CE: Diabetes and Puberty: A Glycemic ChallengeTrast, Jeniece MA, BSN, RN, CDEAJN, American Journal of Nursing: July 2014 - Volume 114 - Issue 7 - p 26–30,32-35 doi: 10.1097/01.NAJ.0000451674.51200.6e Feature Articles Abstract In Brief Author Information Overview: As children with diabetes enter adolescence, the physical and psychological changes of puberty add to the challenges of disease management. This often leads to increased stress for both parent and child and to poor overall glucose control with potential short- and long-term complications. During this period of transition, nurses play a central role in teaching patients and their families about the effects of puberty on insulin sensitivity and glucose metabolism, and in discussing how the emotional and behavioral changes associated with this challenging time can affect diabetes management. Nurses play a central role in helping adolescent patients and their families cope with the effects of puberty on diabetes management. Jeniece Trast is a clinical research nurse and certified diabetes educator in the Division of Pediatric Endocrinology and Diabetes at the Children's Hospital at Montefiore Medical Center, Bronx, NY. Contact author: firstname.lastname@example.org. The author and planners have disclosed no potential conflicts of interest, financial or otherwise. © 2014 Lippincott Williams & Wilkins. All rights reserved.