Blog Post #10

Abstract

This research paper seeks to explore the stressors that are induced upon college students in general, while also comparing the added affects those stressors have on students with type 1 diabetes accompanied by the unique stressors T1D students face in a college setting that others do not. The findings will contribute to ideas and ways which will add to a holistic healthcare plan which includes additional tools and resources allotted to students with T1D that can be deduced and implemented within Universities. In turn, such practices could possibly better aid students with T1D so they can succeed at an equal or greater rate as their counterparts.

Works Cited

• “Back to School: College Students with Diabetes Face Unique Challenges.” DLife, 27 Aug.2019,dlife.com/back-to-school-college-students-with-diabetes-face-unique-challenges/.

• Carter, Ethan Michael. “18 Eye-Opening College Student Stress Statistics.” WhatToBecome, 19 Mar. 2020, whattobecome.com/blog/college-student-stress-statistics/.

• DLife. Can Stress Cause Diabetes? DLife, 15 June 2018, dli

• Fedor A, Schumacher JR, Banning J, Mckinnis R, Wilson M, Fedor A. Perceptions of How the Transition From Home Life to College Life Affects Type 1 Diabetes Management. Diabetes spectrum : a publication of the American Diabetes Association. 2017;30(4):315-319. doi:10.2337/ds17-0019

• Fredette J, Mawn B, Hood K, Fain J. Quality of Life of College Students Living With Type 1 Diabetes: A Qualitative View. Western Journal of Nursing Research. 2016;38(12):1595-1610. doi:10.1177/0193945916651265

• “How Much Does an Insulin Pump Cost?” CostHelper, health.costhelper.com/insulin-pump.html.

• Ness MM, Saylor J, Selekman J. Maternal Experiences of Transitioning Their Emerging Adult With Type 1 Diabetes to College. The Diabetes Educator. 2018;44(2):178-187. doi:10.1177/0145721718759980

• Saylor J, Lee S, Ness M, et al. Positive Health Benefits of Peer Support and Connections for College Students With Type 1 Diabetes Mellitus. The Diabetes Educator. 2018;44(4):340-347. doi:10.1177/0145721718765947

• Saylor J, West S, Roth C, Ike E, Hanna KM, Calamaro CJ. Psychosocial Educational Needs of College Students Newly Diagnosed With Type 1 Diabetes. AADE in Practice. 2017;5(6):40-45. doi:10.1177/2325160317735351

• Spain, Erin. “College Kids Need to Change Unhealthy Ways.” College Kids Need to Change Unhealthy Ways, news.northwestern.edu/stories/2014/05/college-kids-need-to-change-unhealthy-ways.

• Spero, David, and Bsn. “Is Continuous Glucose Monitoring Worth It? - Diabetes Self.” Management, Diabetes Self Management, 28 Sept. 2011, www.diabetesselfmanagement.com/blog/is-continuous-glucose-monitoring-worth-it/.

• “Stress and the College Student.” Affordable Schools, affordableschools.net/features/stress-college-student/.

• “Type 1 Diabetes.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 7 Aug. 2017, www.mayoclinic.org/diseases-conditions/type-1-diabetes/symptoms-causes/syc-20353011.

• “The Big Balance: Newly Diagnosed Type 1 Diabetes and College.” The Big Balance: Newly Diagnosed Type 1 Diabetes and College | College Diabetes Network, collegediabetesnetwork.org/big-balance-newly-diagnosed-type-1-diabetes-and-college.

• Western Governors University. “Stress in College Students for 2019: (How To Cope).” Western Governors University, Western Governors University, 18 Feb. 2020, www.wgu.edu/blog/stress-college-students-2019-how-to-cope1902.html.

