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We used a qualitative descriptive approach with semi\u2010structured interviews of adolescents together with their parents. Interview data were reviewed, coded, and combined into themes about participant experiences with T1DM. Twenty\u2010four adolescents (mean age: 15.4 years) and 23 parents participated. Analysis resulted in three themes: (a) Understanding and adapting to T1DM (i.e., initial fear and misunderstandings of T1DM; adolescents' reflections on living with a chronic health condition); (b) Coming to terms with social and environmental influences on T1DM self\u2010management (i.e., T1DM as disruptive to school and social activities; dealing with stigma and judgments related to diabetes); and, (c) Integrating T1DM self\u2010management expectations with components of Latino cultures (i.e., orientation toward family well\u2010being; parent concerns about cultural preferences that influence food choices, positive influence of spirituality and religiousness; parental views of their current health care in comparison to that available in their place of birth). Adolescents and their parents reported experiences that are universal to adolescents with T1DM in addition to challenges that are unique to Latinos. Efforts aimed at improving T1DM self\u2010management during adolescence with this population need to be tailored to meet the unique social and cultural contexts and delivered in a culturally and linguistically congruent manner.<\/jats:p>","DOI":"10.1002\/nur.22019","type":"journal-article","created":{"date-parts":[[2020,4,13]],"date-time":"2020-04-13T01:08:52Z","timestamp":1586740132000},"page":"263-273","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Perceptions and experiences of living with type 1 diabetes among Latino adolescents and parents with limited English proficiency"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8356-2222","authenticated-orcid":false,"given":"Kevin L.","family":"Joiner","sequence":"first","affiliation":[{"name":"School of Nursing University of Michigan  Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2660-3358","authenticated-orcid":false,"given":"Melissa","family":"DeJonckheere","sequence":"additional","affiliation":[{"name":"Department of Family Medicine University of Michigan  Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9434-0230","authenticated-orcid":false,"given":"Robin","family":"Whittemore","sequence":"additional","affiliation":[{"name":"School of Nursing Yale University  Orange Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2473-8088","authenticated-orcid":false,"given":"Margaret","family":"Grey","sequence":"additional","affiliation":[{"name":"School of Nursing Yale University  Orange Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,4,12]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)31142-0"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.12743"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-005625"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2006.07.017"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.12372"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.2337\/dci18-0023"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2018.08.003"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(94)70190-3"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/fmch-2018-000057"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedhc.2015.06.001"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.2337\/ds16-0082"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145721709349219"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2013.10.003"},{"key":"e_1_2_6_15_1","volume-title":"2015, Hispanic population in the United States statistical portrait: Statistical portrait of hispanics in the United States","author":"Flores A.","year":"2017"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-5448.2003.00020.x"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1067\/mpd.2000.106568"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/NNR.0b013e3182159c8f"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc12-2199"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1353\/dem.0.0091"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsm081"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14148"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-0207"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsp045"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc12-0669"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2010.01.012"},{"key":"e_1_2_6_27_1","volume-title":"Race, ethnicity, and language data: Standardization for health care quality improvement","author":"IOM (Institute of Medicine)","year":"2009"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2018.1851"},{"key":"e_1_2_6_29_1","volume-title":"English proficiency on the rise among latinos: U.S. born driving language changes","author":"Krogstad J. 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