Poor metabolic control during menstruation and sexual abuse issues in an adolescent with diabetes

A case study is presented that describes the deterioration of a patient's d iabetes control during her menstrual cycle in terms of her psychological fu nctioning and family context. Therapeutic interventions pertinent toward im proving diabetes control, resolving issues of abuse, and increasing family communication are addressed. The outcome of this case study supports the co ntention that psychological factors can impact diabetes control significant ly during menstruation in young women.