Case (Blog #8)

the case I will be exploring is of a Florida Gulf Coast University student, Samira Hemraj. She was diagnosed with type 1 diabetes over winter break, causing her to have to adjust her lifestyle in order to cope with the disease that she would have to manage within the next few weeks as she made her way back to college, far from home. This case supports the debate that I will be talking about in my paper because she also talks about all of the factors I mention and goes into further life experiences that support the talking points I have mentioned. Things such as managing diabetes and how to do it, making decisions that will minimize stressors such as her living arrangements, and being organized/well prepared as well as utilizing resources offered by the university which allow her to stay both physically and mentally healthy. The research I have in relation to the case comes mainly from the articles released by the author and doctor Jennifer Saylor. She specializes in the study and data reading of those young adults who are currently in or making the transition into a college setting. Thus, it allows the talking point created in the case study to be more thoroughly supported and explained in greater detail. Other useful cases related to this one include Sarah Portewig, as she talks about common misconceptions about the disease, things that she wished people knew about the disease, etc.

https://hellogiggles.com/lifestyle/health-fitness/college-student-talked-to-us-about-living-with-diabetes/

Frame (Blog #7)

In my quest to better understand type 1 diabetes that arises during students in college years, I believe it is important to consider the student as a whole rather than just someone who just suddenly and randomly developed such a disease. In doing so, I believe my theoretical frame in my research paper is going to be about holistic healthcare, which is treating a patient by looking at all aspects of their life to determine the best way to treat their illness. This includes examining things such as mental and physical health, social habits, stress factors, relationships, etc. which are all relative to that in a college students life. I am using academic terms such as  social stressors, diabetes management, and emerging adulthood which allow me to better understand the reasons and ways that students with this disease are affected on a daily basis. The sources that offer the most insight when constructing my paper are found coming from the author, Jennifer Saylor.

Sources:

• Saylor, Jennifer, et al. “Positive Health Benefits of Peer Support and Connections for College Students With Type 1 Diabetes Mellitus.” Sage Journals, The Diabetes Educator, 27 June 2018, journals-sagepub-com.proxy.libraries.rutgers.edu/doi/pdf/10.1177/0145721718765947.
• Saylor, Jennifer, et al. “Psychosocial Educational Needs of College Students Newly Diagnosed With Type 1 Diabetes.” Sage Journals, AADE in Practice, 23 Oct. 2017.

Literature Review Blog Post #4

Citation:

• Saylor, Jennifer, et al. “Psychosocial Educational Needs of College Students Newly Diagnosed With Type 1 Diabetes - Jennifer Saylor, Sydney West, Christina Roth, Emily Ike, Kathleen M. Hanna, Christina J. Calamaro, 2017.” SAGE Journals, 23 Oct. 2017, journals.sagepub.com/doi/full/10.1177/2325160317735351#articleCitationDownloadContainer

Summary:

• In this article the author conveys a strong message portraying the social needs of a college student living with type 1 diabetes. She asserts the idea that individuals need alt of support when newly diagnosed in college or if they are already diagnosed and making the transition into college (emerging adulthood). Further, the author talks about the special needs/accommodations for students with type 1 diabetes when faced with a college lifestyle of mental health issues, alcohol consumption, and sexual activity. She explores ways in which individuals need help and guidance in these areas and how they can navigate these paths safely.

Author(s): 

• The authors who contributed to this article are Jennifer Saylor, Sydney West, Christina Roth, Emily Ike, Kathleen M. Hanna, and Christina J. Calamaro. The main author is Doctor Jennifer Saylor, who has a program of research that is dedicated to type 1 diabetes of young adults that are transitioning or already in college. Further she is an expert in mixed methods research and large databases. With this kind of background, Doctor Saylor is able to draw logical conclusions from large datasets while also using her studies and expertise in type 1 diabetes to better understand trends in the data given.

Key Terms:

• Emerging Adulthood- "the period from age 18 through age 25. It is a time when internal struggles present themselves relating to peer acceptance and the search for one’s own identity . 
• Peer Support- to have those around you, such as friends, coworkers, club members, etc. that are their to support you and your needs both mentally and physically.

