreet; Toronto, Ontario M5B 2J8. (416) 362-4440.54.What School Personnel Should Know Aboutthe Student with Diabetes..New York.. American .Diabetes Association;In.d.j.2 p.This fact -sheet provides basic information about diabetes includingwarning signs of insulin reactions, dietary requirements, and urinetesting.An information form to be completed by parents of the child,with diabetes is included.Readability Rating:11th Grade.Price:Single copy free.Source:AmericanriabetesAssociation,NewJerseyAffiliate,Incorporated; 345 Union Street; Hackensack, NJ07

601.(201) 487-7228.55.Whatthe Teacher Should Know Aboutthe Diabetic Student.[anon.].Detroit: ADA, Michigan Affiliate;n.d..2 p.Symptoms,, causes, and treatment of hypoglycemia are discussed in thisfact sheet so that school personnel can better understand studentswith diabetes and administer emergency care if necessary.Space is_1724 provided to record information that shouldbe obtained from parents atthe beginning of the school term.Readability Rating:12th Grade.Price:Free; one-copy limit for out-of-stateresidents.Source:AmericanDiabetesAssociation;MichiganAffiliate,Inc.;23100ProvidenceDrive;Suite475;Southfield,MI48075.(313)552-0480.56.What the Teacher Should Know About the StudentWith Diabetes.[anon.].MinneapolisiADA, Minnesota Affiliate; Ln7U.17-2 p.This fact sheet provides school personnelwith basic information aboutdiabetes including insulin reactions,psychological adjustment, diet,and urine testim.General advice is offered, and a brief question-naire for parenis included.__Readability. Rating:___11th Grade.Evaluation:Recommended.Diabetes(DRTO, Indiana University.May 1981.Price:$.15.Source:AmericanDiabetesAssociation;MinnesotaAffiliate,Inc.;5400 Glenwood Avenue N.; Minneapolis, MN55422.(612) 546-9619.ResearchandTrainingCenter57.What the Teacher Should Know About the StudentWith Diabetes Mellitus.anon;.New York: Vocational and Counseling Service,New York Dia-betes Association; [n.d.]. 6 p.The nature of diabetes in children is discussed,and ways of recogniz--lug and --treating -insulin--reactions- are outlined,A .sugmary list ofquestions that the teacher should ask about eachstudent with diabetes,such as physician's name and phone number, is appended.Readability Rating:12th Grade.Price:$1.00/9.Source:American Diabetes Association;Heart of America Affiliate,Incorporated; 616 E. 63rd Street, Suite 201; KansasCity, MO64110.(816) 361-336

1.Alk58.What the Teacher Should Know About theStudent With Diabetes Mellitus.P. Braze'.Seattle: ADA, Washington Affiliate;n.d..6 p.18 Basic facts about diabetes are provided, with emphasis on thetreatmentof insulin reactions.An explanatinn of how glucagon can be used inthe treatment of reactions is given, and special points forschool per-sonnel are listed.Readability Rating:12th Grade.Evaluation:Recommended.DiabetesResearchandTrainingCenter(DRTC), Indiana University.May 1981.Price:Free.Source:American Diabetes Association; Washington Affiliate,Incor-porated; 3201 Fremont Avenue, N.; Seattle, WA98103.(2aj-632-4516:-59.What the Teacher Should Know:Your Student Has Diabet[anon.].New York, NY: Juvenile Diabetes Foundation; 1982. 6 p.Thisbrochurepresentsinformationforteachersofstudentswithinsulin-dependent diabetes..It identifies the symptoms of andtheappropriate action to take.mhen a student has an insulin reaction.Ablank information form is provided for a parent tocomplete and submitfor the student's school file.Readability Rating:11th Grade.Price:Free.Source;The Juvenile Diabetes Foundation International:23 East 2,;thStreet; New York, NY10010.(212) 889-7575.60.What To Do If You Are Sick.[anon.].' Boston; Joslin Diabetes Center;1981. 8 p.ThIs---dolOrful pamphlet for childrenwith diabetes -illustrates' basicprocedures to follow when illness occurs.Information about urinetesting, insulin, and when to call a doctoris included.Two chartscompare causes, symptoms,and treatment of high and low blood glucoselevels.Readability Rating:5th Grade.Price:$2.00;$1.75/50 or more.Source:JoslinDiabetesCenter,Incorporated;OneJoslinPlace;Boston, MA02215.(617) 732-2539..WhatToDo--When, YourChildWon't' Eat.J.Hall; 0J.R.Keltz.Diabetes Forecast.33(3):26-29; May-June 1980.1926 This artiolw describes how the parents of a5-year-old child withdiabetes .used &behav

ior modification program to improve thechild'seatin'g habits.Readability Rating:11th Grade.62.WhatYou ShouldKnowAboutJuvenile(Insulin-De endent)Diabetes..1711G717--New Yok,, NY: juvenile Diabetes Foundation; 1932. 12 p.In this introductory pamphlet, an overview of insulin- dependentdia-betes is given.! Symptoms of diabetes are listed and thebody's needfor a balance among insulin, regular exercise, and diet is explained.Writtenboth.forand aboutchildren with. diabetes,thepamphletincludesguidelinesforself-careandidentifiestheappropriateaction to take in case of an insulin reaction.Finally, it reviewsresearch efforts directed to controlling or finding a cure for dia-betes.Readability Rating:11th Grade.Price:Free.Source:The Juvenile Diabetes Foundation International; 23East 26thStreet; New York, NY10010.(212) 889-7575.63.When the Signs Point to Diabetes.(,anon,.].Current Health. )(8):26-27; April 1978.laSymptoms and treatment of diabetes from a10-year-old's perspective aredie:mussed."Why me" questioning by the child and a nurse's responsesare presented.The positive aspects of health, such as the standardfor self-care that is part of treatment, are emphasized.Readability Rating:6th Grade.64. nyaTe L. K. Reavill; R.Wheeler.Diabetes ForecaSt. 32(2):28-29;March-April 1981,How parents 'should select a camp for the child withdiabetes is con-sidered.Two types of camps are discussed:(1) education-orientedcamps which set aeide specific times. fordiabetes education, and'(2)recreational camps which simply provide the child withscheduled timefor urine testing and insulin. injections.However, most camps offer acombination of educational andrecreationalactivities.Questions___parents can ask to help them select a camp arenoted.Readability Rating:Grade 13.20 65.A Word to...Camp Directors and Counselors.Rev.ed.[anon.].NewYork: American Diabetes associatio

n; 1981. 2 p.Guidelihos for handling 'diabetic emergencies in children are presentedfor camp directors and counselors.Signs, causes, and treatment forinsulin reaction or hypoglycemia and hyperglycemia with acidoais aredescribed.Readability Rating:9th Grade.Price:Free.Source:American Diabetes Association; 2 Park Avenue; New York,NY'10016.(212) 683-7444.66.A Wordto...TeachersandSchoolStaff.[anon.].NewYork,NY:American Diabetes Association; 1981. 2 p.This pamphlet briefly introduces teachers and school personnel to thetwo most common diabetic emergencies.One page outlines -ft-641,4ns,causes, and treatment of insulin reaction and hyperglycemiawith acido-sis; the other suggests ways school staff can(theet the needs of chil-dren with diabetes.Readability Rating:9th Grade.Price:Free.Source:American Diabetes Association;10016.(212) 683-7444.Avenue;New York, NY67:You Can't Catch Diabetes From a Friend.L. Kipnis; S. Adler.Gaines-Me, FL: Triad Scientific; 1979. 64 p.Photographs convey the impact of diabetes on four children,theirfamilies, and friends.Activities of their everyday lives are shownin conjunction with management of the disease throughinsulin, urinetesting, diet, and exercise.Readability Rating:6th Grade.Prir$9.95.c,Source:Publishing Co., Inc.; P.O. Box 13096; Gainesville, FL*32604.(904) 373-5308.68.You Needthe RightFoodsEvery DaytoBeHealthy.G.Auten;J.Carawaxiiet al..Chapel Hill: Patient Educationnter; 1976. 7 p.128 This pamphlet is intended for use withprofessional assistance byyoung children.Milk, meat,fat, starch,fruit, and vegetable foodgroupsare briefly discussed,with examplesgiven for each grouplisted.The effect of carbohydrates and proteins on bloodglucoselevels is explained.Children are warned against eating sweets excepton special occasions.Readability Rating:7th Grade.Price:$2.00.Source:Patient Education Center; North Caroli

na MemorialHospital;Manning Drive; Chapel Hill, NC27514.(919) 966-1091.69.YoungPeople and Diabetes:Control MakesSense.R.A.Guthrie.Diabetes Forecast. 30(1):18-21; January-February1977.The second andconcluding part of Dr. Guthrie's article focuses on therelationship between long7term, chronic complicationsof diablites inchildren and young people and control of blood glucose.A practicalapproach to achieving good control is' outlined.It involves balancingdiet, exercise, and 'insulin dosage in a treatment programthat accom-modOes the youngperson's- lifestyleandactivity patterns.Theimportance of education, communication, familysupport, and continuingsupport from the health care team is emphasized.Readability.Rating:Grade 13.70.Your Child Has DiabetesWhat You Should Know.[anon.].NewYork: American Diabetes Association; 1981.6 p.The importance of good control of diabetesand of parental supportwhile the child learns to manage the disease isemphasized.A generaldescription of the mechanisms of insulin-dependentdiabetes is followedby such topics asschool,long-term complications,and sources ofinformation and support.Readability Rating:11th Grade.Price:$.15 each; $12.00/100.Source:American Diabetes Association, Incorporated: 2 ParkAvenue;New York, NY10016.(212) 683-7444.2229 PUBLIC AND PATIENT RESOURCESNonprint Materials71.Camp Hertko Hollow (Slide).[anon.].Cedar Rapids,IA:ADA,IowaAffiliate; 1979.62 slides.Accompanied by: script.TheIowa Affiliatecamping program for children with diabetesispresented via these slides.Information regarding the activities andprograms coordinated at the annual 1-week session is provided.(DA-M).Price:Loan: free/short term for Iowa residents only.Source:American Diabetes Association, Iowa Affiliate, Incorporated;1118 First Avenue, N.E.; Cedar Rapids, IA52402.(319) 366-6884.72.Diabetes(Videorecording).[anon.].(TrainingTape

sforChildDevelopment,No.10.)St.Louis:Washington. UniversitySchoolofSocial Work, 1977.1 cassette; 23 min.;sd.; black and white; 3/4in.; 1/2 in. VHS.The experiences of two children with-diabetes and their families asthey learn to cope with the diSease are described.One child is 5ye...rs old; the other is 19.The presentation emphasizes the point ofview of the children and the stages through which the parentstypicallypass as they learn to accept and manage the conditionsof the disease.The role of a social worker is also depicted in. relation to thechildwith diabetes in a school setting.(UM-M).Price: 'Sale:$82.00; Loan:$15.00.Source:Washington University; School of Social Work; Learning Re-sources Center' -;. CampusBox 1196; St. Louis, MO63130.(314) 889-6612.73.Diabetes:HistoryandSymptoms(Videorecording).J.Davidson.Dallas,TX:UniversityofTexasHealthScienceCenter;1978.1cassette; 30 min; sd; color; 3/4 in.Using a case study, this program illustrates the differences betweeninsulin-dependentandnoninsulin-dependentdiabetes.Aphysicianexplains to a newly-diagnosed patient the variations in the two typesofdiabetes.Thediscussionincludessymptoms,progression,andtreatment.(UM-M).Price:Contact directly for details.2330 Source:University of Texas Health Science Center atDallas; DallasArea Hospital Television System; Department ofBiomedical Communica-tions, 5323 Harry Hines Boulevard; Dallas, TX75235.(214) 688-3691.Order No.:WK 810 VT 2.74.Diabetes --SugarGoneAwry(Filmstrip).[anon.].Freeport,NY:Educe ial Activities; 1977.1 filmstrip; 51 fr.; sd.; color; 35 mm;Accom_,ed by:audiocassettes; 11 min.Designed for adolescents, this program is anintroduction to diabetes.Statistics conce-,ning prevalence ofthediseasearefollowed byashort history-management up to the development of insulin.Theanatomy and physiology of the pancreas are described asis the probesaof g

lucose metabolism in both the normal person,andthe person withdiabetes.The types of diabetes.are.explained and the role ofheredityis mentioned.The use of a glucose tolerance test to diagnosethedisease is demonstrated.Insulin emergencies and complications of thedisease are briefly depicted.(UM-M).Price:Sale:Filmstrip $12.00; Cassette$9.95.Source:Educational Activities, Incorporated; P.O. Box 392;Freeport,NY11520.(516)223-4666.OrderNo.:FilmstripFSC487-F4;Cassette FSC 487-C475.Diabetes:Well-Managed Juvenile Diabetes (Videorecording).K. Onur.Dallas, TX: University of Texas Health Science Center;1979.1 cas-sette; 13 min; sd; color; 3/4 in.This program definesthe differences between insulin-dependentandnoninsulin-dependentdiabetesincludingetiology,progression,andtreatment.The role- of the parents in helping a child controlthecondition are 'discussed.These methods include the use of insulin,diet, physical activity, and emotional control.(UM-M).Price:Sale:$120.00; Loan:$60.00.Source,:University of Texas Health Science Center at Dallas;DallasArea Hospital Television System; Departmentof Biomedical Communica-tions; 5323 Harry Hines Boulevard; Dallas; TX75235.(214) 688-3691.Order No.:WK 810 VT 14.,,r'76.FoodExchangePlayingbards(Game).Minneapolis:ADA,MinnesotaAffiliate; 1978.52 cards; plastic-coated; color.Accompanied by:booklet.2431 This deck of playing cards is based on the revised Exchange Lists forMeal Planning.The cards can be used for diabetic meal planning,weight control, and, nutrition education.Price:$4.95; Minnesota residents add 5 percent sales tax.Source:American DiabetesAssociation;Minnesota' Affiliate,Inc.;5400 Glenwood Avenue, N.; Minneapolis, MN55422.(612) 546-9619.77.Food for Thought (Game).D. Wooten; R. Aldridge.Birmingham: BaptistMedical Center; 1978.36 x 36 in.The game, designed as a review of the exchange tables, is similar

totelevision's "Concentration" game.Both sides of the board have a setof wooden blocks with a puzzle behind each set.On one side, matchesare made between grams of carbohydrates and the appropriate exchangegroup.On the other side, the player matches the food to the correctexchange group.The game may be played alone or with twoteams.(DA-M).Price:$10.00.Source:BaptistMedicalCenter-Montclair;800MontclairRoad;Birmingham, AL35213.(205) 592-1000.78.For Kids by Kids:Testing Your Bload for Sugar Level (Videorecord-ing).J. Santiago;[et al.].St. Louis, MO: %ishington UniversitySchool of Social Work; 1982.1 cassette; 8 min;ad; -color; 3/4 in.Also available in 3/4 in. U-matic and VHS and Beta cassettes.Blood glucose testing in children is introduced.The advantages oftesting blood rather than urine, imcluding ease of testing, accuracy,and improvement in control, are described.An 11-year-old boy and a12-year-old girl discuss their transition from urine to blood testing,and they emphasize the ease with which blood testing fits into theirlifestyles.(UM-M).Evaluation:Godd.Michigan Diabetes Research and Training Center.1983.Price:$80.00.Source:Video Center;\ School of Social Work; Washington University;.,St. Louis, MO63130.(314) 889-6612/6661.79.Four Is Special (Kit).Madison, WI: St. Mary's Hospital Medical Cen-ter; 1977. This puppet show kit can be used to instructchildren with diabetesabout nutrition.It contains an outline of how the programshould beconducted; the script, complete with instructionsfor staging and formaking the puppets, plus music cues; a copy of the"Four Is Special"coloring book; copies of handouts intended forthe children; and abrochure, letter, and name tags to send to schoolsin order to helpteachers prepare for the program.(AA-M).Pricer $50.00.Source:Community Relations Department; St.Mary's Hospital MedicalCenter; 707 S. Mills St

reet;-Maiison, WI53715.(608) 258-5065.80.Juvenile Diabetes (Audiorecording).(The Doctor Talks to You Series)M. Ellenberg.Bayside: Soundwords; 1979.1 cassette; 42 min.After characterizing juvenile-onset diabetes asinsulin insufficiencyand maturity-onset diabetes as insulininefficiency, the program dis-cusses the following aspects ofdiabetes in children:heredity andenvironmental factors;the viraltheory;theuseof multiple-doseinsulin therapy; the effect on normal physicaland mental growth- anddevelopment; participation in 'sports;the schooling of the juvenilewith diabetes; career choices; the emotionaland psychological effectof juvenile-onset diabetes; and new treatmentmethods.(UM-M).Price:Sale:$10.95.Source:Soundwords,Incorporated;, 56-11217Street;Bayside,NY11364.(212) 224-5310.81.JuvenileDiabetes(Videorecording).LosAngeles:.ProfessionalResearch;1979.1cassette;14 min.;ad.;color;3/4in.Alsoavailable in 1/2 in. videocassette and super8mm film cartridges.Using animation anddramaticvignettes,, thisprogramreviewsthephysiology of diabetes, the function ofinsulin in the body', and thekey elements of good control.Insulininjections,meal" planning,urine testing, and exercise are alsodiscussed.A positive approachto juvenile diabetes is presentedthroughout the program.(UM).Evaluation:Excellent or Very Good.Michigan Diabetes Research andTraining Center.1983.Price:$295.00.Source:ProfessionalResearch,Incorporated,930PitnerAvenue;Evanston,IL60202.(800)421-2636.Illinoisresidents:(312)328-6700.2633 82.Managing Diabetes(Pediatric)(Videorecording).Orlando,FL:VisionMultimedia Communications;1982.78 slides;color;15min.Alsoavailable in filmstrip with cassette.This program is aimed at children under 10 years.It uses a videogame to introduce children to typical problemsituations encounteredby the patient with diabetes and the prop-7 method for handlingeachsituat

