Insulin Self-injection in School by Children with Type 1 Diabetes Mellitus
Annals of Pediatric Endocrinology & Metabolism
;
: 224-229, 2012.
Article
in Korean
| WPRIM
| ID: wpr-179895
ABSTRACT
PURPOSE:
Patients with type 1 diabetes have difficulty controlling diabetes during adolescence. Active self-management of diabetes in school during adolescence is essential for type 1 diabetic adolescents to successfully adapt to school and shift toward a healthy adulthood. This research examined insulin self-injection in school by diabetic adolescents and the correlation between the control of blood sugar and school adaptation.METHOD:
Forty adolescents (aged 10-18 years) who were receiving care for type 1 diabetes in pediatric divisions of two university hospitals in the Incheon and Bucheon area from July 2011 to May 2012 were surveyed.RESULTS:
Of the intense insulin treatment group (33/40), self-administration of insulin took place outside (22/33, 67%) and inside (11/33, 33%) restrooms. There was no significant difference in hemoglobin A1c between the two groups (P=0.7). 60% of those that had self-injected themselves within the restroom had not exposed their diabetes with more than 5 friends, while only 23% of those that had self-injected themselves outside the restroom had not exposed their diabetes with more than 5 friends, showing statistic significance between the two groups (P=0.02). There was also a significant difference in the frequency of experiencing depression 91% for the group with self-injection in the restroom and 45% for the group with self-injection outside the restroom (P=0.02).CONCLUSION:
Thirty-three percent of diabetic adolescents administered insulin in the restroom. These diabetic adolescents were reluctant to discuss the disease with others and had a higher frequency of experiencing depression. Thus, schools need to provide active support and care for students with type 1 diabetes.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Self Care
/
Blood Glucose
/
Hemoglobins
/
Ophthalmoplegia
/
Mitochondrial Diseases
/
Friends
/
Depression
/
Diabetes Mellitus, Type 1
/
Hospitals, University
/
Hypogonadism
Limits:
Adolescent
/
Child
/
Humans
Language:
Korean
Journal:
Annals of Pediatric Endocrinology & Metabolism
Year:
2012
Type:
Article
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