Quotes:

• "As young adults experience new-found  independence and at the same time experience the profound impact of a diagnosis of type 1 diabetes, dealing with the psychological  sequelae can be overwhelming" (Saylor, p.41).
• "college students with type 1 diabetes not only need to cope with typical college living stress but also must manage their diabetes in a college environment. Having a peer support or buddy system during diagnosis may have reduced her stress and anxiety (Saylor, p.42).
• "The American Diabetes Association position statement paper recommends screening at most diabetes visits for psychosocial issues. Also recommended is screening for depressive symptoms, anxiety, and other diabetes-related distress" (Saylor, p.42)

Value:

• This article will help me explore my research question because it not only gives a real life example of a newly diagnosed type 1 diabetic and the struggles faced when diagnosed while being alone at college. It further mentions everyday interactions and instances that college students face that those with type 1 diabetes will have to take into consideration, especially when it comes to psychosocial events such as alcohol use and mental health. Another great thing it mentions is how and why mental health is effected in a student with T1D and how many students turn to alcohol to cope. However, it mentions other alternatives such as having peer support or using a buddy system to ensure one's safety. 

Visual (Blog #6)

In this graph they present the complications often associated with diabetes type 1 and 2. However the comparison between the two types are made as well as how prevalent each complication is associated with both types, side by side. This graph shows a clear representation between which type is harder to manage and the higher rates associated with type 1 due to it being harder to manage. This graph allows viewers to understand why students who suffer from type 1 have a hard time transitioning, focusing, and succeeding throughout their time at college as opposed to those without the disease.

Literature Review Blog Post #3

Citation: 

• Saylor, Jennifer, et al. “Positive Health Benefits of Peer Support and Connections for College Students With Type 1 Diabetes Mellitus.” Sage Journals, The Diabetes Educator, 27 June 2018, journals-sagepub-com.proxy.libraries.rutgers.edu/doi/pdf/10.1177/0145721718765947.

Summary:

• In the article, the author argues that a peer support group for those college students who suffer with type 1 diabetes is clearly beneficial. It is argued that by having such a support group within a university, students who are involved in the group tend to experience feeling less isolated, anxiety and depression while also becoming better at managing their diabetes than those who were not part of the college peer support group.

Authors:

• The authors of the article are, Jennifer Saylor, Sara Lee, Michelle Ness, Jodie M. Ambrosino, Emily Ike, Melissa Ziegler, Christina L. Roth, Christina Calamaro. What makes these authors knowledgeable about T1D and the studies around it is the fact that they are all doctors who either study, teach, or have dealt with patients who have T1D. With that said, all of the doctors who contributed to the article are well versed in the chronic disease which allows them to add extensive information they have gained through years of working closely with the disease.

Key Terms:

• Young Adulthood- Described as being a period of instability and vulnerability, where the transition into college often forces teens to quickly adapt and rely on themselves, becoming independent in order to deal with their own problems. 
• university-based diabetes student organization- An organization held within a college/university that is run by students with diabetes in order to support those who are seeking support for complications with their disease.

Quotes:

• "college students who were affiliated with a university-based diabetes student organization were more likely to use disability accommodations" (Saylor, p.344).
• " Participating in this peer social network may mitigate burnout, which may have the potential for derailing a student’s education, and contributes to negative physical and mental health outcomes" (p.346).
• " Acceptance has been related to more adaptive psychological functioning, fewer T1DM-related problems, and better treatment adherence" (p.344).

Value:

• This article will help me in exploring my research question because it takes into account the mental aspect of T1D, more so rather than the physic aspect. It unveils the harsh reality that many students with the disease suffer from on a daily basis, especially if they are not involved in a college based peer support group. Further, the study shows how those students involved in such groups benefit both mentally and physically, this puts an emphasis on the mental aspect of T1D and how it may be just as important as the physical aspect.

Research Proposal (Blog #4)

Landon Zagacki

Professor Goeller

Research in Disciplines: College!

