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Ann Pediatr Endocrinol Metab > Volume 17(4); 2012 > Article
Insulin Self-injection in School by Children with Type 1 Diabetes Mellitus.
So Hyun Park, Hee Sook Kang, Seoun Young Hwang, Sun Hye Hwang, Younglim Shin, Ji Eun Lee
1Department of Pediatrics, School of Medicine, Inha University, Incheon, Korea.
2Childrens Hospital School, Inha University Hospital, Incheon, Korea.
3Department of Pediatrics, College of Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
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.
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).
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.
Keywords: Diabetes mellitus, type 1;Adolescent;Insulin;Schools


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