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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 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227Article in journal (Refereed) Epub ahead of print
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.

Place, publisher, year, edition, pages
Blackwell Publishing, 2017.
Keyword [en]
Hypoglycaemia, Schools, Questionnaires, Self-care, Type 1 diabetes
National Category
Pediatrics
Identifiers
URN: urn:nbn:se:oru:diva-59430DOI: 10.1111/apa.13949OAI: oai:DiVA.org:oru-59430DiVA: diva2:1137349
Available from: 2017-08-31 Created: 2017-08-31 Last updated: 2017-09-04Bibliographically approved

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CiteExportLink to record
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