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Updated: May 4, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
[Integration to school of young children with type 1 diabetes on insulin pump therapy: parent's feed-back]
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.
Abstract:
There is an increase in the incidence of type 1 diabetes (T1D) in children younger than 5 years of age and continuous subcutaneous insulin infusion (CSII) appears to be an increasingly popular therapeutic option in France. A retrospective self-evaluation questionnaire was distributed to parents of young children with T1D treated by CSII (42 children, age 4.8±1.0 years, 2.3±0.5 years at the onset of TD1, mean± SD). It focused on the quality of diabetes management in daycare centers or with nannies and at school. Parental satisfaction related to the management of their children was overall good (84% for all the parents, 70.5% for the parents of children at nursery-school, from 3 to 6 years. However 93% of the parents experienced and overcame serious difficulties: exclusion of the children on account of DT1 (school trips, daycare centers after school), use of the pump for lunch and snacks, realization of glycemic controls, participation in school trips, survey during school meals. In spite of these difficulties these young children had a normal and safe time at school. The management of the young children with DT1, treated by CSII, in alternate care centers and at school need to be improved; the experience was positive when daycare workers and teachers agreed to be instructed.
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