Year of Publication

2013

Season of Publication

Spring

Paper Type

Master's Thesis

College

Brooks College of Health

Degree Name

Master of Science in Nursing (MSN)

Department

Nursing

NACO controlled Corporate Body

University of North Florida. School of Nursing

First Advisor

Dr. Doreen Radjenovic

Second Advisor

Dr. Katherine Robinson

Department Chair

Dr. Lillia M. Loriz

College Dean

Dr. Pamela S. Chally

Abstract

Adolescent athletes with type 1 diabetes (T1DM) face unique challenges when compared to peers with and without diabetes. Continuous subcutaneous insulin infusion (CSII) provides a method of insulin delivery that can enhance flexibility in insulin regimens and lifestyle that may be especially appealing to the adolescent athlete. No studies have explored the impact of athletics in this population. This descriptive qualitative study explored and described the experiences of adolescent athletes using CSII as their primary insulin delivery method, with a focus on athletic participation and performance.

The purposeful sample consisted of four adolescent athletes, ages 13 to 15 years with T1DM, using CSII, in excellent diabetes control, and recently participated in organized sports activities. After written informed consent, data were collected through a semi-structured interview with the adolescent and parent. Results were transcribed verbatim and analyzed for emerging themes. Four themes emerged from the transcripts along with multiple subcategories. The main themes included: protecting the pump and infusion site; dealing with highs and lows; maximizing participation and performance; and keeping watch. Information gathered from this study will prepare healthcare professionals to anticipate the needs of adolescent athletes using CSII when prescribing a diabetes management regimen.