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Self-care management of type 1 diabetes has improved in Swedish schools according to children and adolescents
Department of Internal Medicine, Västmanland County Hospital, Västerås, Sweden.
Department of Paediatrics, Ryhov County Hospital, Jönköping, Sweden; Futurum – The Academy for Health and Care, Jönköping University, Jönköping, Sweden.
Department of Paediatrics, Ryhov County Hospital, Jönköping, Sweden.
Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; The Queen Silvia Children’s Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden.
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2017 (Engelska)Ingår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 106, nr 12, s. 1987-1993Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

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.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2017. Vol. 106, nr 12, s. 1987-1993
Nyckelord [en]
Hypoglycaemia, Schools, Questionnaires, Self-care, Type 1 diabetes
Nationell ämneskategori
Pediatrik
Identifikatorer
URN: urn:nbn:se:oru:diva-59430DOI: 10.1111/apa.13949ISI: 000414913500018PubMedID: 28608928Scopus ID: 2-s2.0-85021820368OAI: oai:DiVA.org:oru-59430DiVA, id: diva2:1137349
Tillgänglig från: 2017-08-31 Skapad: 2017-08-31 Senast uppdaterad: 2018-08-05Bibliografiskt granskad

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