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Improved diabetes management in Swedish schools: results from two national surveys
Örebro University, School of Medical Sciences. Department of Pediatrics.ORCID iD: 0000-0002-1440-9961
Department of Pediatrics, Ryhov County Hospital, Jönköping, Sweden; Futurum-The Academy of Health and Care, Jönköping University, Jönköping, Sweden.
Swedish Diabetes Association, Stockholm, Sweden.
Department of Pediatrics, Ryhov County Hospital, Jönköping, Sweden.
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2017 (English)In: Pediatric Diabetes, ISSN 1399-543X, E-ISSN 1399-5448, Vol. 8, no 6, p. 463-469Article in journal (Refereed) Published
Abstract [en]

Background: Support in diabetes self-care in school is essential to achieve optimal school performance and metabolic control. Swedish legislation regulating support to children with chronic diseases was strengthened 2009.

Objective: To compare the results of a national survey conducted 2008 and 2015 measuring parents' and diabetes specialist teams' perceptions of support in school.

Method: All pediatric diabetes centers in Sweden were invited to participate in the 2015 study. In each center, families with a child being treated for T1DM and attending preschool class or compulsory school were eligible. The parents' and the diabetes teams' opinions were collected in two separate questionnaires.

Results: Forty-one out of 42 eligible diabetes centers participated and 568 parents answered the parental questionnaire in 2015. Metabolic control had improved since the 2008 survey (55.2 ± 10.6 mmol/mol, 7.2% ± 1.0%, in 2015 compared with 61.8 ± 12.4 mmol/mol, 7.8% ± 1.1% in 2008). The proportion of children with a designated staff member responsible for supporting the child's self-care increased from 43% to 59%, (P < .01). An action plan to treat hypoglycemia was present for 65% of the children in 2015 compared with 55% in 2008 (P < .01). More parents were satisfied with the support in 2015 (65% compared with 55%, P < .01).

Conclusions: This study shows that staff support has increased and that more parents were satisfied with the support for self-care in school in 2015 compared with 2008. More efforts are needed to implement the national legislation to achieve equal support in all Swedish schools.

Place, publisher, year, edition, pages
Hoboken, USA: Wiley-Blackwell, 2017. Vol. 8, no 6, p. 463-469
Keywords [en]
adolescent; child; diabetes mellitus; type 1; schools; self-care
National Category
Pediatrics Endocrinology and Diabetes
Identifiers
URN: urn:nbn:se:oru:diva-51472DOI: 10.1111/pedi.12418ISI: 000406631200008PubMedID: 27470982Scopus ID: 2-s2.0-84994417353OAI: oai:DiVA.org:oru-51472DiVA, id: diva2:950916
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Novo NordiskAvailable from: 2016-08-03 Created: 2016-08-02 Last updated: 2017-10-18Bibliographically approved

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