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October 1980

Psychological Factors in Diabetes Mellitus-Reply

Author Affiliations

Adolescent Medical Clinic Department of Pediatrics University of Rochester Medical Center Rochester, NY 146

Am J Dis Child. 1980;134(10):1004. doi:10.1001/archpedi.1980.02130220080042

In Reply.—I thank Professor Laron for his interest and remarks. It was not possible to include all pertinent references and books in the compilation of our review. Thus, with some exception, attention was mainly directed to articles in peer-review journals. I welcome the inclusion of the cited symposiums.

I fully agree with his comments regarding the importance of family stability in the life of juvenile and adolescent diabetics. The review sought to present an overview of psychological or emotional factors in stabilizing teenage diabetics. As indicated, there are many factors involved, each one of which needs more investigation. Many approaches are used in seeking to prevent or manage "poor" teenage diabetic control. I emphasize a primary physician-adolescent patient relationship in which the clinician seeks to invest as much self-care as possible.1 The family is encouraged to contribute to this therapeutic plan. Physician, adolescent, and parents form a team