22 March, 2020

Research Proposal

Working Title: 

Topic

    Throughout this paper I will evaluate the obstacles and precautions that students with type 1 diabetes are plagued with, and how it affects everyday life (mentally, socially, etc.) as a student living on a college campus, and what these students can do to matriculate into college life more easily. Further, I will dissect the procedural differences of everyday life on campus between those students with type 1 and those without it, emphasizing the complex nature of the disease and the reason these students need to be accommodated by the university they attend, as well as the kind of accommodations that should be made. 

Research Question

    How is the transition into college different for those students who have type 1 diabetes compared to those who do not have it? While attending college,what are some of the ways these obstacles affect the students education, finances, and social life? 

Theoretical Frame

    In order to grasp a better understanding of the effects that type 1 diabetes can have on college students, we will be reviewing the research report Quality of Life of College Students Living With Type 1 Diabetes: A Qualitative View, written by Fredette, Mawn, Fain and Hood. In the report the idea of emerging adulthood is mentioned, this is, “used to describe the period from age 18 through age 25” (Arnett, 2000). “It is a time when internal struggles present themselves relating to peer acceptance and the search for one’s own identity” (Faulkner, 2003). The idea of emerging adulthood can be attributed to both students with and without type 1 diabetes, in turn allowing us to establish a baseline of hardships that arise while students make such a transition. While also showing the further hardships and difficulties those students with type 1 face opposed to those without.

Revised RQ and ​ at Least ​ Five Scholarly Sources (Blog #5)

Revised Research Question: "What are the challenges students with type 1 diabetes face compared to those students who don't have chronic illnesses? How do these challenges effect other aspects of the students life (financial burden, mental health, participation in extracurriculars, social activities, etc.)? What can students with type 1 diabetes do/use in order to live a more normal college lifestyle?".

Works Cited

• Fredette J, Mawn B, Hood K, Fain J. Quality of Life of College Students Living With Type 1 Diabetes: A Qualitative View. Western Journal of Nursing Research. 2016;38(12):1595-1610. doi:10.1177/0193945916651265
• Mellinger, David C. “Preparing Students With Diabetes for Life at College.” Diabetes Care, American Diabetes Association, 1 Sept. 2003, care.diabetesjournals.org/content/26/9/2675.
• Saylor, Jennifer, et al. “Positive Health Benefits of Peer Support and Connections for College Students With Type 1 Diabetes Mellitus.” Sage Journals, The Diabetes Educator, 27 June 2018, journals-sagepub-com.proxy.libraries.rutgers.edu/doi/pdf/10.1177/0145721718765947.
  Saylor, Jennifer, et al. “Positive Health Benefits of Peer Support and Connections for College Students With Type 1 Diabetes Mellitus.” Sage Journals, The Diabetes Educator, 27 June 2018, journals-sagepub-com.proxy.libraries.rutgers.edu/doi/pdf/10.1177/0145721718765947.
  Saylor, Jennifer, et al. “Positive Health Benefits of Peer Support and Connections for College Students With Type 1 Diabetes Mellitus.” Sage Journals, The Diabetes Educator, 27 June 2018, journals-sagepub-com.proxy.libraries.rutgers.edu/doi/pdf/10.1177/0145721718765947.
• Saylor, Jennifer, et al. “Psychosocial Educational Needs of College Students Newly Diagnosed With Type 1 Diabetes.” Sage Journals, AADE in Practice, 23 Oct. 2017.
• Gordon, Katharine, et al. Going To College With Diabetes. American Diabetes Association, 2011.

Literature Review Blog Post #2

Works Cited

• Mellinger, David C. “Preparing Students With Diabetes for Life at College.” Diabetes Care, American Diabetes Association, 1 Sept. 2003, care.diabetesjournals.org/content/26/9/2675.

Summary

• Throughout the reading the author discusses both the obvious and not so obvious obstacles and challenges that student with type 1 diabetes may face when transitioning from home life into college life. As stated in the article, compared to their counterparts those with type 1 need to take extra steps before even thinking about living alone on campus, things they must consider include: meeting with their doctor prior to moving in, ensuring they have all medical equipment and necessities, how and where they will pay for drugs/equipment, and a list of other burdens that follow. Further, the author discusses the topic of what a student with type 1 should and should not do once they are settled into their new campus, relative to the habits of a typical college student. The author discusses making sure you have a roommate or someone you are usually around who knows how to handle an emergency situation of low/high blood sugar. The author also puts into discussion how to maintain a healthy diet while at college, while also being extremely cautious of one's drinking habits as well as how type 1 may interfere with a students sexual activities. 

