Purpose of Review

Understanding barriers to self-management behaviors and glycemic stability may inform specific needs for behavior change in adolescents and young adults with type 1 diabetes (T1D). The current review aims to systematically synthesize the literature on the relationships between executive functioning, self-management, and A1C in adolescents and young adults with T1D. Fifteen studies were retained in the current review. Study quality assessment for the majority of the studies were “Fair” or “Good.”

Recent Findings

This review highlights several advances in research design, including use of longitudinal designs, data from multiple informants, and use of objective measures. Adolescents and young adults reported that more executive functioning weaknesses were related to decreased self-management behaviors and higher A1C.

Summary

The current review demonstrated that self-perceived executive functioning weaknesses negatively impact self-management behaviors and A1C. Future research is needed to determine the utility of objective measures in assessing the relationships between executive functioning, T1D self-management, and A1C.

中文翻译：

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青少年的执行功能，1型糖尿病自我管理行为与血糖控制之间的关系

审查目的

了解自我管理行为和血糖稳定性的障碍可能会告知青少年1型糖尿病（T1D）的行为改变的特定需求。当前的综述旨在系统地综合有关青少年和患有T1D的年轻人的执行功能，自我管理和A1C之间关系的文献。本次审查保留了十五项研究。大多数研究的研究质量评估为“一般”或“良好”。

最近的发现

这篇综述重点介绍了研究设计的一些进展，包括纵向设计的使用，来自多个被告的数据以及客观测量的使用。青少年和年轻人报告说，更多的执行功能缺陷与自我管理行为减少和A1C升高有关。

概括

当前的审查表明，自我感知的执行功能弱点会对自我管理行为和A1C产生负面影响。需要进行进一步的研究以确定客观措施在评估执行功能，T1D自我管理和A1C之间的关系时的效用。