ion.The topics include food metabolism,insulin production,insulin injection, urine testing, blood glucose mon'toring, and mealplanning.The program could be used with a group of children.(UM).Evaluation:Excellent or Very Good.Michigan Diabetes Research andTraining Center.1983.Price:Sale:Slides/filmstrip $135.00; videocassette $170.00.Source:Vision Multimedia Communications, Inc.; 638 West Winter ParkStreet; Box 8527; Orlando!, FL32804.(305) 422-1912.83.Michael: A Day in the Life of a Diabetic Child(Slide-tape).New York:Juvenile Diabetes Foundation; 'nide].67 slides;color;2 x 2in.Accompanied by:1 cassette; 15 min.This presentation is designed to give newly diagnosedchildren withdiabetes an idea of how another juvenile lives aynormal lifein spiteof the disease.Eleven-year-old Michael is shownftesting his urine andadministeringinsulin inthe morning.After breakfastheattendsschool.While playing in the afternoon, he comments onhis need towatch his sugar intake very carefully.In the presentation, Michaelis shown with friends, family, and teacherswho are all aware of his------pro-blembut-who---he-1-phirslead-a.__life.....that is typicaljorchildren ofhis age.(UM-M).Price:Sale:$45.00; Loan: $20.00/month.Source:Juvenile Diabetes Foundation, Tri-County Chapter;13 LondonDrive; East Brunswick, NJ08816.(201) 254-8860.84.NoSugarCoating(Motionpicture).[anon.].NewYork:AmericanDiabetes Association; 1919.1 reel; 18 min.; ad.; color; 16 mm.This program focuses onthe emotional and psychological adjustmentsthat children and adolescents with diabetes must make.In a dramati-zation,adolescentswithdiabetesonaweekendtrip aretotallyresponsible for their personal care.They share -their feelings abouttheir condition with a medical social worker, apsychiatrist, and eachother and discuss adherence to meal plans, urinetesting schedules,27 insulin injections, exercisin

g, and the adjustments thattheir familieshave had to make.(UM-M).Evaluation:Good.Michigan Diabetes Research and Training Center.1983.Price:Sale:$250.00 plus $2.50 shipping.Source:American Diabetes Association, Incorporated;2 Park Avenue;New York, NY10016.(212) 683-7444.85.Puppets to the Point (Kit)[anon.].Independence, MO: Fwenz; 1978.5 puppets; 2 18-min. cassette tapes; script manual andinstructions;props; carrying case.Part one of this fully scripted puppet show acquaintschildren withthe metabolic processes that result in diabetes andthe reasons forinsulin injections.Part two addresses emotional issues including howto cope with anger.Part three gives more information about diabetescontrol, including symptoms; the need for exercise, andthe treatmentof insulin reactions.(DA-M)._Price:$395.00 plus postage.Source:Fwenz Unlimited;P.O.Box1772;Independence,MO64055.816252 -2660.86."So Izzy's Gone-Is He?"(Slide-cassette).[anon.].Flint, MIII0Hurley Medical Center;n.d.].2-1/2 min.This program is meant for the pre-adolescentwith diabetes.A cartoonanalogy representsinsulinasIzzy,afurrycritter whoseclosefriendship is necessary for the child with diabetesto feel well.Izzy's interactions with "Sally Sugar" are narratedby "Penny Pancreas"in a way that can be understood by the young personwith diabetes.This program won the 1980 Allene Von SonDiabetes Educator Award.(DA).Price:$75.00; free preview.Source:Izzie,and Mr. Bell; Health Education Office;Hurley MedicalCenter; One Hurley Plaza; Flint, MI48502.(313) 257-9000.87.Sugar Babe and A Guide for the -PersonWith Diabetes (Teaching dollkit).A. Krosnick.Princeton, NJ: Lary M. Needelman; 1978.1 doll;carrier, audiocassette and 34-page instructionalbooklet.28 This doll was developed to help childrenwith diabetes learn basicconcepts about daily care and to practice measurement,adjustment ofinsulin,andactual

injections.Thedollhassitesmarked forinjections.The kit was developedfor children with diabetes andtheir families to use and for use in teaching programsof hospitals,camps, health departments, andphysician offices.(AA).Readability Rating for Booklet:9th Grade.Price:Contact directly for details.Source:Sugar Babe; P.O. Box 3133; Princeton, NJ08540.(609)443-6426.88.SugarHigh-SugarLow(Videorecerding).Orlando,FL:VisionMultimedia.,Communications;1982.80 slides;color;12min.Alsoavailable in filmstrip with cassette.This program uses a video game, theme to discussdiabetic emergencies,suchas _hypoglycemia,hyperglycemia,andketoacidosis.Causes,symptoms, and treatments are explored, and knowingwhat to do in anemergency is emphasized.(UM).Evaluation:Excellent or Very Good.Michigan Diabetes Research andTraining Center.1983.Price:Sal-Slides/filmstrip $135.00; videocassette $170.00.Source:Vision Multimedia Communications, Inc.; 638 WestWinter ParkStreet; Box 8527; Orlando, FL32804.(305) 422-1912.89.What Is Insulin Dependent Diabetes?(Slide-tape).L. L. Lund.(Dia-betesCounselingSeries.)GardenGrove,CA:Trainex;1977.79slides; color.Accompanied by:1 cassette; 14 min.Also availableon 35mm filmstrip,videotape,and Audiscan andLaBelle cartridges.Audio available in Spanish.Includes patient checklist in Spanish andEnglish.A teen-age boy discusses the role of insulinin controlling)diabetesfrom his point of view.Basic mechanisms of metabolism and of insulinproduction are discussed.Differefices and similarities between keto-acidosis and hypoglycemia are expilined, and the causes,symptoms, andtreatment of each condition are presented in chartform.(UM-M).Price:Sale:$97.00 for slide-tape;Contact directly for leasingdetails and prices for other formats.2936 Source:Trainex Corporation; 12601 Industry Street; Garden Grove, CA92641.(800) 854-2485.90."What'sDiabetes?"Askedth

eRabbit(Animated ,VideoreCording).Lanon.j.CedarRapids,IA:AmericanDiabetes- Association;IowaAffiliate; '1981.7 min; sd;color;16mm.Also available in video-cassette.This fully animated movie, designed for both the general public andchildren withdiabetes,showsinsimpletermswhatdiabetesis.Viewers learn about urine and blood testing, how to inject insulin,and the proper balance between food and exercise.(DA).Evaluation:Excellent or Very Good.Michigan Diabetes Research andTraining Center.1983.Price:Sale:$225.00; Loan:$25.00/week.Source:American Diabetes Association;IowaAffiliate;Inc.;1118First Avenue, N.E.; Cedar Rapids, IA5,2402.(319) 366-6884.sn,You Can't Catch Diabetes From a Friend(Slide-Cassette).[anon.].New York,NY:Juvenile Diabetes Foundation;1981.80 slides; blackand white; 2 x 2 in.; audiocassette:23 min.Adapted from the book, You Can't Catch Diabetes From a Friend, byLynnKipnis and Susan Adler,, this program explains diabetes.The presenta-tion follows the experiences of four children, aged 9 to 14, wh-o havediabetes.Focusing on the child's point of view, the program illus-trates what itisliketo have diabetes and discussesthelargerimplications of the disease by examining its effects on the child,his/her fatally, and friends.(11M-M).Price:$50.00.Source:Juvenile Diabetes Foundation International; Executive Office;23 East 26th Street; New York, NY10010.(212) 889-7575.303'? PROFESSIONAL RESOURCESPrint Materials92.Adjustment in Diabetic Adolescent Girls: I. Development of the DiabetiAdjustment Scale.B. J. Sullivan.Psychosomatic Medicine. 41(2):119-126; March 1979.A 37-item scale, designed to assess life adjustment in 105 adolescentgirls with diabetes who ranged in age from 12 to 16 years, elicitedinformation about peer and family relationships, body image concerns,dependence-independence conflicts,schooladjustment,andattitudestoward diabe

tes.Results showed that subjects were relatively welladjusted and that their attitudes toward diabetes correlated positivelywith many life adjustment factors.Theimportanceof self-reportscales that address the realities of life for persons who have diabetesis emphasized.(AA-M).93.Adjustment in Diabetic Adolescent Girls: II. Adjustment, Self Esteem,and Depression in Diabetic Adolescent Girls.Psycho-somatic Medicine. 41(2):127-138; March 1979.The Rosenberg Self-Esteem Scale, the Beck Depression Inventory, and theSullivan Diabetic Adjustment Scale(DAS)were administeredto105adolescent girls with diabetesto identify life adjustmentfactorsrelevant to self-esteem and depression.Subjects ranged in age froril 12to 16 years.Results indicated that self-esteem and depression levelscorrelated highly with adjustment as assessed by the DAS.Specifi-cally, the adjustments of subjects in peer and family relationships,dependence-independence conflicts, and attitudes towards diabetes weresignificantly relatedtoself-esteem.Depression was significantlyrelated to all adjustment factors and\ to body.image.It is concludedthat the DAS may be a useful screening device for low self-esteem anddepression in adolescent girls who have diabetes.Depression in theseadolescent girls may be expressed througil concerns, about the diseaseitself, and their relationships with peers and fathers are particularlyimportant in this regard.(AA-M).94 :.AdolescentDiabetes Clinic:A S ecialized Treatment A proach.G.Gunter - Hunt;L.R.Parker;8(3):36-38; Fall 1982.M.L.Spencer.TheDiabetes Educator.An adolescent diabetes clinicthat involved-a seriesof breakfastsession discussions was evaluated to identify the program's strengthsandweaknesses.Theevaluationmeasuredtheperceptionsofthe3138 partici'pants andCompared them with perceptions ofthe health careteam to determine the effectiveness ofth

e clinic.The participantsincluded 21 adolescents aged 10 to 18, 20parents, and 7 members of ahealth care team.No significant differences were foundbetween theperceptions of the'teens and their parentsabout parent/family educa-tion,teaminfluenceuponpsychosocialfactors,self-care,andteam/family interaction.Family responses, however, differedsignifi-cantly from those of the health care teamabout the team's influenceon psychosocial factors.-The teens and parents both gavepositiveratings to the breakfast sessions.For the assessment of topics atthe breakfast sessionsi the teens gavehighest ratings to the discus-sion of long-term complications.The authors,conclude that medicalcare for teens is most effectivewhen social, emotional, and medicalissues are addressed and that a well-structured,non-threatening groupsituation is very effective.95.AgeSex, and Season of Onset of JuvenileDiabetes in Different Geo-graphic Areas.F. M. Fleegler; K.D. Rogers;et al..Pediatrics.63(3):374-379; March 1979.Age,sex, and estimated timeof onset of insulin- dependent diabetesweredeterminedforchildreninPittsburgh(N-673),Gainesville(N.976),Galveston (N=741),and Melbourne,Australia(N -851).The_U.S. cities had a decrease in new casesduring the summer and _pealtincidence in January through April.In Melbourne, monthly trends werereversed:there were more cases during Maythrough August.In U.S.cities, but not in Melbourne, childrenless-than 6 years old showed agreater variation by season than children6years old andolder.Observations of the same fall and winter onset(in different calendarmonths)of insulin-dependent diabetes inAustralia, andtheUnitedStates and exaggeration of seasonal differencesin young U.S. childrensuggest that onset of insulin-dependentdiabetes is associated withseasonally varying viral" diseases._Mumps and rubella infections, donotseemtoberesponsiblefor

muchoftheseasonal variation.Seasonal peaks of mumps and rubella arelaterthan those observe forinsulin-dependentdiabetes,andimmunization-withlivemumpsandrubella viruses has not been associated with changesin incidence ofinsulin-dependent diabetes.An increase in disease incidence in boysover girls below me6 years and in girls over boys ages6.through 11_years was consistentlyobserved but not explained.(AA).96.Attitudes Toward Diets'mans ement of Diabetes AmonYoungsters atCamp.M. Franz.Diabetes Educator. 7 1 :30-33; Spring 1981.10.The attitudes of 125 campers with diabetestoward dietary managementof the disease were surveyed.The campers ranged in age from 7 to 16years.Information about their attitudestoward diet was obtainedbefore camp,at the end of camp, and 6 monthsfollowing camp.The3239 survey also addressedparental attitudes toward diabetes management.Questionnaires completed by campers and parents indicated that takinginsulin is most important in diabetes management,followed,, by urinetesting, and diet.Children stated that dietitians provide meal plan-ning guidance more clearly than do physicians.The camp's dietaryprogram is described.97.Attitudes Towards Self-Control With Urinal sis in Juvenile Diabetes.J.Ludvigsson; P. G. Svensson.Scandinavia Journal of Social Medi-cine.Suppl. 1(18):73-84; 1980.The attitudes about daily urinalysis among children with diabetes andtheir parents were assessed.Between 1975 and 1979, 138 children from6 to 18,years of age and their parents were studied.A year later, 31ofthechildrenwerestudiedagain.,Standardizedinterviews,questionnaires, and a special attitude test were used.The resultsindicate that a majority of children with diabetes and their parentsaccept self-testing and regard it as a valuable tool in the managementof diabetes.(AA-M).98.Beginning Research:Families With DiabeticChildren.V.Roskell._N

ursing Times.73(5d):148-1951; 15 December 1977.Interviews were conducted with 10 familiesto discern the parents'abilities to cope in social, emotional, and technical ways with theirchild's diabetes.The.children, 4 to 11 years old, had all been diag-nosed within the previous 18 months.Experiences of thetfamilies withmedical and educational assistance following diagnosis, technical man-agement, follow -up, adjustments to home management, school, and socialissues are identified.The results show that families of children whowere in the hospital longer were more confident about their managementskills.,However, much_of the hospital education was forgotten,emoT,tional support was lacking, and only three of the families felt confi-dent about dietary-management.The author concludes that close liaisonbetween hospital and community services would enable early dischargewith-more effective education and social suppOrt in the home.99.Behavioral Aspects of Diabetes Mellitus in Childhood and Adolescence.S. B. Johnson; A. L. Rosenbloom.Psychiatric Clinics of North America.(2):357-369; August 1982.This article discusses factors affecting the behavior of children and.dolescents who have diabetes.Etiology of the disease, treatment,dailymanagement,andcomplicationsareaddressed.Sevenothervariables that influence adjustment to and management of diabetes aredescribed:education,cognitivedevelopment,attitudes,stress,family,socieCy,and physician behaviortowardthepatient.Also334 0 .presente'd_ is.the-role. of. .the. ..behavioral...specialist...ar,., thepsychiatric.or psychological consultant.100.Behavioral Treatment of Obesity in..._Children._.K. D. Brownell;A.J.Stunkard.Amevican Journal, of Diseasesof Children. 132:403-412; April1976.Thedev.elopmeni,-; Of-techniques: for the control of obesity inii-evrevar;-760iiircifieT-dRrroVedro-t -'"t1-atIrgfartigYir"6 t Ot

eri6"adults have recently been modified for use withchildren, and to date,--haVe-eValizated-their Use.'The. results are ;encouraging-andit appears that behavior therapy offers newpromise in the treatmentof this difficult problem.The review ends with a survey of behavioraltechniques, and suggestions for further reading.(AA).101.- Beirig an 'Adolescent With Diabetes.J. Solowiejczyk;L. Baker.Dia-betes Carp:77,7174:125: March-April 1978'.Information about how to handle school, sports, dating,drinking, andgetting--along--vith-Axthers---isprovidedfortheadolescent-with-diabetes. Smoking cigarettes and marijuana and copingwith an insulinreaction are also discussed.102.'Camps for Children With-DiabeteS.L.B.Travis;T.A. 'Johnson [et'aI-.TgiriTTE,WTT747YT5T; April 1981.Texas has four camps where more*an 700 children with diabetes comeeach summer.Although the programs in each ofthese camps differ,they all aim to increase the self-esteemof the child and to lessenAnxiety in the family.This article explores the objectivesof suchcamps and gives benefitsof having children attend.(AA-M).'103.7-1 Care of the Diabetic Child inGeneral Practice.J.M.Court.Australian FamilyPhysi71Z7.TT)7ff-524; May 1977.The problems of children withdiabetes seen most often by physiciansin family practice are detailed.These include hypoglycemia, ketosis,intercurrent illness, vomiting, and localtissue reaction to insulin.Diabetes in these children is usually bestcontrolled with a diet thatprovides adequate nutrition for growthand a carbohydrate allowancethat balances the hypoglycemic effectof insulin, usually taken onceor twice daily.With good initial training and emotionalsupport inthe care of their child,as well as intelligenceand 'emotional sta-bility,families can usually cope well withdiabetes and allow thechild to lead a normal life duringchildhood.(AA-M).3441 ._.104.Cari

ng for the Child With Diabetes.A.L.Kinmonth;J.D.Baum.Irish Journal of Medical Science.148(Suppl. 2):69-74; 1979.The challenges of caring for a child with diabetes are -- discussed.Factorsidentifiedasinfluencing. diabetesmanagementdecisionsinclude:type,timing,frequency,anddoseofinsulin;amount,distribution,andsourceofcarbohydrateinthediet;amountof-exercise; and psychological and environmental stresses, including the..._emational-climate-cf;Aha4amilyw,105.Changing Horizons:An Educational Program for Children With Diabetes.N. K. Carney.The Diabetes Educator. 5(4):11-16; Winter 1979-80.An educational_ camp program that uses varied teaching and learningexperiences is described.The nurse's role,the uniqueness of thecamp environment as an educational setting, ,and the needfor stafforientation are addressed.A table outlines the educational contentfor each day. of theone-week' camp.A, wrap-up dayisdevoted-toanswering questions andposttesting.Suggestionsforuseoftheprogram_and et list of resources for program_planning.are.providea.106.The Child With Diabetes Mellitus.A.L. Drash.In: Behavioral andPsychosocial Issues in Diabetes:Proceedings of the National--Confer,-ence.B.A. .Hamburgy 1.F. lippett-[etal.]. eds.Bethesda, MD: NIH;1980; 33-42.0The difficu4ies of stabilizing and managingdiabetes in children arediscussed,andmajortherapeuticobjectivesaresummarized.Theauthor cautions that the physician must assess bothimmediate andlong-range goals and must constantly redefine managementobjectives intermscofwhatispracticalandconsistentlyobtainablefortheindiviakal child.Minimizing patient and family stress is critical.Price:0.00.Source:Superintendent of Documents; U.S. Government Printing Office;Washington, DC20402.(202) 783-3238.Order No.:. 017-045-00097-1.107.ChildhoodDiabetesandItdManagement'.(2nded.)0..Craig.(Postgraduate Pediatrics Series.)Boston, MA:

