Self-care management of type 1 diabetes has improved in Swedish schools according to children and adolescents

• Aim: Age-appropriate support for diabetes self-care is essential during school time, and we investigated the perceived quality of support children and adolescents received in 2015 and 2008.Methods: This national study was based on questionnaires answered by children and adolescents aged 6–15 years of age with type 1 diabetes attending schools or preschools in 2008 (n = 317) and 2015 (n = 570) and separate parental questionnaires. The subjects were recruited by Swedish paediatric diabetes units, with 41/44 taking part in 2008 and 41/42 in 2015.Results: Fewer participants said they were treated differently in school because of their diabetes in 2015 than 2008. The opportunity to perform insulin boluses and glucose monitoring in privacy increased (80% versus 88%; p < 0.05). Most (83%) adolescents aged 13–15 years were satisfied with the support they received, but levels were lower in girls (p < 0.05). More subjects had hypoglycaemia during school hours (84% versus 70%, p < 0.001), but hypoglycaemia support did not increase and was lower for adolescents than younger children (p < 0.001).Conclusion: Children and adolescents received more support for type 1 diabetes in Swedish schools in 2015 than 2008, but more support is needed by girls and during hypoglycaemia. 

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Pediatrik (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Pediatrics (hsv//eng)

Nyckelord

Hypoglycaemia

Schools

Questionnaires

Self-care

Type 1 diabetes

glucose

hemoglobin A1c

insulin

adolescent

Article

blood glucose monitoring

child

controlled study

female

food

glucose blood level

human

hypoglycemia

insulin dependent diabetes mellitus

major clinical study

male

nutritional support

parent

patient attitude

priority journal

questionnaire

school

self care

sex difference

Sweden

Hypoglycaemia

Schools

Questionnaires

Self-care

Type 1 diabetes

quality-of-life

population-based register

mellitus

health

parents

hypoglycemia

metaanalysis

performance

sweden

asthma

Pediatrics

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)