The purpose of this study is to see if a patient's ability (and/ or parent) to read, write,
and do basic math problems affects blood sugar control in children with type 1 diabetes
"Literacy" is defined as an individual's ability to read, write, and speak English, and
compute and solve problems at levels of proficiency necessary to function on the job and in
society, to achieve one's goals, and develop one's knowledge and potential, according to the
National Literacy Act of 1991. The National Work Group on Health and Literacy reported that
between 40 and 44 million persons in the United States have rudimentary literacy skills, and
are unable to understand written materials that require only basic reading proficiency.
Illiteracy has become an increasingly important problem, especially as it relates to
healthcare. Literacy skills are paramount to effective self-management of type 1 and type 2
diabetes mellitus. And, "Diabetes Self-Management Education" is the cornerstone of care for
all individuals with diabetes who want to achieve successful health-related outcomes. Self
care of diabetes plays a major role in achieving DCCT recommended level of hemoglobin A1C.
Deficient self-management will lead to uncontrolled diabetes, resulting in multisystem
complications, increasing exponentially the burden on our healthcare system. Structured
education of individuals tailored to combat poor literacy skills is imperative in helping
these individuals achieve good glycemic control. Hence we would like to evaluate literacy in
our clinic so appropriate educational material can be developed to help patient with T1DM
who have low literacy.
- Type 1 or type 2 diabetes mellitus
- Parent/ legal guardian must be present if child is less than 18 years of age.
- Diagnosis of type 1 or type 2 diabetes mellitus must have been made at least 1 year
- Parent/ legal guardian and/ or child must have completed all 3 mandatory diabetes
- English and/or Spanish speaking only.
- Any form of mental retardation or cognitive disorder in parent/ legal guardian.
- Mental retardation or cognitive disorder in a child who is in Grade 6 or higher.