Butterworth; 1981.316 pThis book uses case studies to demonstrate individualizingtreatmentof children with diabetes.Topics about management include: diet andinsulin;thefirsthospitaladmission;education;ketoacidosis,pre-coma,andcoma;diabetesAssociatedwithother 'diseases;complications;:. and special food/diet situations.351"42 Price:$49.95.Source:Butterworth Publishers;10 Tower Office Park;Woburn, MA01801.(617) 933-8260.,108.Childhood Diabetes: The Emotional Adjustment of Parents and Child.E.F. Crosby.Canadian Nurse.. 73(9):20-23; September 1977.This article identifies research that contrasts the concerns of chil-dren with diabetes and their parents.Most of the children focused onthe normal aspects of their lives; the parents focused on the manage-ment problems of diabetes.Considering this difference,the authordescribes the ongoing process of emotional adjustment for the childand the parents.The role of the nurse educator and other members pfthe health team are emphasized.109.Children With Diabetes.(2nd ed.).L.M.Siminerio;J.Betschart.Pittsburgh, PA: Children's Hospital of Pittsburgh; 1982. 64 p.This-manual-is a-reference for parents-, -teachers, -and----hearth-Oiire-professionalsto help them with situations,questions,or problemsthat arise-with a child with insulin-dependent diabetes.Information:-isincludedaboutmetabolism,insulin,nutrition ,exercise,jcomplications, and adjustment to and control of the disease.Special-concernsrelating to infantsPreschoolers, school-age children, andadolescents with diabetes are identified.Alcohol consumption, drug-use, and dating and marriage are discussed.A glossary of terms and abibliography are included.Price:$7.50.Source:AmericanDiabetesAssociation,WesternPennsylvaniaAffiliate,Inc.;4617 Winthrop St.;Pittsburgh,PA15213.(412)682-3392.110.Chronically Ill Children:A Psychologically and Emotionally Devian

tPopulation?J.B.Tavormina;L.S.Kastner;etal.JournalofAbnormal Child. Psychology. 4(2):99-110; 1976.The study evaluated the psychosocial functioning levels of a group ofchronically ill children with diabetes,asthma, cystic fibrosis,orhearing impairment across a battery of standardized personality instru-ments.The assessments were performed to provide a rigorous ,test ofthe popular hypothesis that chronically ill children are especiallyvulnerable to psychopathology.However, results across these measuresdemonstrated the essential normalcy, rather than the deviance, of thesechildren.Although, exceptions were noted, the children's functional3643 strengths and coping abilities noticeably outweighed their weaknesses.(AA-M).111.College,Travelin6,andGettingAwayfromHome.D.W.Guthrie.Diabetes Care. 1(2):126; March-April 1978..eatingregularly,andwhattodoincaseofemergencieswhiletraveling or away at college.112.Compliance and the Health Belief Model--Its Relevance to the TreatmentofJuvenileDiabetesMellitus.J.Ludvigsson;B.Richt;P.G.Svensson.ScandinaviaJournalofSocialMedicine.Suppl.1(18) :57-72; 1980.Thesignificanceoftheconceptofcomplianceisdiscussed.Adistinction is made among the terms compliance, identification, andinternalization.Factorsimportant_ to_ compliantbehaviorare__identified._The health _belief_ model _is.._defined _anddiscussedwithregard to diabetes and children and is found to be useful in removingbarriers to compliant behavior.(AA-M).113. -Counseling the Camp Counselor.E.A.Coon;J.S. Lawson.DiabetesEducator. 5(2):19-20; Summer 1979.A program was initiated in Kansas City,Missouri, to provide an over-view of insulin-dependent diabetes for camp counselors.The topics,which are related to camping, are:management of insulin-dependentdiabetes, diet planning and selection, insulin injections,and urinetesting.Symptoms and treatment of hyperglycem

ia and hypoglycemia arealso discussed.114.CurriculumforyouthEducation.CommitteeonYouthEducation,AmericanDiabetesAssociation.NewYork,NY:AmericanDiabetesAssociation; 1983. 83 p.Coverirg 13 topics relatedtodiabetes and youth,thiscurriculumsuggests specific educational objectivesinthreeareas:(1)theclassioalcognitivedomainofknowledgeandunderstanding;(2)affective areas of attitudes and feelings; and (3) technical skills.The objectives are given in two formats:the first is according to asequential presentation of the material, and the second categorizesthe educational objectives according to age groups(6-8 years, 8-10years,etc.).Thecurriculumincludes:carbohydratemetabolism,etiology, pathophysiology, daily. living with diabetes, urine and blood,3744 glucosemonitoring,insulin,diet,exercise,-hypoglycemia,acuteillness,sexuality,and complications.Preliminaryevaluationsofthis curriculum are presented.Price:Not determined; contact directly for details.Source-:--American Diabetes Assaciati-on-r-2 Park Avenge;- -"New- York,NY10016.(212) 683-7,14.115.Daily Management of Youth-Onset Diabetes Mellitus: AnIntegrated Guidefor Patients and Physicians.R.adler; M.Sandler.Springfield:C.C. Thomas; 1977. 102 p.This book is intended for both the patient and thephysician.Non-technical information about the pathophysiology ofdiabetes and thepracticaldaily management .oftheproblemsareprovidedforthepatient; detailed accounts of the pathogenesis andmethods of pro-fessional management of the disease areinterspersed for the physician.Price:$12.25.Source: Charles C. Thomas;'2600 S. 1stStreet; Springfield, IL" 62717.72171789-8980.116.Day Camp Manual.Day Camp Committee, Eastern Oklahoma Chapter, ADA.Tulsa, OK: American Diabetes Association;1982. 57 p.This loose-leaf manual is designed for useby both staff members andvolunteers of day camp prograths forchildren with diabe

tes.An intro-ductory section reviews the purpose,objectives, and nature of Thesecamps.A section offering a conceptualframework for a camp includespresentationsabout:a' familymodel;creativeteachingmethods;developmentallearning;'psychosocialissuesi,physician-patientrelation hips; and structure anddiscipline for adolescents in a group.setting.Acurriculumsectionidentifieseducationalgoalsandmethodsforteachingaboutinsulin,hyperglycemia,hypoglycemia,glucose monitoring, nutrition, andpsychosocial factors.The manualincludes an organizational chart,job descriptions for staff members,and a list of resource materials.Price:$6.00.Source:American Diabetes Association; EasternOklahoma Chapter; 6565South Yale; Suite 105; Tulsa, OK74177.(918) 492-4047.Oklahomaresidents:(800.) 722-5448.117.Depression and "Adaptation" in JuvenileB. A. Hamburg; L.F. Lipsett;et al..social Issues in Diabetes:ProceedingsBethesda, MD: NIH; 1980; 57-60.Diabetics.M.Kovacs.In:[------] ---EF&F.77gRivioral and Psycho-of the National Conference.3845 tA study of the role of depression in newly diagnosed childrenisdescribed.Study variables include the child's age and maturity atthetimeofdiagnosis,thefamily'spsychiatrichistory,theinvolvement of each parent in management of the disease, the maritalrelationshipoftheparents,thechild'sindependenteffortsto"demystify" the illness, the role of siblings with diabetes, and thechild's self-esteem.Price:$8.00.Source:SuperintendentofDocuments;GovernmentPrintingOffice;Washington, DC20402.(202) 783-3238.Order No.:017-045-00097-1.118.A Developmentally Staged, Curriculum for Teaching Self-Caretoth'Child With Insulin-Dependent Diabetes Mellitus.E.Kohler;L.Hurwitz; D. Milan.Diabetes Care.5(3) 300-304; May-June 1982.A developmentally staged curriculum was designedtoteach childrenwith insulin - dependent diabetes mellitus about their disorder and its-c

are within an organized program of ongoingambulatory-medical-care:-"Apreliminaryevaluationoftheteachingprogrambasedonthiscurriculum indicates that self-care skills are mastered but that, theimplementationofself-monitoringaspectsdecreasesduringadoledcence.'A survey-of --a- -sampling of participants- indicatesthat-7--interest in the'program also-declines with adolescence.However, themajority, had positive responses at all ages, and all children andadolescents had positive responses tothe experience of being withdiabetic peers.The curriculum ispresentedto help organize theappropriate teaching of diabetes 'careto children and adolescents.(AA).119.The Diabetes Assertiveness Net: A Measure of SocialCoping Skills inPre-Adolescent Diabetics.A. M. Gross; W. G. Johnson..Diabetes Edu.-cator. 7(2):26-27; Summer 1981.A social skills training program was initiated forpreadolescents withinsulin-dependent diabetes who were experiencing psychological adjust-ment problems.A "Diabetes Assertiveness Test" revealed that the mostdifficult problem areas concerned explaining diabetes andits manage-ment to others, meeting parental demands, andcoping with pressures to'conform to peer behavior.Preliminary data suggest that social skillstraining is indicated as an adjunct to medical treatment.120.Diabetes Education:ItIs Not Only What Wesay.J.B.Johnson.D :Labetes Care. 5(3):343-345; May-June 1982.The need for accurate and unbiased publicationsabout diabetes forchildren is identified.Sample published excerpts that demonstrate3946 incomplete or inaccurate information, misplaced emphasis,or use ofpoor tone when relaying informationto the young are cited.Criteriafor selecting educational materials are given.121.Diabetes MellitUs in Adolescents: A Comprehensive Approach to.Outpa-tient Care.D.L.Bennett; M.S. Ward.Southern Medical Journal.70(6):705-08; June 1977-.-A co

mprehensive approach to care of adolescents withdiabetes mellitusrequires knowledge of the unique characteristics ofinsulin-dependentdiabetes during this development period, appropriate medicalgoals, andawarehess of the numerous psychologic and socialproblems encountered.Involvement of other health professionals is frequentlyneeded.Suc-cessful adjustmentofthe adolescenttohavingdiabetesincludesabsence of Inaladaptive" coping mechanisms, realisticfuture goals, andacceptance of responsibility for self-care. (AA).122.Diabetes Mellitus in the Child: Course, S ecial Problems,and RelatedDisorders.A.L.Drash;D.Becker.In:Diabetes,Obesity,andVascular Disease: Metabolic and Molecular Interrelationships:Part 2.(Advances in Modern Nutrition:Volume 2.)H. M. Katzen; R. Mahler;eds., 1978; Chapter 18.Theetiology of diabetesin childrenisdiscussed it -this reviewarticle.The different types of childhood diabetes aredelineated,and management and control are considered.Factors affecting insulinrequirements, special problems of the child with diabetes mellitus,andguidelinesforsettingrealistictreatmentobjectivesarealsodiscussed.Price:$24.00.Source: John Wiley and Sons, Incorporated; 605Third Avenue; New York,NY10158.(21?) 850-6000.Order No.:0470262869..""e.123.DiabeticAngiopathyinChildren:InternationalWorksho ,Berlin,September 1979.B.Weber.Pediatric and Adolescent EndocrinologySeries, Vol. 9).Basel, Switzerland: Karger; 1981. 380 p.Theseproceedingsofaworkshopaboutvascularcomplicationsofdiabetes in children include:changes of blood flow and blood cellfunction,functionalchangesofvision,musclemetabolism,morphological changes following insulin deficiency,diabetic retino-pathy in children and adolescents, peripheral and autonomicneuropathy,renal,vaEwular changes, and the long-term prognosis of Type1 diabetes.Price:$118.75 plus $4.25 postage and handling.40P7 Sour

ce:Karger; c/o Albert J. Phiebig, Incorporated; P.O. Box352;White Plains, NY10602.(914) 948-0138.124.DiabeticChildren:ReviewAspectsofDietInstruction.J.M.Smithgall: Diabetes Educator. 5(3):25-27; Fall 1979.Thirty-one children with insulin-dependent diabetes were surveyedtogain insight into their evaluation of their dietaryinstruction andtheir recall of the information presented tothem.The purpose ofthis survey was not only to generalize about this particulargroup'sreaction to their instructions, but also to makesuggestions about theteaching methods that would be the most relevant or acceptableto thisgroup.Recommendations include adjusting instruction to various agegroups with emphasis on the relevance andtimeliness of patient educa-tion materials, methods used in presenting exchange lists,and the useof visual aids.125.Diabetic Day: Setting Goals for a Child-Directed AmbulatoryProgram.E. Kohler.Clinical Pediatrics. 17(0:24-28; January 1978.The techniques of management by objective 'fere usedto coordinate andevaluate the-activities-of .a-nontraditional.programfor the medicalcare and education of children.withdiabetes mellitus.''Diabetic_Day".is 'an ambulatory-child-directed clinic programin-whichhealth-profes-sionals work together toimprove the child'u ability to cope withdiabetes.(AA).126.Diabetic Youngster Aids Health TeamEfforts.S. Fine.Diabetes Edu-cator. 4(4):17-18; Winter 1978-1979.An 'electronic diabetes education game hasbeen developed by a 13-year-old child with diabetes.This article describes the game andhow itcan be used.,127.Education of theChild WithJuvenile-OnsetDiabetesMellitus:AnExample of Cost Containment.B.H.Brouhard; D. Speegle;et al.Texas Medicine.7441):75:-.417; November 1978.For this atudy, a structured education programincluded evaluation ofthe child's knowledge about diabetes, selectionof treatment goals,instruct

ioninattitudes,testingandfeedback,enhancementofpersonal responsibility, and provision ofcontinuing assistance.Twogroups of children withdiabetes matched for age,sex,educationallevel, and socioeconomic status were evaluated.Members of the firstgroup had their initialeducation about diabetes elsewhere and hadreceivednostructurededucation.Membersofthesecondgroupparticipatedinthestructured program.The findingsdemonstrated4148 thatthechildreninthestructurededucationprogram hadfewerhospitalizations,' resultinginlower costs.Twocasestudiesarepresentedthatfurtherelaborateonthevalueofstruct..rededucation.(AA-M).12a,_ Effects_of _Enhanned_ConventionalThera y on MetabolicControlinChildren With Insulin-De endent Diabetes Mellitus.D. Daneman;77.717-------Epstein;et al.DiabetesCare.5 5 :472-475;September-October1982.A three-phase, 32-week program to improve self-regulatioh of adherence. behaviorandinsulindeliveryinchildrenwithdiabeteswasimpleiented.Phase one with the 20 children participants, aged 8 to12 years, used behavior modification to improve diet, exercise, urinetesting, and insulin adjustment, targeting an increased percentage ofnegative urines.Feedback training and parent checks were used toimprove reliability.Adherence was measured with Clinitest placebos.The second phase involved a stabilization period.The third phase ofinsulin dose adjustment comPere4 once- versus_twice-daily injectionsin 10 pairs of children matched for percentage glycosyla'wod(GHb).GHb,fastingplasma glucose,andlipids weremee.,-.A.atbaseline and at the end of each study phase..There was a significantandsustainedincreasein negativeurinetestsbutno change inpercentage GHb or fasting blood 'glucose.Reliability of-and adherenceto urine testa were 83 percent and 76 percent, -respectively.Therewerenosignificantdifferencesbetween groups .receiving. once- ortwice-dailyinsulinin

jectionsduringphasethree.Behaviormodification resulted in increased reliability and improved adherenceto routines associated with a reliable increase in negative urines.This did not result in changes in other control measures.(AA-M).129.EgoDevelopmentandSelf-EsteeminDiabeticAdolescents.S.T.Hauser;D.Pollets;[etal.].DiabetesCare.2(6):465-471;November-December 1979.This study explored the impact of diabetes mellitus upon aspects ofadolescentdevelopment.Usingspecificassessmenttechniquesandinterviews,ego development and self-esteem variables were followed.Clinical considerations suggest that both personality dimensions areimportant for the understanding of adolescents with diabetes.Thesample consisted of male and female adolescents with the disease whoseaverage age was 13.All patients completed Loevinger's sentence com-pletion test of ego development and the Coopersmith self-esteem inven-tory. 'A sub-group of the sample was also interviewed. The ego develop-ment and self-esteem scores were contrasted with two groups of similarage adolescents who hadpreviously completed these same tests and witha control grdup.The adolescents with diabetes were clearly at lowerlevels of ego development than the nondiabetic groups.These lowerstages were not correlated with duration of illness.A second finding424. was that the boys were rat lower levels of ego development thanthegirls, regardless of age or illness duration.Self-esteem scores wereassociated with both illness duration and ego development.Subjects atthe lowest levels of ego development also had the lowest self-esteem.Study of the interviews revealed that the patients at these lower egodevelopment levels manifested concrete, more stereotyped, and resignedresponses than _those patients_atIthe higher ego.developmentstages..zw.nn.en ne...nvn.i130.Emotional, Behavioral, and Educational Disorders in

