Being in Balance: Self-Management Experiences Among Young Women with Type 1 Diabetes

Women possess characteristics and experiences unique and different from men. Biological processes such as puberty, menstruation, motherhood and menopause may present challenges to self-management for individuals living with type 1 (T1) diabetes mellitus. In this study, descriptive phenomenology was used to uncover the self-management experiences of nine women aged 2230 years living with T1 diabetes. Data collection and analysis occurred simultaneously and followed the methodical structure of van Manen (1997). Study findings revealed five themes: 1) elusiveness of control; 2) dualism of technology; 3) forecasting and maintaining routines; 4) dealing with the "ups and downs"; and, 5) interfacing with the health care team. The essence of the experience for participants revolved around trying to achieve a state of "being in balance." For these young women, self-management encompassed a desire and need to be in balance with their life and blood sugar levels.