BACKGROUNDS: Fluctuation in glycemia due to hormonal changes, growth periods, physical activity, and emotions make @entity6 management difficult during adolescence. Our objective was to show that a close control of @entity1 ' self-management of @entity6 by nurse-counseling could probably improve metabolic control in adolescents with type 1 @entity6 . METHODS: We designed a multicenter, randomized controlled, parallel group, clinical trial. Seventy seven adolescents aged 12-17 years with @entity3916 >8  % were assigned to either an intervention group (pediatrician visit every 3  months   +   nurse visit and phone calls) or to the control group (pediatrician visit every 3  months). The primary outcome was the evolution of the rate of @entity3916 during the 12  months of follow-up. Secondary outcomes include @entity1 's acceptance of the disease (evaluated by visual analog scale), the number of hypoglycemic or @entity1270 episodes requiring hospitalization, and evaluation of @entity3916 rate over time in each group. RESULTS: Seventy-seven @entity1 were enrolled by 10 clinical centers. Seventy (89.6  %) completed the study, the evolution of @entity3916 and @entity1 satisfaction over the follow-up period was not significantly influenced by the nurse intervention. CONCLUSION: Nurse-led intervention to improve @entity3916 did not show a significant benefit in adolescents with type 1 @entity6 because of lack of power. Only psychological management and continuous @entity413 monitoring have shown, so far, a slight but significant benefit on @entity3916 . We did not show improvements in @entity3916 control in teenagers by nurse-led intervention. TRIAL REGISTRATION: Clinical Trials.gov registration number: NCT00308256 , 28 March 2006.

Management of adolescents with very poorly controlled type 1 XXXX by nurses: a parallel group randomized controlled trial.

@entity1 :: ('9606', 'Species') :: ['participants', 'patients', 'patient'] @entity3916 :: ('c|SUB|A|1|C', 'DNAMutation') :: ['A1C'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes'] @entity1270 :: ('MESH:D007662', 'Disease') :: ['ketoacidosis'] @entity413 :: ('MESH:D005947', 'Chemical') :: ['glucose']
@entity6 :: (MESH:D003920,Disease) :: ['diabetes']
