本研究主要目的在於探討胰島素依賴型糖尿病病患之自我照顧情形，及其對糖尿病控制的影響。以中華民國糖尿病學會組織的「臺北市胰島素依賴型糖尿病調查小組」所登錄的個案及「康泰幼年型糖尿病聯誼會」會員中曾接受體檢並完成自我照顧調查之個案為主，採敘述性與相關性調查研究法。 本研究工具之項目包括：（1）自我照顧調查表（2）家人態度量表（3）心理適應量表（4）糖尿病知識評估表（5）體檢所得血糖值及糖化血色素值。結果顯示在130病例中，年齡以7 歲∼12歲所佔比率最多（43人，33.1％），有63％（82人）病患發病在12歲以下。82.2％（106人）病例於最近一個月內有檢查血糖；91.5％（118人）每天能按時規則注射胰島素；但只有33.3％（43人）的患者常按照營養師所設計食譜進食。 130 位病患中有73位參予體檢。經由推論統計分析相關值，發現自我照顧較好者其糖化血色素值較低，有關糖尿病知識愈多者，其糖化血色素值則愈低。複迴歸統計進一步分析發現，自我照顧行為可以解釋35％的HbA�u之變異量，自我照顧行為及知識可以解釋47％的HbA�u之變異量。本研究證實自我照顧與知識對糖尿病控制的重要性。

　　　　　This study was conducted with a descriptive and correlational design to investigate the self-management of patients with insulin-dependent diabetes (IDDM), and to analyze its influence on diabetic control. The subjects were recruited from the enrolled list of a survey project of Taipei IDDM Registry and from the list of the Kang-Tai IDDM association. One hundred and thirty subjects either completed the questionnaires by themselves or being interviewed by well trained nurses. Seventy-three subjects participated the annual physical examination which was supported by the Department of Health, Executive Yuan, the diabetic association and the Kang-Tai IDDM association of this country. The questionnaires included: (1) the self-management assessment based on self-monitoring of blood sugar, diet, insulin injection, exercise, safety procedure, foot care, etc., (2) the IDDM knowledge assessment, (3) the psycho-social assessment, (4) the diabetic family behavior checklist, (5) the blood sugar value and HbA�u value simultaneously done at the physical examination. These assessments were approved with the content validity and the adequacy reliability in this study. Results indicated: the most IDDM patients were at the ages from 7 to 12 years old (33.1%); The majority of patients developed diabetes before the age of 12 (63.0%); 82.2% of patients did the blood sugar test within recent one month; and 91.5% of patients had regular insulin injections; however, only 33.3% of patients followed the diet instructed by dietician; The self-management negatively associated with the HbA �u. The better the self-management was, the lower the value of HbA�u would be. The negative association also existed between diabetic knowledge and HbA �u. Using a stepwise multiple regression, self-management was found to explain 35% variance of HbAIC level, and combining with knowledge which could explain 47% variance of HbA�u level. This study confirmed the importance of self-management and knowledge relevant to the diabetic control.