Diabetic Children.A. Gath; M. A. Smith; J. D. Baum.Archives of Disease in Childhood.55(5):371-375; May 1980.This study assessed the emotional and educational status of a group ofchildren with diabetes and considered the interaction of these measure-ments with diabetic control.Information was collected about 76,chil-dren with diabetes and a 'control group of children without the disease.Psychiatric disorder was not more common in the children with diabetesthan in the controls, but children with diabetes were more backward at-reading.There was a correlation between poor _diabetic control ,andthe presence of psychiatric_ disorder_ and _backwardness-- -in -.. .reading .In39 percent of children with diabetes, there were adverse psychosocialfactors-in the family background, and poodiabetic,control correlatedlath the presence or adverse.._psychosocial factors.In any. seriousattempt at achieving diabetic control in children, attention to insulinand diet must not be divorced from attention to the. domestic, scholas-tic, and emotional problems of the- -child - .(AA-M).131.Emotions and Compliance in Diabetic Children.J. F. Simonds.Psycho-somatics. 20(8):544-551; August 1979.Emotional disorders in children andadolescents with diabetescanresult in mismanagement of the diabetes regimen.The children andtheir families may failtocomply with their regimen by omittinginsulin injections, falsifying urine tect reports, eatingindiscrimi-nately,or not keeping -appointmette.The reasons for noncomplianceare numerous.The authpr rev.ews the literature on medical noncom-pliance in patients with diabetes, compares results of studiesof theeffects of emotions on metabolism, and gives suggestions forimprovingcompliance.(AA-M).132.The Endocrine Pancreas and Juvenile Diabetes.D.M. Klachko; R.R.Anderson;etal..,eds.AdvancesinExperimentalMedicineandBiology, Vol. 124.New

York: Plenum Press; 1979. 205 p.Recent findings in animal and human models concerning thephysiologyand pathophyeiology of pancreatic hormones and theireffects are sur-veyed, particularly the effects of insulin, glucagon, andsomatostatin.4350C.. ...Y...__ Insulin receptors, receptor disorders, and the morphological and biol.chemical abnormalities of capillary basement membranes areexaminedProspects for future research are discussed.Price:$32.50._.Plenum Publishing_ Corporation; 233 Spring Street; New York,133.Establishment df a Diabetes Youth Group.L.M.Siminerio.Diabetes7471.713177(47Tff7Y5T Winter 1980.The Diabetes Youth Group was established to promote diabetes educationand to encourage' peer interaction among children with diabetes, ages 9to 16.The group meets once a month for 2 hours.The group director,a nurse educator, functions 'only as a facilitator, assisting in organi-zation aridheITorputo focus on areas related to diabetes education.This group method was found to be a highly successful formatforincreasing knowledge about diabetes.Two case reports of childrenwith diabetes management and related emotional problems are included.134.Evaluating a Learning -Device for Juvenile Diabetic Children.J.V.Heston; S.J.Lazar.Diabetes Care.3(6)*:668-671; -November-December1980.-StUdy"was conducted to determinewhether knowledge of diabetes couldbe increased through use of a learning device designed for insulin-dependent children with-diabetes aged 7 to 12 years.The instrument,consisting of a book and game, combines cognitive and affective ele-1ments to provide information about diabetes and to reinforce and toevaluate this knowledge in subjects.Serial exposure to the instru-ment resulted in a significant increase in knowledge and retention ofinformation in 26 experimental subjects. Five subjects receiving oneteaching intervention showed an

initial increase in knowledge but with-out reinforcement demonstrated minimal retention.Six control subjectsreceiving no intervention showed no increase in knowledge.(AA-M).135.Exercise,DietsandInsulinforChildrenWithDiabetes.D.W.Guthrie. Nursing77. 7(2):48-54; February 1977.Information is provided for nurses who instruct children with newlydiagnosed diabetes and their parents.The article covers the period ofinitial hospitalization when stabilization is occurring and managementtechniques are being taught.The role of the parent as supervisor ofthe child's management techniques, urine testing, insulin injection,diet, and activity are topics discussed.The need for parents to beflexible, supportive, and knowledgeable is emphasized.44 136.Experiences From a Winter Camfor Teenage Diabetics.K. Akerblom;Ilkka.Acta-Paediatrics-Scandinavia.T.Koivukangas;J.283(Suppl):50-52; 1980.Experiences are described from a camp where children were shown how tohandledietandinsulininconnectionwithstrenuous,repeated----ererctsw.----71welve-children,:_iaged- 12to17 years,attended`:a 7-day-The-YelialTe"--dirdrease'dose vs.pre -camp dose` xaS 11.8 ± 1.6 percent (mean- +-- S.- ET) -,-- and -the- relative --increitse--ift-latilbtld--liTtake-Ifea--31-perdent: The -Controlofdiabetes was in most cases fair to good at the start of the camp andremainedunchanged.Noseverehypoglycemiasoccurred.Physicalfitness measurer via an 'indeximproved during thecamp,andthecampers gainedself- confidence.(AA-M).1,,,"137.Familial Dontix tg4_ ke _Ego De Nelopment.....and_..._SelfIntegration inDiabetic Adol scenta: Longitudinal Studies.S. T. Hauser.In: Beha-vioral and Paychoeocial Issues in Diabetes: Proceedings of the NationalConference.B. A. Hamburg; L. F. Lipsett; [eteds.Bethesda:NIH;:l9801L6.5-8,(L.Procedures and preliminary findings of an ongoing longitudinal studyto assesstheimpactof

diabetesupon adolescent development andfamily dynamics areescribed.Adolescents with diabetes (use 13-15)andtheirfamilieSarebeingcomparedwithnondiabeticcontrols-_( natchedifor_age,:nOdial class, ..and. sex) and their families-in-termsof ego developmentL self-imageprocesses,self-esteemlevels,andfamily patterns.Fikst results indicate that -the adolescents who havediabetes, especially the males, are at lower levels of ego developmentthan the control adolescents.The adolescents with diabetes also havegreater impairment ofself-esteem.Price:$8.00.Source;Superintendent, of Documents; U.S. Government Printing Office;Washington, DC20402.(202) 783-3238.Order No.:017-045-0097-1.138.Family Behavior:KeyToManagingJuvenileDiabetes.Research Resources Reporter.5(8):1-7; August 1981.Thisarticlereportsonresearchaboutfamilydiabetes ,controlamong children.Prior researchreviewed and ongoing studies aboutfamily dynamicsthree clinical research centers are described.TheG.Shiner.interactionsandin thisareaisand diabetes atcurrent researchis designed to identify family behavior patternsthat will predictwhich children with diabetes will have poor or good control.Researchinstrumentsthatprovideobjectivedataaboutspecificfamilybehavioral patterns are discussed.Disease management by the family4559 isthen evaluated by correlatingthebehaviors with physiologicalmeasurements of diabetic control.Preliminary findings are given fortwolongitudinal studies.Other studies are cited which correlatediabetescontrolwithself-concept,perceptionsofthefamilyenvironment, and stress.Price:ratIJ^Amosou0 awl. a...A,Source:Research Resources .Information Center;Attn:ToniBailey;1776 E. Jefferson St., Rockville, MD20852.(301) 881-4150.139.A FamilLearningExperience:oServetheJuvenilePatient WithDiabetes.S.M.Koukal;E.S.Parham.JournaloftheAmericanDietetic Association. 72(4):411-413; April 1978.A

family day program in which children with diabetes and their parentsdiscuss- and -thare-mutUAI'While -the -6hildrenattended a day camp, parents participated in a seminar staffed by mem-bers of the health care team.Success of the program was evaluated by(1)-forms-tilled-out-byJadults attending the seminar and by childrenattending the-day camp and feedback from counselors;(2) interest'ex-pressed in starting a club for children with diabetes in the area; hmd(3) Suchman's guidelines forLevaluating the'success or failure of acommunity program.Evaluation indicates the best methods for planningand presenting a learning experience for children withdiabetes:(1)involve parents -injrogramplanning; (2) encourage thewhole family'st,participation; (3) conduct the seminar and day camp in a relaxed en-vironment; (4) use the team teaching or group method for educatingthefamily;(5)usevisualmethodsofinstruction,andemphasizeparticipation in active learning experiences.(AA-M).140.Fostering Self-EsteeM in Families With Diabetic Children.E. M. Hill;J. E. Hynes.Child Welfare. 570777iiovember 1980.A program initiated to counter the emotional and socialimpect on afamily with a child with diabetes approached the problem from a familydevelopmental perspective.All family members participated in activi-ties to increase awareness of common problems.(AA-M).141.A Grief Experience in Juvenile Diabetes.Q. J.,Taylor.Journal,ofPsychiatric Nursing and Mental Health Services,.15(1):26-29;January1977.A nurse describes her emotions upon hearing her son hasdiabetes andthe stages of grief she experienced.46 142.= A Grou.Approach tothe Management of Diabetes in Adolescents andYoung Adults.E. Warren-Boulton; B.J. Anderson;et al..DiabetesCare. 4(6):620-623; November-December 1981.,An interdisciplinary team of health professionals developed amodeltreatment program to improve adhe

rence, self=management, and metaboliccontrolforfiveinnercity,young,blackwomenwithdiabetes.Following an initial in-hospital evaluation, the staff met with thepatients as a group once a month for 18 months.The approach was oneof support and nonjudgmenttoassistgroup membersin developingconfidence and assuming responsibility for the successfulmanagemelitofdiabetes.Discussionscoveredthegroup'seducationalneeds,insulin requirements, and psychosocial problems of ejusting to livingwitha ,chronicdisease.Analysisofclinicalfindingsshowedasignificantimprovementinplasmaglucose,hemoglobinAle,andcholesterol levels.('AA -M).143.1G9111Bilv.with Diabetes Mellitus.C. Young.Imprint. 28(2):40 -42,86-88, 94; April 1981.Based on experiences in an outpatient clinic, the authoridentifiesthe initial impact pf a diagnosis of diabetes mellitusupon a childaR'd his/her parents.The emctional and psychological effects and waysin which a nurse, as teacher and counselor, can helpwith adjustmentare reviewed.Parental reactions and the issue of giving responsibil-ity to the child are examined.The child's anxiety about the diseaseand, caseexamplestoillustratethepsychologicalproblemsaredescribed.144.Growth andMaturation ofChildren WithInsulin-DependentDiabetesMellitus.R.L.Jackson;E.Q.Holland;[et al.].Diabetes Care1(2):96-107; March-April 1978.Thisstudywasconductedtoverifythatchildrenwithdiabetesmaintained on higher degrees of metabolic control do not have delayedgrowth and maturation.Research records, including individual growthcharts, overall control ratings, and socioeconomic classificationof252childrenwithovertdiabetesunder' continuouscareattheUniversity of Missouri Medical Center for 20 years were studied.Eachof the children from age 3 and up to 17 years was observed at 3-to4-month intervals.All children received two daily injections of amixture of two parts of aninter

mediate to one part of regular insulinand-Li instructed to eat structured meals ofhigh quality selectedfoods.An overall rating for diabetic control based primarily on thefrequency anddegree of glycosuria was madeforthetime periodbetween clinic visits.The overall diabetic control rating and thesize of the subgroups in higher degrees of control were:"good"--20percent;"good to fair"--64 percent; and"fa"7.16 percent.Therewere no differences in the growthpatterns oechildren in good,4754' goodtofair,and fair control.'Only '18(8 percent)ofthe252children were considered to have delayed maturation.All of these hadaccelerated linear growth during the early months aftei attaining ahigher degreeofcontrol and subsequently continuedtogrow atanormal,rate.(,AA -M).145.GuidelinesforDay rapsforChildren WithDiabetes(andTheirBrothels.Sisters).CommitteeonCamps,ADA.NewYork,NY:American Diabetes Association; 1931. 30 p.The Committee on Camps of the American Diabetes Association designedthis loose-leaf booklet of guidelines for planning and organizing daycamps for children with diabetes and their siblings.The guidelinesfororganizingadaycampexamine:generalobjectives;siteselection; camp costs and fees;. personnel and responsibilities; formsand letters;structure;recreational activities;educational goals;outdoorskills;_ pd transportation.Achecklistofrecommendedstandards prepared by 'the ADA and sample forms and announcements aregiven.Reasons for opeeng the camp 'to the yrotheivaaild sisters ofchildren with diabetes are also provided.Price:Free.Source:American Diabetes Association, Inc.; 2 Park Avenue; New York,NY10016.(212) 683-7444.146.Having Fun and Being Ph sicallActive.L.B.Travis;D. Speegle.Diabetes Care. 1 3 :200-201; May-June 1978.' Physical activity for the adolescent withdiabetes is encouraged.Thebenefits of exercise, precautions that must betaken, and a

djustingfood intake are discussed in question and answer format.1.147.Hemoglobin Alc Values in Children With Overt DiabetesMaintained inVarying Degreei7TrinTERTIT77771T.; -R.L.Hess;J.D.acEr7land.Diabetes Car;7737:391-395; Se:;I:ember-October 1979.The concentration of hemoglobin Alc has beenfound to be elevated inpatients with uncontrolled diabetes.HbAlc levels change at a slowrate,so a single measurement is believed toreflect the overall degreeof control Achieved by a patient for aboutthe preVious2 months.Using. the Trivelli method,the HbAlclevels were determined in 81children with overt insulin-dependent diabetesand in 14 healthy chil-dren and young adults who served as controls.HbAlc values increasedprogressively as diabetic control declined.Then) was a statisticallysignificant 'correlation between the clinical control rating and INAlclevels.Although there was a positive correlationbetween duration ofdiabetes and insulin requirement per kilogram ofbody weight in all48 rogroups combined, there was nosignificant difference when each subgroupwas compared separately. (AA-M).148.Hormone and Metabolic Profiles in Children and Molescents with Type.'Diabetes Mellitus.M.H.MacGillivray;M.L.Voorhees;[etal.].Diabetes Care 5 ('SUpp1.1):38-47; May-Joe 1982.Diurnal concentrationsof gludose,the major regulatory hormones, andselected biocheinistries were measured serially throughout a 25-hourperiod in 38 healthy patients with TypeIdiabetes(ages 8 to25years), 25 patients with acute ketoacidosis (ages 2 to 20 years), and20 individuals, without diabetes (ages 9to 26 years).The dominantabnormalities in 'the healthy subjects with diabetes were poor glucosecontrol, meal intolerance, and hypercortisolemia.Ketonemia duetoelevptted plasma beta-hydroxybutyrate concentrations without ketonuria(nitroprusside. reaction) was a frequent finding in a group of subj