Author

• What makes the author, Dr. David Mellinger so knowledgeable on the topic of type 1 diabetes and the transition one has into everyday college life is that his expertise is in dealing with his patients which a majority of have type 1 diabetes. Further, many of these patients are either students at universities already or are going to be students. He also is an educator to medical students/residents to various different schools and such across the country. 

Key Terms

• Diabetes Management- to control an individuals diabetes by ensuring they have all drugs, supplies, accommodations, and take the proper steps when transitioning through environments to ensure their short term and long term well being. 
• Insulin Regimen-  the way in which an individual chooses to administer insulin throughout the day

Quotes

• " Fortunately, many young adults with diabetes have health care insurance, which can substantially reduce its financial impact. But even with health insurance, the out-of-pocket expense can be significant" (Mellinger, 2675).
• "Once at school, one of the first things diabetic college students face is deciding who and what to tell others about their diabetes" (Mellinger, 2676).
• "Protection is afforded to people with diabetes under the Rehabilitation Act and the Americans with Disabilities Act" (Mellinger, 2677).

Value

• This material will help aid me in answering my research question because it provides a list of steps and challenges that students with type 1 are faced with opposed to regular students, when trying to matriculate into college life. While it also lists such challenges faced, it also explains in depth the ways that these college students should deal with such challenges while also giving the common mistakes and hiccups to try and avoid. Further, the article also focuses on how a student with type 1 can maintain a relatively healthy and normal social life while away at college, however it also takes into account the precautions the individual should take when participating in such activities such as drinking alcohol, going out to party, and their sex life. 

Literature Review Blog Post #1

Works Cite

• Fredette J, Mawn B, Hood K, Fain J. Quality of Life of College Students Living With Type 1 Diabetes: A Qualitative View. Western Journal of Nursing Research. 2016;38(12):1595-1610. doi:10.1177/0193945916651265

Summary

• In this article, a study was conducted amongst college students (ages 18-24) who had been diagnosed with type 1 diabetes for atleast a year and how the chronic disease affected their quality of life. Throughout the study the students regularly participated in phone and in person interviews to constantly update the audience how their disease played a role in daily functions and altered their experiences opposed to their counterparts. Throughout the article the students provide detailed responses to show how the type 1 diabetes made the transition into college and after harder than that of other students. With the responses given, it gave an understanding to how those with type 1 diabetes can better manage their disease while using certain strategies to improve their quality of life. 

Authors

•  The authors who contributed to the article are Judy Fredette, Barbara Mawn, Korey Hood, and James Fain. One thing these authors all have in common is that they are college professors in the medical field. Some are nursing professors while others are pediatric professors in such. But all of the authors have a solid foundation and thorough understanding of the medical field and type 1 diabetes as a disease. 

Key Terms

• Emerging Adulthood- "the period from age 18 through age 25 (Arnett, 2000). It is a time when internal struggles present themselves relating to peer acceptance and the search for one’s own identity (Faulkner, 2003). 
• Self Care- To care and prioritize ones health needs (especially during times of stress) in order to provide ones self with a better quality of life.

Quotes

• "They struggle with the decision to share the diagnosis with their peers, resulting in reports of feeling different and socially isolated (Abbott, Cairns, & Davies, 2008). As a result, emerging adults report elevated levels of social anxiety and increased risk of being rejected by their peers (Pinquart & Shen, 2011)" (Fredette 1597).
• "Common findings reflect difficulties in establishing self-care routines and maintaining glycemic control, the importance of early depression screening, a need for age-appropriate diabetes education and care, and fears of drawing attention to self" (Fredette 1598).
• "Although most college students must maneuver the stress, time management, and organizational demands of course preparation and testing, those living with T1D have the additional considerations integral to their success" (Fredette 1602).

