Document Type : Original Article


Department of Biochemistry, School of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran


BACKGROUND/AIM: Parents have an important role to play in supporting adolescents with type 1
diabetes mellitus (T1DM). Their education and occupation are important factors for the management
of this disease. This study aimed to investigate the parental support that Iranian adolescents with
T1DM experience and to examine the effect of parents’ education and occupation on adolescents’
perceived the parental support and metabolic control.
METHODS: This is a cross‑sectional survey. The participants were 98 adolescents (aged 11–18 years)
with T1DM referred to Endocrinology Clinics of Shahid Rahimi and Shahid Madani hospitals in
Khorramabad, Iran, in 2016. For evaluating the adolescents’ perceptions of parental support, the
family version of Diabetes Social Support Questionnaire was employed. It measures in five diabetic
care areas (insulin administration, blood testing, meal planning, exercise, and emotional support).
Data were analyzed in SPSS version 22 software using descriptive statistics and inferential tests
including Pearson correlation test, ANOVA, and independent t‑test.
RESULTS: The parents’ educational level had a significant relationship with adolescents’ perceived
parental support and hemoglobin A1c (HbA1c) level (P < 0.05). Occupation of father had no significant
influence on his supportive behavior and HbA1c level in adolescents, but mother’s occupation
significantly influenced them (P < 0.05). In adolescents with higher perceived parental support, the
mean HbA1c was lower.
CONCLUSIONS: Parents with higher educational level can improve the metabolic control and provide
better meal planning in adolescents with T1DM.


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