ects'with poorly controlled diabetes.The dominant abnormalities in thepatientswithketoacidosid. wereoverprOduction of epinephrineandcortisol.High glucagon and growth hormone concentrations were docu-mented in about one-half of these patients.It is concluded that:(1)thehyperglycemia,meal intolerance,and abnormal ketone bodymetabolism observed are caused by inadequaciesin insulin regimens;(2)a ketone body. underutilization contributes litodiabetic mitosis;(3) epinephrine and cortisol overproduction are important componentsof acute ketoacidosis; and .(4)the complex hormone-metabolic inter-actions in TypeI. diabetes can best be explained by a multihormonal,hypothesis with the primary defect being loss of beta-cell function.(AA-M).p149., How toHandleCommon Infections.H.S.Traisman..DiabetesCare.2(1):52-53; Jahuary-February 1979.Although children end young People with diabetes do not show a higherincidence of infections than those who do not have the disease, specialprecautions must be taken when they become ill.Colds, sore throat,coughs, vomiting, diarrhea, skin, urinary tract infections, and dentalproblems are discussed.150.Increased Prostaglandin S nthesis in Childhood Diabetes Mellitus.H.P.Chase;%R.L.Williams;J.Dupbnt.JournalofPediatrics.94(2):185-189; February 1979.Prostaglandins are synthesized from two fatty acids, linoleic and ara-chidonic acid, and are associated with increased platelet aggregation,as has been found in blood from patientswith diabetes mellitus.Inthe present study, blood was obtained from 40 children with diabetesand from 20 control children for measurements of fatty acid and PGE1,PGE2, and PGF2a levels.The production of PGE2 and PGF2a was signifi-cantly elevated in blood from the children with diabetes at all times4956 measured.The mean quantitative plasma linoleic acid levels werealsohigher in the patients.Serum g

lucose levels did not correlate sig-nificantly 'in specificfatty acidor prostaglandin values..Theincreasedprostaglandin synthesis mayberelatedtothevascularproblems that occur in patients with diabetes.(AA-M).151.Juvenile Diabetes and Rehabilitation Counseling.J. B. Stone;C.H.Gregg.Rehabilitation Counseling Bulletin.24(4):283-291; March 1981.Juvenile-onset diabetes is a serious disease, processthat requirescare in rehabilitation planning.The severe complications likely tooccur in a ,child with diab..1-,sare described and include coronaryartery disease,hypertension,visual impairment,renal involvement,anddiabeticneuropathy.Inaddition,problemsofpsychosocialadjustmentareexplored.Implicationsfortherehabilitationcounselor are also discussed in terms of employmentconsiderations,.effects of complications,genetic counseling,and cooperation withother professionals.(AA-M)..152.' Juvenile Diabetes:Impact on the Child and Family.J. D. Tarnow; N.Tomlinlon.Psychosomatics. 19(8):487-491; August 1978.The work of a child psychiatrist and a social workerwith a group ofadolescents with diabetes is described.The conceptual framework thatemerged from the experience draws on developmentaland psychodynamictheory that may be applied to other chronic diseasepatients.Theauthors provide recommendationsfor the practical application of themodel for pediatricians' and describethe, acceptance of thee' diagnosisas akin to the mourning\process.(AA-M).153.Juvenile Diabetes: Impacts on LifeStages and Systems.A. Mattsson.In: Behavioral and Psychosocial Issuesin Diabetes: Proceedings of theNational Conference.B.A. Hamburg;L.F. Lipsett;[et al.]., eds.Bethesda: NIH; 1980; 43-55.0An open systems model of familyinterrelationships is used to show thepsychological impact of diabetes on youngpatients and their families.Developmental stages in the young child(to age six or seven)

and inthe adolescent are analyzed toillustrate the effects of emotional andphysical stress at cru:Aal points in the growth process.The patient'sability to cope with this stress is influencedstrongly by the family'sresponsetothe chronicillness,aresponse that reflectsoverall,familyorganization andtransactionalcharacteristics.Maladaptivefamily patterns (enmeshment,overprotectiveness, rejection,and con-flict avoidance).may jeopardize thechild's psychosocial adjustment andnormal cognitive-intellectual growth.If these maladaptive patternsare longstanding,famiV,therapy or other forms of psychj.atric inter-vention may be required.505fri Price:$8.00.Source:Superintendent of Documents; U.S. Government Printing Office;Washington, DC20402.(202) 783-3238.Order No.:- 017-045-00097-1.154 :- The Juvenile Diabetic:In or Out of Control?C.Polowich;M.R.Elliott.Canadian Nurse. 73(9):20-23; 1977.A questionnaire and group sessions were used to determine diabetes-related problems and educational needs of adolescents aged 11 to 17.Five major diabetes-related problems' are identified:urine testing,carrying an emergency sugar supply, wearing identification, adheringto the diet, and explaining diabetes to friends.Suggestions are madefor counseling:newly diagnosed adolescents.155.Juvenile Onset Diabetes.R. Kaye.The Journal of Practical Nursing.30(1):18-19; January 1980.Part of a series on diabetes, this article identifies the symptoms ofinsulin-dependentdiabetesmellitusandreviewsmethodsofbloodglucose control in the child.The daily administration of multipleinsulin injections is discussed.The importance of the role of dietin managing diabetes is also addressed.156.Learning About Diabetes Can Be Fun.A. E. Winch.Diabetes Educator.7(1):34-41; Spring 1981.The author, .a nurse educator, offers a number of creative ways to teachchildren with diabetes about what the di

sease is and how they shouldcare for themselves.These techniques were developed and used at sum-mer camps for children ages 5to 11 and draw upon teaching-learningtheory and principles of normal growth and development.Methods forexplaining urine testing, food exchange groups, hyperglycemia, and therole of insulin are described.Examples of the teaching aids used inthe program are included.157.Management of Diabetes Mellitus in Children.R. G. McArthur; K.M.Tomm; M. D. T-,hey.Canadian Medical Association Journal. 114(9):783-787; 8 Ma, 1976.Guidelines for the short- and long-term. management of the child withdiabetes mellitus, particularly as it relates to clinical presentation,treatment of ketoacidosis, long-term therapy, and psychological coun-seling, are presented.The specific aspects of diabetes managementthat are unique to the child are best met by an increased understandingof the problems faced by the child and the family and an integratedapproach by the physician and allied health personnel.(AA-M).51 158.Management of Juvenile Diabetes Mellitus.H.S.Traisman.3d.ed.St. Louis: Mosby; 1980. 348 p.With proper management, the child with diabetes can enjoy normal growthand development and delay the onset of degenerative complications.Written for health care providers, this book presents a concise method-ology for management of diabetes mellitus in children.Topics dis-cussed include diagnosis and treatment, instruction of patients, andpsychological aspects.Price:$49.50.Source:C.V.Mosby Company;11830 WestlineIndustrialDrive;St.Louis, MO 63141. (314) 872-8370; (800) 325-4177.159.Meeting the Needs of the Parents of Children With Diabetes--A Babysit-ter's Course.B.P.Giordano;L.L.Edwards.DiabetesEducator.6(3):26-27; Fall 1980.The Juvenile Diabetes Foundation (JDF) chapter in the Denver area hasdeveloped a 2-hour-long diabetes child care course

that covers basicdiabetes physiology, insulin action, food management, urine testing,and hypoglycemia.Responsibilities of diabetes educators and parentsare delineated as part of the course presentation.Adolescents whocomplete the course satisfactorily have their names placed on d list-of babysitters available to parents from the JDF.The JDF plans toexpand the course to include day care workers, grandparents, siblings,and senior citizens who wish to supplement their income byoccasionallybabysitting.160.A Multidisciplinary.Com rehensive,Ambulatory Treatment Scheme forDiabetes Mellitus inChildren.Z.Laron; 'A.Galatzer;eta .Diabetes Care. 2(4):342-348; July-August 1979.A study was carried out on 262 children with diabetes and theirparentswho were treated up to 10 years on an ambulatory'basis by'a multidis-ciplinary team: a pediatric endocrinologist, a nurse, a dietitian, apsychologist, and a social worker.Comparison of therfindings withthose of .a study performed before inception of the Counselling Centerfor Juvenile Diabetics revealed the following positiveinfluences: thedegree of control attained was both higher and sustained with greaterregularity; the attitude of the affected ch.-1, parents, and teacherswas found to be considerably improved; andboth scholastic achievementsand social adjustment were greater.The authors concluded that psy-chological stability is a basic factor in the control of diabetes, andthe value of the multidisciplinary approach in the treatment of thischronic disease is indicated.(AA-M).52" 161.New Approaches in the Treatment of Diabetic Children:Scientific andSocial Aspects.M. M. Belmonte.Beta Release. 5(3):1-4; March 1981.The article describes recent research techniques such as radio-immunological assays.Methods that offer .-the prospect of improvedcontrol and treatment include automated monitoring of blood gluc

oselevels, portable insulin delivery systems, and islet-cell and pancreas'transplantation.The social aspects of diabetes are briefly discussed.162.Neli Forms of Health Care Delivery for Diabetic Children--Problems inGettingtheConsumersView..V.D.MacMurray;R,G.McArthur.Canadian Journalof Public Health. 69(1):51-53; January-February 1978.A Canadian clinic that has developed an innovative approach to evalua-tion and management of juveniles with, diabetes has two objectives: (1)to enhance diabetic care through a team approach, and (2) to provide ajuvdnile-onset diabetes referral center for physicians.Emphasis isplacedonambulatoryevaluation,education,andcounseling.Anassessment of family satisfaction with the quality of the services andrelations with staff was made via a questionnaire given tothe98families using the clinic.Based on a 55 percent response rate, itwas determined that the patients'families were satisfied with theservices and staff.(AA-M).163.Nutrition and the Diabetic Child.Z. Laron; M. Karp; eds.Pediatricand Adolescent Endocrinology, Vol. 7.Basel, New York: Karger; 1979.395 p.These proceedings include papers,invited lectures,and excerpts ofthediscussionsthatfollowedat .the4thInternationalBeilinsonSymposium (1978).The book contains more than 65 papers on topicsrelated to the role of nutrition in the treatment of children withdiabetes.These topics include the impact of national and culturalvariations in eating habits; nutritional and dietary aspects of themanagement of diabetes;the impact of psychosocial factors; iteachingnutilitiontochildren;lipids;obesity;controlofdiabetes;thecomplications of the disease; and recent research in nutrition anddiabetes.Each paper includes a list of references.Price:$109.75 plus $4.00 postage.Source:AlbertJ.Phiebig,Inc.;P.O. Box 352; White Plains, NY10602.(914) 948-0138.164.OptimalInsulin Delivery

in Adolescents With Diabetes:ImpactofIntensive Treatment on Psychosocial Adjustments.M.C.Rudolf;J.Ahern; Let al.j.Diabetir5i11733Suppl. 1)453-57; May-June 1982.536 o MSeven teenagers were evaluated by standard psychosocial scalesand adetailed questionnaire before and on completion of a 6-month intensivemanagement program using home glucose monitoring and multiple injec-tions or the insulin infusion pump.All achieved improved metaboliccontrolwithinpatient glucose values(during24-hour monitoring)fallingfrom.. 244+58tolos\ +10 mg/di,glycosylated hemoglobin,levels telling from 11.8 + 2.9 percent to 8.4 + 1.7 percent, and homeglucose levels averaging 121 + 16'wg /dl.Standardized scales evalua-ting depression, diabetic adjustment, self-esteem, and social adjust-ment indicated no deterioration in psychosocial functioning.Therewas a statistically significant increase in locus of control scores,suggesting an improved sense of internal control of life events.Theprogram questionnaire revealed a positive response toboth the program,and the control devices used.This study suggests tat the positivemetabolic benefits oriatensive diabetic management during adolescenceare not offset by adverse psychosocial effects.(AA-M).165.Outpatient Management of the Juvenile Diabetic.C. Kennell.PediatricNursing. 2(6):19-20, 23; November-December 1976.This article is based on the author's experience as a nurse practi-tioner at a summer camp for children with chronic diseases.Topicsrelevant to the daily Alanagement of juvenile diabetes are discussed,and an approach to a nursing intervention that aims at a holistic ap-proach to borking with these children and their families is described.166.Parental Attitudes Toward Children With a ChronicMedical Disorder:Spe4ii- Reference to Diabetes Mellitus.H.Pond.DiabetesCare.2(5):425-431; September-October 1979.The ,role of pa

rents' attitudes toward a childwith diabetes in theemotional development of the child is discussed.Parents may avestrong emotional reactions upon learningabout diabetes including hos-tility, guilt, and anxiety.These can, in turn, cause unusual behaviorin the child.The author emphasizes the need' for parent:to be awarethe potential for these reactions and advocatesavoidaace of eitheroverprotective or rejecting behavior.The waysthatchildren mayrespond to parental emotions about diabetes arediscussed, and a casereport of successful treatment of an emotionallydisturbed child withdiabetes is presented.167.Patient Recall of Self-Care Recommendations inDiabetes.P. Page;D.G. Verstraete; Let al.j.Diabetes Care. 4 1):96-98; January-February1981.Twenty-four insulin-dependent patients with diabetes(aged2to21years) were interviewed immediately after a follow-up visit to an out-patient pediatric clinic to determine which of therecorded instruc-tions delivered by professionals were recalled bypatients.The health54 care team reported giving an averageof seven recommendations perpatient:a total of 168 items were listedby team members as impor-tant.\ Patients recalled an average of two _recommendations, or a totalof 50'items, 40 percent of which had not been recorded by team members.Recommendations concerning diet, insulin dosage and injections, urinetesting,andexercise represented80 percent ofthoserecalled bypatients and only 58 percent of those recorded by professionals.'Theresults were interpreted to suggest that health care teamsfocus onfewer items at each session to ensure communication of the most appro-priate recommendations for individual patients. (AA-M).168.Peer Instruction of Home Glucose Monitoring.W. J. Warzak; T. Ayllon;H. K. Delcher.Diabetes Care.5(1):44-46; January-February 1982.During a 2-week summer camp for insulin-dependent childre

n aged 9 to15 years,a voluntary program ofself-glucose monitoring using anAmes' dextrometer was offered.The primary instructors were camperswho had mastered the procedure and who, with limited staff assistance,tutored naive campers.By camp's end, 96 percent of all naive campershad practiced the new glucose monitoring procedure.Procedural errorswereinfrequentanddecreasedasafunctionofpractice.Nosignificant differences were found in error rates as afunction ofeither the age or sex of the user.The data suggest that self-glucosemonitoring could be incorporated into the treatment regimen of manyyoung patients andthat peer instruction is an effective method ofintroducing the procedure to young children.(AA).169.Performanceof Technical SkillsofDiabetesManagement:IncreasedIndependence After a Camp Experience.F. L. Lebovitz; G.J. Ellis; J.S. Skyler.Diabetes Care. 1(1):23-26; January-February 1978.This study examines some educational effects of a camp experience onindependent performance of tasks in the management of diabetes melli-tus.One hundred and eleven children were studied with regardtoinsulin administration, urine glucose testing,recognition of hypogly-cemic reactions, adherencet%)diet, and overall independence.Therewas a significant increase in ability to performindependent measure-ment of insulin dose, administration of insulin injections, and urineglucose testing.Nosignificant differenceswere seen in dietaryadherence or ability to recognize hypoglycemic reactions.Precamp dataindicated that returning campers demonstrated greater independence ininsulin administration prior to camp than did new campers.After camp,both new and returning campers showed significant increases in indepen-dent performance of dose measurement and injection.Itis concluded'that a camp educational experience contributes to both the knowledgeand performance of sel

f-care techniques required in the management ofdiabetes mellitus.(AA).5562 170.Personality Changes and Social Adjustment During the -First Three YearsofDiabetesinChildren.S.Ahnsjo;K.Humble;Letal.J.Acta-Paediatrics-Scandia0Iii.70(3:321-327; 1981.Sixty -four children with diabetes and 30 carefully matched childrenwithout diabetes aged 4 to 17 years old were studied with regard topsychologicalandsocialadaptation.Foursetsofpsychosocialmethods were used:(a) psychiatric assessment of mental state,(b)evaluationofsocialsituation,(c)measurementofintellectualcapacity, and (d) a Rorschach test.A baseline study was done within5 months after the onset of diabetes.A follow-up study 3 years laterusedthe same methods.Therewerenosignificant differencesinmentalstate between thosewith diabetes andthosewithout.Thechildren with diabetes showed an increase of symptoms of aggression,however, while the children without diabetes showed .a decrease in.,suchsymptoms.When summarizing mental deviations from average in the twogroups, those with diabetes showed more deviations both at baselineand at follow -up,- and a tendency towards higher degrees of mentalactivity,emotional ability,and social contact.IntheRorschachtest,the children with diabetes showed a higher level of anxietyconcerning their own health but there was a decrease in this variableover the 3-year period.No significant differences were found betweenthegroupswithregardtosocialproblems,degreeofmentaldisturbance, or intellectual capacity.It is concluded that the fewobservedabnormalpatternsofreactionmaybeexplainedbythetraumatic experience of the onset of diabetes.(AA-M).171.The Problem of "Cheating" in the Diabetic Child and Adolescent.M. M.Belmonte; T. Gunn; M. Gonthier.Diabetes CaTZ77:11T-TETJanuary-February 1981.The frequency,causes,and consequences of"cheating"(diet abuse,negative urine test report

