Insulin Self-injection in School by Children with Type 1 Diabetes Mellitus.
10.6065/apem.2012.17.4.224
- Author:
So Hyun PARK
1
;
Hee Sook KANG
;
Seoun Young HWANG
;
Sun Hye HWANG
;
Younglim SHIN
;
Ji Eun LEE
Author Information
1. Department of Pediatrics, School of Medicine, Inha University, Incheon, Korea. anicca@inha.ac.kr
- Publication Type:Original Article
- Keywords:
Diabetes mellitus, type 1;
Adolescent;
Insulin;
Schools
- MeSH:
Adolescent;
Blood Glucose;
Child;
Depression;
Diabetes Mellitus, Type 1;
Friends;
Hemoglobins;
Hospitals, University;
Humans;
Hypogonadism;
Insulin;
Mitochondrial Diseases;
Ophthalmoplegia;
Self Care
- From:Annals of Pediatric Endocrinology & Metabolism
2012;17(4):224-229
- CountryRepublic of Korea
- Language:Korean
-
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.