Value

• This article will be helpful in my research of asking the question, "How does type 1 diabetes affects a college students life?" by giving real life experiences. Instead of being given the information about the disease by someone who does not have it but only has knowledge about it, we are given first hand experiences from those who are living it. That being said, the information collected from the article will give me a more in depth and richer understanding to how this disease affects the lifestyle of those living with it opposed to their peers. This article also provides me with common problems, strategies, techniques, etc. shared amongst participants with type 1 diabetes which gives a better understanding and emphasis as to what is most crucial to those with the chronic disease. 

Research question and 3 Academic sources (Blog #3)

Research Question: "How does a students sleeping habits/tendencies effect their mental health and success while attending college?"

• Sexton-Radek, K., & Hartley, A. (2013). College Residential Sleep Environment. Psychological Reports, 113(3), 903–907. https://doi.org/10.2466/06.10.PR0.113x27z2
• Iarovici, Doris. Mental Health Issues and the University Student. The Johns Hopkins University Press, 2014.
• Becker SP, Jarrett MA, Luebbe AM, Garner AA, Burns GL, Kofler MJ. Sleep in a large, multi-university sample of college students: sleep problem prevalence, sex differences, and mental health correlates. Sleep Health: Journal of the National Sleep Foundation. 2018;4(2):174-181. doi:10.1016/j.sleh.2018.01.001

Scouting the Territory (Blog #2)

As I have completed some further research on the topic I was interested in (the success in college based off of a students diet, sleep, and exercise), I realized it is a specific topic with very little material targeted towards such detailed areas. That being said, I have decided to reconsider my topic and make it more so about a students health/habits as a whole and how it effects their success. As i researched the topic, key terms such as success and health were the most useful in finding substantive articles related to my topic. A lot of health related articles and discussions in relation to college had to do with mental health rather than one's physical health which shows the struggles that students face today. On Wikipedia they talk about the stressors in a college environment, the effects it has on ones academics, and personal stressors such as students self-esteem issues when trying to fit in with others especially in fraternities and sororities. Some books that seemed to be of importance for my topic are: Self Care For College Students and College Student Mental Health: New Directions for Student Services. Some ideas I came up with by searching these topics are the important topics about how a students stress level changes throughout college which starts effecting mental and physical health dramatically. These physical health problems include sinus infection, strep throat, as well as developing disorders such as eating disorders. With further research I discovered a website that contains bar graphs in reference to different aspects of students health while in college                        ( https://www.statista.com/topics/4553/college-student-health-in-the-us/ ). This website is an important part to my research because it will provide my analysis with close detailed specifics as well as actual numbers in order to support my arguments made. Another website ( https://www.higheredtoday.org/2019/08/12/college-student-mental-health-well-survey-college-presidents/ ) also seemed to be of importance because it provided stats as well as types of things that are needed and things that can  be improved upon in order to combat mental health issues amongst college students. The information In this website will allow me to bring new talking points into my research which will allow me to provide more complex thoughts and questions. Regarding the topic of physical/mental health in college, it is agreed that it is a huge problem that needs to be take care of, however that's not the controversial topic. The controversial topic is why physical/mental health has become such an elevated issue that so many students now seem to be dealing with as opposed to those previous decades of college students.

Final Paper Idea (Blog #1)

As I ponder upon the exact issue/idea that I will be constructing my final paper around, I find it most useful to revolve it around my own personal interests and passions. That being said, I believe my final paper will have quite a bit to do with an individuals overall health (diet, exercise, sleep, etc.),  and the profound effects it has on the students success/failure while attending college and why. I would like to write about this topic because I am interested in the sport of bodybuilding, I also believe that one's general health plays a significant role in whether or not they are successful in whatever they choose to do. I plan on dissecting this topic in further blog posts, possibly focusing on a singular aspect in each posts in order to truly see the profound effects ones health can have on their success in college.