s)'in children and adolescents with diabeteswere studied during summer camp.A philosophical approach is proposedfor its understanding and management.(AA-M).172.Psychiatric Status of Diabetic Youth in Good and Poor Control.J.F.Simonds.InternationalJournal of PsychiatryinMedicine.7(2):133-151; 1976.Two aroups-ridentified as"good control" and"poor control"--of 40youths between 6 and 18 years of age and matched forfrge,sex, andduration of diabetes were interviewed by a child psychiatOist who wasnot aware of the status of theircontrol.After esiClOsychiatricinterview, interpersonal conflicts and noninterpersonal'conflicts weredetermined.Atthesametime,motherscompletedfachildren'sbehavioral-emotionalsymptomchecklist.Sixpsychiatricdiagnoseswere made, four in the poor control groupand two in the good controlgroup.,A significantly greater number of patients in poor control had5663 interpersonalconflictscomparedwithpatientsingdodcontrol.MothersofpatientsinpoorControlreportedsignificantlymorebehavior problems than mothers of patientsin good control.percent of the patients in good control and 15 percent of the patientsin poor control stated that they experienced a ,"different" self-imagebecause of their diabetes.The frequency of psychiatric diagnoses forthe entire group was not higher than literature ,reports of seriouspsychiatric disorders in normal population studies.(AA-M).173.Psychological Aspects of Balance of Diabetes in Juveniles.Z. Laron,ed. Pediatric and Adolescent Endocrinology, Vol. 3.New York: Karger;1977.119 p.At a 1975 symposium, representatives from 19 countries addressed thepsychological adjustment of children to diabetes, the relation amongdiabetes control and family life, home care and sociological aspectsin treating juveniles who have diabetes, and educational programs toaid youngpeoplewith diabetesandtheirfamilies.Presentationt

opicsincluded personality,self-concept,adolescenttdevelopment,childrearing,child-parentattitudestowarddiabetes,diabetescomplications, insulin therapy, and diet and nutrition.The need toprovide education,family counseling, and preventive psychiatry fromthe time of diagnosis was emphasized.Price:$32.00.Source:Albert J. Phiebig, Inc.; P.O. Box 352; White Plains, NY 10602..914948 -0138.174.Psychological Factors in Diabetes Mellitus:A Review of the Liter-ature iith Emphasis on A o escence.D. E. Grey anus; A.D.ofmann.American Journal of Diseases of Children.133(10):1061-1066; October1979.In this literature review, emphasis is given -tothe major role thatemotional components play in frequent ketoacidotic or hypoglycemicepisodes in teenagers.The integration of adolescent developmentalissues into physician treatment plans is emphasized.(AA-M).175.PsychologicalIm licationsWiththeDiabeticChildandFamily.J. Segal.The Diabetes Educator. 4 4 :20-25; Winter 1978-1979.Diabetes has a great impact on the psychological development of thechild as well as the psyche of the entire family unit.The diabetesteaching team, comprised'of a physician, nurse, dietitian, and socialworker, can play an important role in helping family members to copewith their emotional reactions and lead the way to competent managementof the child's diabetes.(AA-M).5764 176.ThePsycho h siolo icAs actsofStressinJuvenileDiabetesMellitus.J.D. Tarnow; S. W. Silverman.International Journal ofPsychiatry in Medicine.11(1):25-441 1981.The authors review the literature and summarize viewpoints regardingthe role of emotional factors in diabetes mellitus.They concludethatpsychologicalfactorscaninfluencethetohysiologyofthedisease.Theysynthesizethefindingsofrecentmetabolic,endocrinologic,andstressresearchrelevanttojuvenile-onsetdiabetesintoapsychophysiologic model.Therapeutic andresearchimplicat

ions of the model are identified.(AA-M).177.Psychosocial Adjustment of Latency-Aged Diabetics:Determinants andRelationshiptoControl.M.J.Grey;M.Genel;W.. V.Tamborlane.Pediatrics.65(11:69-73; 1980.Therelationshipofpsychosocialadjustment,familyfunctioning,self-esteem,and diabeticcontrol wasstudiedin20latency agedchildrenwithdiabetesandtheir'parents.Moderatetosevereadjustment problems were found in 55 percent of the patients.Childself-esteem,parental self-esteem,and family functioning wereallsignificantly greater in the 'group of children considered to be welladjusted as compared to 'the maladjusted group..The data suggest thatpsychosocial adjustment problemsfrequ'entlyoccur, inlatencyagedchildren with diabetes, are associated with poorer chemical control,andrequireafamilycenteredapproachtointerventionandmanagement.(AA-M/by the National Clearinghouse/Mental Health)./178.Psychosocial Factors in Juvenile Diabetes: A Review.S. B. Johnson.Journal of Behavioral Medicine. 30.):95-116; March 1980.Studies assessing(1)the influence of psychosocial factors on theonset of insulin-dependent diabetes, (2) the influence of psychosocialfactors on the course of this disease, and 3) the influence of dia-betes on thepsyohosocial developmentofthechildarereviewed.Directions for future research are suggested.(AA-M).179.'Psychosomatic'DiabeticChildrenandTheirFamilies.J.Segal.Rockville, MD: National Institute of Mental Health; 1977. 9 p.A research team at a child guidance clinic studied the effect of familyconflict and interactions on a group of children with a pattern offrequent, difficult-to-manage episodes.of ketoacidosis that appearedto be emotionally triggered.Stress reactions of the children andtheir parents as measured by levels of free fatty acids (FFA) in theblood were correlated with clinical assessments of videotaped familytransactions.Two other gro

ups of children with diabetes,one withsymptoms of behavior disorders and!another with no psychological dif-ficulties, served as controls.Findings showed that FFA levels, in the58ua children with psychosomatic symptoms rose dramatically during familyconflict and remained elevated or continued to rise after the initialstress.It was also found that their families were often overprotec-'ive, rigid, and unable to resolve conflicts.Price:Single copy free.Source:Public Inquiries; National Institute of Mental Health; Room15C17; 5600 Fishers Lane; Rockville, MD20357.(301) 443-4515.180.The 'Relation -hipBetweenPsychologicalFactorsandBloodGlucoseRegulation in Insulin-De endent Diabetic Adolescents.J. Simonds; D.Goldstein;et al... Diabetes Care.4: 10 15. November-December1981.Fifty-twoinsulin-dependent,white,rural,middle-class adolescentswho had diabetes 5 or more years participated in a project comparingpsychological and personality variables to the degree of altered bloodglucoseregulation asmeasuredby hemoglobin Ale(HbAlc)levels.An HbAlc -level of 9.5 percent was arbitrarily chosen asacutoffscore to divide subjects into two'group6:those having "adequate" (N= 25), and those having "inadequate"(N=27) blood glucose regulation.Therewerenosignificantdifferencesbetween high andlow HbAlcgroups for all psychological variables tested, i.e., anxiety, locus ofcontrol,, self-concept, and various personality traits measured by theHighSSchoolPersonalityQuestionnaire.Femalesubjectsscoredsignificantly higher on the anxiety scale and had significantly higherHbAlcvalues andweightpercentilescompared, with malesubjects.Sixself-reportquestionnairesdealingwithvariousfaspectsofdiabetes careandadjustmentwerecompletedby mothersandfivesimilar questionnaires were completed by the adolescents.There wereno significant differences in the mean scores of the 11 questionnaire

sbetween the high and low HbAlc groups.Girls scored significantlyhigher than boys in self-care and on individual items pertainiag todysphoric feelings about diabetes.The findings may have resAltedfromthe homogeneity ofthesample,butunderlying metabolicandgeneticfactors 'needtobeconsideredin differentiating subjectsaccording to the level of blood glucose regulation.(AA).181.Research on Diabetes Management and the Family:A Critique.BpN.Anderson;W.F.Auslander.Diabetes Care.3(6):696-702;November-December 1980.Research effortsareshiftingfromfamilyinfluenceson diabetesmanagementtothebroaderfamily milieu.Methodologicalproblemscharacterizing research in the latter area include inadequate assess-ment of family functioning, unreliable indexes of metaboliccontrol',and insensitivity to differences in age and disease variables.Addil-tional study of diabetes management must consider the role of the59 father and siblings in treatment, the impact of t e child with diabeteson family functioning, and sources of both sure;and support outsidethe family that affect adaptation to'diabetes.(AA-M).182.RoleoftheFamilyin Managing Young Diabetics.J.O.Benoliel.Diabetes Educator. 3(2):5-8; Sumer 1977.The impact of the responsibility of juvenile7onset diabetes on thefamily as a social and cultural system with limited resources andcapacities to cope with changeis discussed.Examination of somecommonly reported problems during the critical months after diagnosisindicatedaneedforassistingfamiliesduringthistransitionalperiod.(AA-M).183.School Visits:An Extension of the Diabetes Education Program forChildren.G. Robbins.Diabetes Educator. 7(2):30-33, 39; Summer 1981.A critical element in a child's successful re-adjustmenttoschoolafter diagnosis of diabetes is practical knowledge about the diseaseamong his or her teachers and peers.The author provides some tipsabout how d

iabetes educators can help in providing school personnelwith the requisite diabetes information.A model presentation forintroducingtheconceptand_ treatmentof diabetestoachild'sclassmates is included.184.Self-Esteem and De ression in Adolescent DiabeticGirls.E. Sullivan.Diabetes Care.1(1):18 -22; January-February 1078.This investigation examined self-esteem and depressionin adolescentgirls with diabetes.One hundred girls without diabetes, aged 12 to16, and 105 girls with diabetes, aged 12,to 16, wereadministered theRosenberg Self-Esteem Scale and the Beck Depression Inventory.Resultsindicated no significant difference between girls with ane withoutdia-betes in self-esteem scores.Girls with diabetes did show signifi-cantly more depression than'girls without the disease.However, closeexamination of overall results revealed that the two groupsof girlswere very similar.Results were interpreted to mean that girls withdiabetes were more aware of their physiologic status.The importanceof integrating developmental issues into treatment plans fordiabetesis emphasized.(AA-M).185.Service and Education for the Insulin-Dependent Child.W. Hoffman; P.0 Neill;etal.DiabetesCare.1 5 :285-288;September-October1978.A pilot program of service and education wasdesignedto activelyinvolve the inner-city, insulin-dependent child in diabetes management.60 A telephone service for questions and advice, managed by a pediatricnursespecialist,wasresponsibleforasignificantreductioninhospital admissions.The project was enthusiastically received andutilized by inner-city residents and resulted in an increased referralrate from the entire metropolitan area.(AA).186.TheShort-TermEffectsofFeedbackonAccuracyofUrineGlucoseDeterminations in Insulin De endent Diabetic Children.L. H. Epstein;J. Figueroa;et al..Behavior Therapy.12 4 :560-564; 1981.ISelf-monitoring of urine glu

cose concentrations is a basic componentof self-regulation of serum glucosein insulin-dependent diabetes.However, previous research has shown that patient determinations ofglucose concentrations are often inaccurate.This study, assessed the_,effects of feedback training versus extended practice un accuracy ofurinetestinginasampleof youngstersselectedforinaccuratetesting.Results showedasignificantdecreaseinerrorrateinsu.4ects trained with feedback as compared to those in the extendedpractice control group.(AA).187.Soeio -Ps chological Factor's andabolic Controls in Juvenile Diabe-tes.J.Ludvigsson.Acta Paediatrica Scandinavica,66 4 :431 -437;July 1977.The influence of exogenous and enAronmental factors on metabolic con-trol was studied in 58 insulin-treated juveniles with diabetes, 6 to17-years of age.The social situation as well as knowledge about theattitudes towards dilbetes among the patients and their parents wereestimated by interv:48, questionnaires, and special tests.The qual-ity of the diet, exercise, and insulin treatment was assessed.Anindex of diabetic. control was calculated on the basis ofhe natients'daily urinalysis made at home.Multiple regression analysis and aspecial statistical "instrumental" variable techniquewere used in aneffort to analyze the correlations between all variables.The resultsemphasize the importance of assisting young patients and their familiesin their socio-psychological adaptationtothe strains of diabetictherapy.(AA-M).188.Stress and Sugar Control in Children With Insulin-De endent DiabetesMellitus.H.P.Chase;G.98(6):1011-1013; June 1981.G.Jackson.JournalofPediatrics.IAge-appropriate questionnaires developed by Coddington (1972) were usedto identify and quantify changes and stresses in the lives of 84 chil-dren and adolescents with insulin-dependent diabetes .mellitusin theage groups 6to 11,12 to 1

4,and 15 to 18 years."Stress scores"werecorrelatedwiththe. measurementsofthechildlen's, glucoSecontrol.The biochemical and clinical measures were obtained within6168 the same 3-month period.The study revealed a relationship between'common stress factors and glucose control as measured by HbAle andfasting serum glucose concentrations, respectively.Stressful evento,in additiontoinsulin dosage,exercise,and diet,were showntoinfluence blood glucose regulation.189.TO Learn, To Teach, To Grow.L. Marcuz.Diabetes Educator. 6(2):16 -18; Summer 1980.A teaching plan for individualized instruction of newly diagnosed chil-dren with diabetes.covers the initial interview, the optimal setting,adaptations that may be required in consideration of the maturity, ofthe patient, the,role of-the parents, follow -up, and teaching aids.190.What You Should Know About Juvenile Diabetes: The "Forever" Disease.L.B. Salans;L.F.Lipsett.Pharmacy Times.45:38,40-42;January1979.Written in clear language forthe layman and professional alike, thisarticle describesthe symptoms andprevalenceofinsulin-dependentdiabetes and the lifetime regimen Of self-care it dom.7.;:a;:..rai:t:Lcularattentionisgiven tothe stresses createdin children and theirfamilies by both the disease and the necessary discipline.Importantnew research is also described, including thepossible role of geneticand viral factors in the onset Of diabetes; identification of an\ ab-normal component in the blood (Hemoglobin Alc) which, when measured,gives an accurate picture of metabolic control;the "artificial pan-creas"; and the possibility of islet cell, transplantation.6269 PROFESSIONAL RESOURCESNonprint Materials191.Amy--An Adolescent with Diabetes (Slide-tape).L. Parker; G. Gunter-(Hunt.Ann Arbor:University of Michigan Medical.Center;1980.80slides;color;2 x 2in.Accompanied by:lcassette;15 min; andprint mate

rials.Insufficient knowledge of diabetes, lack of age-appropriate indepen-dence, noncompliance, and family conflicts are problems associated withdiabetes in an adolescent.This program presents an interdisciplinaryteam approach which emphasizes self-care and responsibility and demon-strates how to assess the patient and family and help them live withdiabetes in a positive, less stressful environment.(UM).Evaluation:Excellent or Very Good.Michigan Diabetes Research andTraining Center.1983.Price:Sale: $100.00; Loan: $30.00/week.Sot,:University of Michigan Medical Center, Media Library; R4440Kr(..I; Box 56; Ann Arbor, MI48109.(313) 763 -2074.192.ChildhoodDiabetes(Audiorecording).W.B.Weil;R.A.Guthrie.(PediatricsSeries,Vol.22,No.8.')Glendale,CA:Audio-Digest;1976.1 cassette.Insulin dosages and diet regimens are discussed in relation to changingconditions such as initial and subsequent requirements after ketoaci-dosis.A concluding question-and-answer section covers general aspectsofchildhooddiabetes management,includingbloodglucoselevels,urine tests,emotional fluctuations,education and reinforcement ofthe patient, lipids in the diet, and hypoglycemia.(DA-M).Price:' $8.55,Source:Audio-Digest Foundation; 1577 E. Chevy Chase Drive; Glendale,CA91206.(213) 245-8505.193.Diabetes in Children (Audiorecording).D. S. Alexander.MedifactsSeries,V41 8,No6,Sides A and B.London, Ontario:College ofFamily Physicians of Canada; 1978.1 cassette; 30 min.637 o This program discusses the following topics in aquestion-and-answerformat:thedifferencesbetweeninsulinandnoninsulin-dependentdiabetes; the need for hospital. admission and the emergencymanagementof thechildwith diabetes;the dietitian's approach;theuseofalcohol by tpe adolescent with diabetes; morbidityand life-expectancyof the child;andtheneed for the physicianto modify diet andinsulin therapy'to accommoda

