[Integration to school of young children with type 1 diabetes on insulin pump therapy: parent's feed-back]

H Crosnier1, N Tubiana-Rufi2

  • 1Service de pédiatrie, centre hospitalier intercommunal de Poissy-Saint-Germain-en-Laye, 10, rue du Champ-Gaillard, 78300 Poissy, France.

Insights

Continuous subcutaneous insulin infusion (CSII) is popular for young children with type 1 diabetes (T1D). While parental satisfaction is high, managing T1D in school settings presents significant challenges that require improvement.

Area of Science:

  • Pediatrics
  • Endocrinology
  • Diabetes Management

Context:

  • Increasing incidence of type 1 diabetes (T1D) in children under 5.
  • Growing popularity of continuous subcutaneous insulin infusion (CSII) for pediatric T1D in France.
  • Need to assess T1D management in non-parental care settings.

Purpose:

  • To evaluate the quality of diabetes management for young children with T1D using CSII in daycare and school settings.
  • To identify challenges faced by parents and children in these environments.
  • To assess parental satisfaction with current T1D care outside the home.

Summary:

  • A retrospective questionnaire surveyed parents of 42 children (mean age 4.8 years) on CSII for T1D.
  • Most parents reported good overall satisfaction but faced significant difficulties (e.g., exclusion, pump use, glucose monitoring).
  • Despite challenges, children generally had safe school experiences, highlighting the need for improved support and education for caregivers.

Impact:

  • Highlights the need for better training and support systems for daycare staff and teachers managing T1D.
  • Suggests that improved caregiver education can lead to more positive and inclusive experiences for children with T1D.
  • Informs strategies to enhance the safety and quality of life for young children with T1D in educational and care settings.

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