Techniques for improving glucose control in type I diabetes.

Intervention for poor glucose control was attempted in 38 children and adolescents with a mean follow-up time of 3 years. Changing the quantity of insulin or changing the number of injections per day resulted in improvement in 10 of the 21 patients who responded to intervention. Six others responded to a family conference and four responded to a parent temporarily taking over the diabetes management. The presence of a supportive family member living in the home was a major factor in the likelihood of intervention being successful.