te thechild's growth.(UK-101).Price:$2.50.Source:Medifacts; 471 Richmond Road; Ottawa, Ontario K2A 0G3.(613)728-4655.194.DiabetesMellitusIII:DiabetesinChildren(Videorecording).Lanon.J.Massillon, OH: Medfact; 1980.1 cassette; 8d; color; 3/4 or1/2 in;6 min;Also available as filmstrip; slidetape; in Audiscanand LaBelle cartridges.This program presents scenes of physicalactivities ata. campforchildren wit# diabetes.Therelationshipbetweenhigh levelsofactivity and food intake is illustrated.The importance of educat-ing children about the role of exercise inself-care is emphasized.fUM -M).Price:Filmstrip including Audiscan and LaBelle cartridges:$145.00;Slides:$150.00; and Video formats:$160.00.Source:Medfact, Incorporated; 1112 Andrew Avenue, N.E.; P.O.Box 418;M57.ilon, OH44646.(21b) 837-9251.195.Diabetes Mellitus:QuestionsandAnswers(Audiorecording).P.F.Wehrle.(PediatricsSeries,Vol.24,No.13,SidesAandB.)Glendalo, CA: Audio Digest Foundation; 1978.1 cassette; 17 min.This program discusses, in question-and-answer format,diagnosis andtreatment of diabetes mellitus in children and infants olamothers whoalso have the disease.Topics covered are:Dextrostix screening forinfants of mothers with diabetes, plasmainsulin studies in relationtothe glucose tolerance test, and the use ofsaline solution andRinger's lactate in treatment of the ketosis-prone child.Specialaspects of the management of diabetesdiscussed include the pregnantteenager,use ofsplitversussingleinsulin dosesinjuveniles,criteria for diagnosing infants, of mothers with thedisease, and thetiming of snacks in the diet of juveniles.(UM -I').Price:$8.55.Source:Audio - Digest Foundation; 1577 E. Chevy ChaseDrive; Glendale,CA91206.(213) 246-7500.64 196.DiabetesMellitus:RecentAdvancesinEtiologyandTreatment(Audiorecording).M. Cornblath.(Pediatrics Series, Vol. 24, No. 13,Side A.)Glendale, CA: Au

dio Digest Foundation; 1978.1.cassette; 20min.Theetiologiesofjuvenile-onset diabetes,theassociation betweenmumps epidemics and the onset of juvenile diabetes,and the evidencerelating autoimmunity or auto-aggression to insulin-dependent diabetesare described.The program also discussestheroles of glucagon,somatostatin, and insulin resistance;management of diabetic comas;complicating neuropathies; treatment concepts not considered valuable;and future aspects of prevention and treatm at. (UM-M).Price:$8.55.Source:Audio-Digest Foundation; 1577 E. Chevy Chase Drive; Glendale,'CA91206.(213) 240-7500.197,..Diabetic Ketoacidosis:Managementin Children (Slide-Tape).M.L.-.Spencer; L. R. Parker.Ann Arbor, MI: University of Michigan MedicalCenter;1981.80slides;color;2x2in.Accompaniedby:1cassette; 27 min; and print materials.This program describes the incidence, pathophysiology, diagnosis,andtreatment of diabetic ketoacidosis in children.Signs and symptomsare discussed, and both the objectives andhazerds of treatment areexamined.Precipitatingfactorsareoutlinedandsuggestionsforpreventionareemphasized.AcasestudyisusedtoillustrateIfprinciples of management.(UM).Evaluation:Excellent or Very Good.Michigan Diabetes Research andTraining Center.1983.`Price:Sale:$75.00;Loan:$30.00/week.ASource:Media Library; University--of Michigan Medical Center; 84440Kresge I, Box 56; Ann Arbor, MI48109.(313) 763-2074.198.Hypoglycemia (Slide-Cassette).E. S. Lightner; M. S. Kappy.Tucson,AZ: University of Arizona; 1976.114 slides; color; 2 x 2 in.; audio-cassette:38 min.This program describes the factors determiningblood glucose concen-tration and explains how hypoglycemia may result from adisturbance ofthese factors.A diagnostic plan for the pediatric patient with hypo-glycemia is presented.(UM).Elmluation:Recommended.Association of American' Medical Colleges.1'80.6572 Pri

ce:$180.00.Source:UniversityofArizona;BiomedicalCommunication;HealthSciences 'Center; Tucson, AZ85724.(602) 626-7343.199.Juvenile Diabetes(Audiorecording).S.D.Frazier;L.B.Travis.(PediatricsSeries.Vol26,No16,SideA.)Glendale,CA:Audio-Digest Foundation; 1980.1 cassette; 60 min; print material.This program contains two presentations dealing with diabetes.Thefirst, "Juvenile Diabetes," classifies diabetes as Type I or insulin-dependent diabetes, Type II or noninsulin-dependent diabetes, transientor infancy diabetes, and diabetes secondary tosome disorder.Theetiology,diagnosis,andgeneticandviralmeansofdevelopinginsulin- dependent diabetes are discussed.An overview of ketoacidosiswith adiscussion of controversies in treatment andtheaims an'methodsoflong-term managementofinsulin-dependentdiabetesarereviewed.Thesecondpresentation,"ComprehensiveManagementofDiabetic Ketoacidosis," enumerates and describes the complications andetiology of the condition.The pathogenesis and the mechanisms ofhyperglycemia are.-discussed.The program concludes with a discussionof studies about insulin and fluidreplacementtherapy relatedto.hyperglycemia.(UM-M).Price:$8.55.Source:Audio-DigestFoundation;1577EastChevyChaseDrive;Glendale, CA91206.(213) 245-8505.200.Juvenile Diabetes (Audiorecording).P.White.(The Health Profes-sional's Role in Diabetes Series, No. 6.) Hamilton,Drug Intelli-gencePublica'tions; '[n.d.l.1cassette;25min.Accompaniedby:print materials.Diabetesisdiscussed asan inherited disorder.In juveniles whodevelop diabetes, it has been found that75perCent of allbloodrelatives also have diabetes.The inheritance pattern is complex, andsimple dominance or recessiveneso is ruled out.Also discussed arethe six stages of the disease,the' complications, and the effect onthe developing personality.(UM-M).Price:$50.00/series.201.Listen to the Kid -- Adolescents Talk

About Diabetes (Video-recording).G.Gunter-Hunt.Ann Arbor,MI: University of Michigan.,Medical Center;1982.15%min; color.Program, guide`with abstract,objectives, suggested format for sessions, and references.Designed for the diabetes team, this program demonstrates the specialpsychosocial problems faced by the adolescent with insulin-dependent66 diabetes.It is also designed to be used as a patient and-.allyeducationalprogram.Theformatisaseriesofinterviewswithteenage patients who talk abouttheeffect diabetes has on theirlives.(UM).Evaluation:Excellent or Very Good.Michigan Diabetes Research andTraining Center.1983.Price:Sale:$150.00; Loan:$30.00 /week.Source:Media Library; University of Michigan Medical Center; 84440Kresge I, Box 56; Ann Arbor, MI48109.(313) 763-2074. Order1158.202.Living -WithChronicIllness(Videorecording).[anon.].FeelingsSeries,No.7.)Columbia,SC: South Carolina Education Television.1979. 1 cassette; 29 min.; sd.; color; 3/4 in.Interviews are conducted with three 12-year-old children:one withdiabetes, one'with hemophilia, and one with rheumatoid arthritis.Thechildren are asked questions regarding the effects of the disease ontheir personal lives, the effects of the illnesses on their families,their feelings about their doctors, and advice they would offer toothers.Thechildrenthencommentontwodramatizationsofphysician-pitient and physician-parent interactions.(UM).Price:Sale: $200.00; Loan: $55.00.Source:PublicTelevisibn -Library;475L'EnfantPlaza,S.W.;Washington, DC20024.(202) 488-5000.203.ManagementofDiabetesMellitusinChildrenandAdolescents(Audiorecorcli170.ATL.RomMloom.Pediatrics Series, 141. 22, No.23,SideA.)Glendale,CA:Audio-DigestFoundation;' 1976.1cassette; 30 min.Some goals for a child's long-term self-management ofdiabetes arepresented,such as healthy emotional(Vand, physical development andactive participation o

f the child,.The elements of self-managementare described, including urine testing,diet, and insulin administra-tion.' Overtreatment with insulin is cited as the most common error inmanagement,andinstructions for reducing theinsulin dosage whenindicated are provided.The psychological problems commonly seen indiabetes management are also explained.(DA-M).Price:$8.55.Source:Audio-Digest Foundation; 1577 E. Chevy Chase Drive; Glendale,CA91.206.(213) 240-7500.6774 204.Nutritional As ects of Counseling With. Insulin-Dependent Diabetes Mel-litusAudiorecording .F.Thorp;P.Pierce.Chicago:AmericanDietetic Association;1980.1cassette;90 min.Accompaniedby:study guide.Thisprogram discussesthetreatmentof diabetesinchildren andexplainsthe rationalefor nutrition therapy for insulin-dependentdiabetes.Methods of calculating meal plans are presented.Nutritioncounseling and the psychological effects of diabetes on children aredescribed.Theimportanceofnutritioneducationisemphasized.(UM-M).Price:' $18.00 Institutions and nonmembers; $13.00 American DiabeticAssociation members.Source:AmericanDieteticAssociation;430N.MichiganAvenue;Chicago, IL60611.(800) 621-6469; (312) 280-5036.205.Psychological Factors in Diabetes Mellitus(Audiorecording).D.M.Barnett.(The Health Professional s, Role in Diabetes Mellitus, Series,No.6.)Milwaukee: University of Wisconsin; [n.d.].1cassette;20min.Accompanied by: print materials.Thepresentation reviewsthe psychological ;effectsof 'diabetesonseveral age groups.For adolescents, peer pressures to conform togroup norms make diet and insulin regimens difficult to follow.Inlate adolescence, career' choices, leaving hone, and dating pose im-portant problems.For adults, concerns center around` possible lossesrelated to the disease and the degree of complication already presentthat can lead to depression.(UM-M).Price:$50.00 /series.Sourc

e:Drug In. lligence Publications; 1241 Broadway; 'Hamilton, IL62341.(217) 847-2504.68 ENDEXESr6976 INDEX OF TITLESTitleItem NumberThe ABC's About Diabetes and the School Child1Adjustment in Diabetic Adolescent Girls: I. Development of theDiabetic Adjustment Scale92Adjustment in Diabetic Adolescent Girls: II. Adjustment, Self Esteem,and Depression in Diabetic Adolescent Girls93Adolescent Diabetes Clinic:A Specialized Treatment Approach194The Adolescent Diabetic2Age, Sex, and Season of Onset of Juvenile Diabetes inDifferentGeographic Areas95Amy--An Adolescent with .Diabetes (Slide-tape)191Association of Insulin-Dependent Diabetics3Attitudes Toward Dietary Management of Diabetes AmongYoungsters at Camp..96Attitudes Towards Self-Control With Urinalysis in JuvenileDiabetics/97Back to School:A Parent's Guide4Beginning Research:Families With Diabetic Children98Behavioral Aspects of Diabetes Mellitus in Childhood and Adolescence99Behavioral Treatment of Obesity in Children,100Being an Adolescent With Diabetes101A Book on Diabetes for Brothers and Sisters5Borrowing Time: Growing Up With Juvenile Diabetes6Camp Hertko Hollow (Slide)71The Camper with Diabetes: Guidelines forCounselors7Camps for Children With Diabetes102Care and Control of Your Diabetes8The Care of the Diabetic Child inGeneral Practice103Caring for the Child With Diabetes104Changing Horizons:An Educational Program for ChildrenWithDiabetes105The Child With Diabetes Mellitus106Childhood Diabetes (Audiorecording)192Childhood Diabetes and Its Management107Childhood Diabetes: The Emotional Adjustmentof Parents and Child108Children With Diabetes0.4109Chronically Ill Children: A Psychologically andEmotionally DeviantPopulation?110College, Traveling, and Getting Awayfrom Home111Compliance and the Health Belief Model--ItsRelevance to.theTreatment of Juvenile Diabetes Mellitus112Counseling

Vte Camp Counselor113Curriculum for Youth Education114Daily Management of Youth-Onset Diabetes Mellitus: AnIntegratedGuide for Patients and Physicians.71115 TitleItem NumberDandy Dazzlers:A Workbook for Diabetics9.Danny Diabetes Learns About Hyperglycemia and Hypoglycemia10Danny Diabetes Learns to Test His Urine'11Day Camp Manual116Depression and "Adaptation" in Juvenile Diabetics117A Developmentally Staged Curriculum for Teaching Self-Care to theChild With Insulin-Dependent Diabetes Mellitus.118Diabetes....12Diabetes'(Videorecording).,72The/ Diabetes Assertiveness Test: A Measure of Social Coping Skills\in Pk-e-Adolscent Diabetics119Diabetes:A Book for Children13Diabetes:A Book for Parentsp14Diabetes Education:It Is Not Only What We Say''120.Diabetes Guide Toward Getting Started15Diabetes:History and Symptoms (Videorecording)73Diabetes in Children'41193Diabetes Manual: Juvenile-Insulin Dependent.16Diabetes Mellitus:A Guide for Teachers17Diabetes Mellitus III:Diabetes in Children (Videorecording)194Diabetes Mellitus in Adolescents: A Comprehensive Approach to-.Outpatient Care121Diabetes Mellitus)in the Child: Course, Special ProblemsandRelated Disorders122DiabetesAellitus: Questions and Answers ( Audiorecording)'p;195Diabetes Mellitus: Recent Advances in Etiology and Treatment(Audiorecording).196Diabetes: Stuff and More Stuff18Diabetes--Sugar Gone Awry (Filmstrip)74Diabetes:Well-Managed Juvenile Diabetes (Videorecording)75Diabetic Angiopathy in Children:International Workshop, Berlin,September 1979123Diabetic Children:Review Aspects of Diet Instruction12,4Diabetic Day: Setting Goals for a Child-Directed Ambulatory Program125Diabetic Dips4.19'Diabetic Ketoacidosis:Management in Children (Slide-Tape)197iDiabetic Youngster Aids Health Team Efforts126Diet Delight Cookbook for Diabetic Children and Their Parents Too: OOOO ,...20Dining wi

th Your Diabetic Child.21Education of the Child With Juvenile-Onset Diabetes Mellitus:AnExample of Cost Containment127Effects of Enhanced Conventional Therapy on Metabolic Control inChildren With Insulin-Dependent Diabetes Mellitus128Ego Development and Self-Esteem in Diabetic Adolescents129Emotional, Behavioral, and Educational Disorders in Diabetic Children130Emotions and Compliance in Diabetic Children13172 TitleItem NumberThe Endocrine Pancreas and Juvenile Diabetes132Establishment of a Diabetes -Youth Group133Evaluating a Learning Device for Juvenile Diabetic.iChilnren134Exercise, Diets and Insdlin for Children With Diabetes135Experiences From a Winter Camp for Teenage Diabetics136Familial Contexts of Ego Development and Self-Image IntegrationinDiabetic Adolescents: Longitudinal Studies137Family Behavior:Key To Managing Juvenile Diabetp138A Family Learning Experience to Serve theJuvenile Patientwith Diabetes139Food Exchange Playing Cards (Game)76Food for Thought (Game)77For Kids by Kids:Testing Your Blood for Sugar Level(Videorecording)78FOstering Self-Esteem in Families With Diabetic Children140Four Is, Special (Kit)79Great At Any Age.,....i.I'22A Grief Experience in Juvenile Diabetes,141AGroup Approach to the Management of Diabetesin Adolescentsand Young Adults1,142Growing Up?23GrowinakUp With Diabetes Mellitus,,143Growth Ahd MatUration of Children WithInsulin-DependentDiabetes M011itua.144Guidelines for Day Camps for Children With Diabetes(And'TheirBrothers and Sisters),i145Having Fun and Being Physically Activei,146Healthy Eatinglfor Healthy Growing:A Nutrition Plan for GrowingWith Diabetes.?24Hemoglobin,Ale Values in Children With Overt DiabetesMaintainedk..,,-in Va'rying Degrees of ControlI147"Hormone and. Metabolic Profiles in Childrenand Adolescents.With Type I Diabetes Mellitus1481How to Cope With Children's Parties25Ho

w to Handle Common Infections'149Hypoglycemia (Slide-Cassette)198Increased Prostaglandin Synthesis in Childhood DiabetesMellitus150Information, About the Student With Diabetes26An Instructional Aid on Juvenile DiabetesMellitus27Just Like Any Other Kid28Juvenile Diabetes (Audiorecording)199Juvenile Diabetes (Audiorecording)200Juvenile Diabetes.(Audiorecording)80Juvenile Diabetes (Videorecording)81Juvenile Diabetes and Rehabilitation Counseling1517379 TitleItem NumberJuvenile Diabetes:Impact on the Child and Family152Juvenile Diabetes: Impacts on Life Stages and Systems153The Juvenile Diabetic:In or Out of Control?154Juvenile Onset Diabetes.155Kid's Corner;Fun for Children With DiabetesKindergarten Time2930Learning About Diabetes Can Be Fun156Lee Ducat's Sweet Revenge Will Be Finding a Cure for the NationalKiller--Diabetes31'Listen to the Kid--Adolescents Talk About Diabetes (Videorecording)201Living With Chronic Illness (Videorecording)202Management of Diabetes Mellitus in Children157Management of Diabetes Mellitus in Children and Adolescents203Management of Juvenile Diabetes4..32Management of Juvenile Diabetes Mellitus158Managing Diabetes (Pediatric) (Videorecording)82Me Too'33Meeting the Needs of the Parents of Children With Diabetes- -A Babysitter's Course159Michael:- A Day in the Life of a Diabetic Child (Slide-tape)83A Multidisciplinary, Comprehensive, Ambulatory TreatmentScheme for Diabetes Mellitus in Children160New Approaches in the Treatment of Diabetic Children;Scientific andSocial Aspects161New Forms of Health Care Delivery for Diabetic Children--Problemsin Getting the Consumer's View162No Sugar Coating .(Motion picture)84Nutrition and the Diabetic Child163Nutritional Aspects of Counseling With Insulin-Dependent DiabeteiMellitus (Audiorecording)204Optimal Insulin Delivery in Adolescents With Diabetes:Impact ofIntensive Trea

tment on Psychosocial Adjustments164Outpatient Management of the Juvenile Diabetic165Parent to Parent:Your Child Has Diabetes34Parent's Guide:Psychological Aspects of Diabetes35Parental Attitudes Toward Children With a Chronic Medical Disorder:Special Reference to Diabetes Mellitus166Parents of Diabetic Youngsters Look at Themselves: Part I36Parents of Diabetic Youngsters Look at Themselves: Part II37Patient Recall of Self-Care Recommendations in Diabetes167Peer Instruction of Home Glucose Monitoring168Performance of Technical Skills of Diabetes Management:IncreasedIndependence After a Camp experience16974 TitleItem NumberPersonality Changes and Social Adjustment During the First ThreeYears of Diabetes in Children170Picture Pages for Insulin38The Problem of "Cheating" in the .Diabetic Child and Adolescent171Psychiatric Status of Diabetic Youth in Good and Poor Control172Psychological Aspects of Balance of Diabetes in Juveniles173Psychological Factors in Diabetes Mellitus:A Reviewofthe Literature With Emphasis on Adolescence174Psychological Factors in Diabetes Mellitus (Audiorecording)205Psychological Implications With the Diabetic Child and Family175The Psychophysiologic Aspects of Stress in Juvenile DiabetesMellitus176Psychosocial Adjustment of Latency-Aged Diabetics:Determinants and Relationship to Control177Psychosocial Factors in Juvenile Diabetes: A Review178'Psychosomatic' Diabetic Children and Their Families179Puppets to the Point (Kit)85Put the Pleasure Back into Parenting39Raising A Diabetic Child40Rap Session41The Relationship Between Psychological Factors and Blood Glucose /Regulation in Insulin - Dependent Diabetic Adolescents180Research on Diabetes Management and the Family: A Critique181Role of the Family in Managing Young Diabetics182Runaway Sugar:All About Diabetes42The School, the Teacher and the Diabetic Child43Scho

ol Visits: An Extension of the Diabetes Education Programfor Children183Self-Esteem and Depression in Adolescent Diabetic Girls184Service and Education for the Insulin-Dependent Child185The Short-Term Effects of Feedback on Accuracy of UrineGlucoseDeterminations in Insulin Dependent Diabetic Children186"Sing NYDA"44"So Izzy's Gone - Is He?"(Slide-cassette)86Socio-Psychological Factors and Metabolic Controls in Juvenile Diabetes..187Some Children Have Diabetes45Stress and Sugar Control in Children With Insulin-DependentDiabetes Mellitus188The Student With Diabetes46The Student With Diabetes: Information for Teachers andAdultLeaders47Sugar Babe and A 'Guide for the Person With Diabetes(Teaching doll kit)87The Sugar Disease:Diabetes48Sugar High - Sugar Low (Videorecording)88Summer Camps for Children With Diabetes in the United Statesand Canada:19834975 TitleItem NumberTo Learn, To, Teach, To GrowToo Great'Expectations18950Understanding Insulin Dependent Diabetes51A Visit With Danny Diabetes52What About Driving, Dating, Drinking...and Diabetes?'53What Is Insulin Dependent Diabetes? (Slide-tape)89What School Personnel Should Know About the Student withDiabetes54What the Teacher Should Know About the Diabetic Student55What the Teacher Should Know About the Student With Diabetes56What the Teacher Should Know About the Student With Diabetes Mellitus57What'the Teacher Should Know About the Student With Diabetes Mellitus58What the Teacher Should Know:Your Student Has Diabetes.59What To Do If You Are Sick60What To Do--When Your Child Won'tat61What You Should Know About Juvenile(Insulin-Dependent) Diabetes62.What You Should Know About Juvenile Diabetes: The"Forever" Disease190"What's Diabetes?"Asked the Rabbit(Animated Videorecording)90When the Signs Point to Diabetes63Why Camp?64A Word to...Camp Directors and Counselors65A Word toTeachers and S

chool Staff66You Can't Catch Diabetes From a Friend67You Can't Catch Diabetes From a Friend(Slide-Cassette)91You Need the Right Foods Every Day to Be Healthy68Young People and Diabetes:Control Makes Sense69Your Child Has Diabetes. What YouShoUld Know707682 ..INDEX OF AUTHORSAuthorItem NumberAuthor,Item NumberAdler, T6..67Ellenberg, M80Ahern,J164Elliott, M. R154Ahnsjo, S170Ellis, G. J1E0Akerblom, H. K136England, J. D147Aldridge, R77Englander, K30Anderson, B. J50, 142Epstein, L. H128, 186Anderson, B. N181Anderson, R. R.,ed132Figueroa, J186Auslander, W. F.50, 181Fine, S,126Auten, GT10,11, 38, 52, 68,168Fleegler, F. MFranz, M9596.Frazier, S. D199Baker, L101BandurskiC22Galatzer, A160Barnett, D. M205Gath, A130,Baum, J. D104, 130Genel, M177Becker, D122Giordano, B. P159Belmonte, M. M161, 171Goldberg, B33Bennett, D.I,J..0121182Goldstein, DGonthier, M180171Betschart, J109Gregg, C. H151Brazel, P58Grey, M. J177Briggs, C21Greydanus, D. E174Brouhard, B. H127Gross, A. M119Brownell, K. D100Gunn, T171Gunter-Hunt, G94,191, 201Canova, D40Guthrie, R. A8,69, 192Carawan,.....11, 38, 52, 68Guthrie, D. W111,135Carney, N. K105Centerwall, W. R12Hall, J£1Chase, H. P51, 150, 188Hauser, S. T129, 137Coon, E. A113Hess, R. L147Cornblath, M196Heston, J. V134Court, J. M103Hill, E. M140ICovelli, P6Hoffman, W185r,Craig, 0107Hofmann, A. D174Crosby, E. F108Holland, E. Q144Honor, JDaneman, D128hulse, F. MDavidson, J73Humble, K.Davis, B51Hurwitz, L. S118Delcher, H. K168Hynes, J. E140Dodson, R. A17Drash, A. L106, 122Ilkka,,J136Dupont,T150Jackam,: G. G188Edwards; L. L159Jackson=,' R. L8,144, 147783 AuthorItem Ni.mberJohnson, J. B120Johnson, S. B99,178Johnson, T. A102Johnson, W. G119Jones, J20Kappy, M. S198Karp, M., ed163Kastner, L.S110Kaye, R155Keller, M. A15,45Keltz, J. R61Kennell, C165Kinmonth, A. L104Kipnis, L67Klachko, D. M., ed132Kohler, E118,125Koivukangas, T136Koukal,

S. M139Kovacs, M117Krosnick A87Laird, MLaron, ZLaron, Z, edLawson, J. SLazar, S. JLeahey, M. DLebovitz, F. LLeibovich, J. BLevinsky, J.JLightner, E. SLipsett, L. FLudvigsson, JLund, L. LMacGillivray, M.MacMurray, V. DMace, J. WMalone, J.IMarcuz, LMattsson, AMcArthur, R. GM4.lan, DMoore, SNovrok, D. S.H97,17160163(1 173).113134157ej 169' 36, 37198190,112, 187891481621239189153157, 162.1183116O'Neill, POnur, KAuthorItem NumberPage, P167Page, 0. C35Parham, E. S139Parker, L. R...13, 14, 94, 191, 197,Pierce, PPollets, DPolowich, CPond, H204129154166Reavill, L. K64Richt, B112Richter, N4, 29Robbins, G183Rogers, K. D95Rosenbloom, A. L99, 203Roskell, V98Rudolf, M. C164Rusting, R44Salans, L. B190Sandler, M115Sandler, R115Santiago, J78Segal, J175, 179.Shiner, G138Silverman, S. W176Silverstein, A42,'48Silverstein, V. B42, 46Siminerio, L. My 5, 109, 133Simonds, J. F131, 172, 180Simpson, E22Skyler, J. S169Smith, M. A130Smithgall, J. M.124Solowiejczyk, J101Speegle, D127, 146Spencer, M. L94, 197Spratt, I. L16Stenger, P9Stewart, T23Stokes, J17Stone, J. B151Stunkard, A.J100Sullivan, B184Sullivan, B. J92, 93Svensson, P. G97, 112185Tamborlane, W. V75Tarnow, J. D78177152, 176 Author'Item NumberTavormina; J.B110Taylor, C. J141ThorWF..i.,204.,Tomlinscn, N152Tomm, K. M-4157Ttaisman, H. S149,158Travii, L. B27,102,146,199Yerstraete, R. G167Vocihess, M.148Ward, M. S121Warren-Boulton, .E.142Warzalt, W. J.:.1"168Weber, B123lehrle, P. F195Weil, W. B192Wentworth, S. M4...46Wheeler, R64White, P'200Williams, R.L.ti150Winch, A. E156WootelD..77Young, C1437985 INDEX OF SUBJECTSSubject Index,AM NumbersAdolescents, 2, 16, 53,74,84,89,92-94,101,,109,111,121,124,' 129, 136,137,146,184,152-154, 164,191; 193, 201,174,205180,pregnant, 195Adjustment, 6, 0, 35, 83, 84,92,93,99,108,121',143.,170, 173, 177,'182, 183, 205Angiepdthy, 123Alcohol /Drug Use, 53, 101, 109,193Attitudes

, 34,39,'' 92, 93, 96,97, 166, 1734 187, 202Audiorocording, 80, 192, 193,195, 196, 200, 203-205Audiotape, 199Audiovisual Materials, 71-75,78,,80-84, 86, 88-91, 191-205Babysitte.i.., 5, 51, 159Behavior Modification, 61,'100,128, 186Blood1ucose Monitoring(See SelfGlucoseMoniring),1Camps, 1, 22, 44, 49, 51, 64,71,96,102, 105,116,136,139, 169', 194guidelines, 145personnel, 7, 65, 113Career Decisions, 53, 80, 205Coloring Books, 24Compliance/Adherence, 112, 128,131, 171Complications, 4.0, 51, 69, 70,99,' 107, 109, 114, 123,151,163, 173, 199, 200, 205Coping, 28, 31, 34, 72, 98, 117,119, r53, 17581Subject IndexItem NumbersDating, 53, 101, 109, 205Depression, 93, 117, 184Diabetesgeneral information, 1, 5,7, 8,12-15,17-19,26,27,31,40, 42,43,46,48,, 51,52,,54-58, 62, 63, 70, 73-75,80, 81, 85, 86, 89,90,91,,95,99,107, ,113-115,122,132, 135', 155, 159, 190, 193,196,,i9,94 200,prevalence/incidence, 74,95management/treatment, 1,12-16,27,32,39,45,48,51,63,69,73, 75,80,85,89,99,103,106,107,-115,121,122,135,142,144,147, 157,158, 160-162,164,165,181,192,193,195, 199Diabetic Retinopathy, 123Diet/Nutrition, 7, 8, 16,'18, 20,21, 40,42,45, 46,51,56,.61,68,75-77,79,'81,82,90, 96,103,104,107,109,135,136,155,163,173, 192-195, 203,204cookbooks, 20exchange lists, 16, 20, 68,76, 77exchange system, 45meal planning, 21, 24,51, 76, 81, 82, 204party/holiday foods, 25recipes, 20, 21Educational 'flterialsevaluation,10,134'-.selection of, 120(See also Te-aching)86 Subject IndexItem NumbersEducational Programsevaluation, 94, 124, 125,127, 139, 162, 167, 169professional, 191, 201Emergencies, 1, 1, 10, 13, 14, 1617,26,27,43,45-47,51,54 -59,62,- 65,6E,85,88,89, 101, 103, 107, 111, 148,174, 179, 192: 196-199forms, 59Exercise, 8, 16, 18, 27, 40, 45,46,51,75,81,85,194,109, 135, 136, 146, 194(See also Sports)Familyrelationships, 33, 92-94,117,13'7,138,140,153,166,173,177',179,

181,191, 202rcles, 2,, 8, 22, 31,67,75,84,103,117,139,140, 181, 182.Filmstrip, 74Foot Care, 8Games, 9, 29, 76, 77, 126, 134Glucose Metabolik, 74Glucose Tolerance Test, 14, 74,195Growth/Development, 23, 32, 37,39,' 50,80,121, .129,137,144,152,153,166,173,174, 178, 200Health Belief Model, 112Hes'th Care Teams, 94, 142, 160,162, 179, 191Hemoglobin A1C, 27, 147, 180Hormones, 132, 148Hyperglycemia, 10, 13, 26, 60,88, 199Hypoglycemia, 1, 10, 13, 26, 55,60,88,89,114,74,198Infants, 109, 195Identification Card, 16*82Subject IndexInsulinadministration, 16, 27, 38,42, 46, 81, 82, 87, 90, 135,155, 203dosage, 80, 104, 192, 195pumps, 27, 161storage/handYdg, 38Insulin Reaction, 1, 7, 17, 27,45 -47, 54, 56 -59, 62, 65, 66,85, 101Item NumbersKetoacidosis, 27, 65, 66, 88, 89,107, 148, 174, 192, 197, 199Lipids, 163, 192Marriage, 23, 53, 109Motion Picture, 84Neuropathy, 123Obesity, 100, 163Parenting, 4, 12, 14, 23, 28,30,31,33-37,39,40,50,53,70,72$' 75,98,104,135, 141, 143, 159, 166, 173Parents Clubs, 1Peer Instruction, 16'7.Personal Experience, 6, 18,"23,,30, 41, 72, 78, 84, 91, 201Preschoolers, 109Procoedings, 123, 163, 173Pros'aglandin Synthesis, 150Psychosocial Issvcs, 2,6, 34-37,,40,41,44,51,56,67,75,80, 84, 85,91,92,94,98,99,102,104,108-110,119, 121, 129-131, 140, 141,143, 151-153, 157,158, 163,164, 170, 172 -180, 187,,192,200-205,Psychosocial Studies, 92, 93,110,119,129,130,164,110, 179, 180, 184, 187Puppet Show, 79, 85Puzzles, 9, 29 SulYect Index-Item NumbersRecordkesping Forms, 8, 14, 16Reh.bilitation Counseling, 151School, 4, 23, 30, 43, 51, 53,72, 80,83, 92, 101teachersk,rsonnel, 4, 17,26,43,46,'47,54-59,66,183college, 111Self Blood Glucose Monitoring,13, 42, 51, 78, 82, 90,155,161, 168Self-care, 6, 8, 9, 15, 19, 27,29,34,39, 42, 44,50,51,62063,67, 83, 84,87,97,111,114,118,121,142,167,169,173,180,1851189, 191, 203Self-help Groups(See SupportG

roups,Parent.Clubs)Self-image, 29, 92, 93, 102,117,129,137,138,140,172, 173, 177,Sex Factors, 95Siblings, 5, 33, 117Sick Days, 16, 51, 60, 103, 114,l49Slides, Slide/Tape, 71, 83, 89,191,,,197, 198Smoking, 16, 101Social Skills, 53, 101, 119, 205Sports, 22, 23, 27, 40, 80, 101,111Storybook, 19, 42Stress, 8, 46,,104, 106, 138,153, 176, 179. 188, 189Support Groups, 3, 133-(See also Parent Clubs)Teachingaid, 10, 11, 27, 29, 51, 52,76, 77, 79, 82, 85-88, 126curriculum, 105, 114, 116, 118me%ods/approaches, 119, 124,133,134,139,140,142,.156, 165, 168, 185, 189(See also: Behavior Modifica-tion)'Subject IndexItem NumbersTravel, 16, 51, 53, 111Treatment Advances, 48, 62, 161,163, 189Urine Testing, 1, 7, 8, 114 13,16,27,42,56,60,81 -83,90, 97, 186, 203Videorecordir.., 72, 73, 81, 194,204 202Weight Control, 76, 100(See also Obesity)Workbooks, 9Young Adults, 6, 41, 53, 142, 205fr DISCRIMINATION PROHIBITED:Under provisions of applicable public laws enacl;edby Congress, since 1964, no person,in the United States shall, on thegrounds ofrace, color, national origin, handicap, or age,be excluded from participationin, be denied the benefits of, or be subjectedto discrimination under any pro-gram or activity (or, on the basis of sex,withrespect to any education pro-gram or activity) receiving Federal financialassistance.In addition, Execu-,tive Order 11141 prohibits discTimination on the basis of age bycontractors.and subcontractors in the performance of Federal contracts, andExecutive Order11246 states that no federally funde' contractor may discriminate against anyemployee or applicant for employment because of race, color, religion, sex, ornational origin.Therefore, the programs of the National. Diabetes Information.Clearinghouse must be operated in compliance with these laws and ExecutiveOrders. ..8NrDEPT. OF EDUCATIONNAT 'L INSTITUTE OF EDUCATIONraA