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This is a qualitative case study on adult users of continuous subcutaneous insulin infusion. • Developing psychosocial evaluation prior to the initiation of insulin infusion would set expectations of therapy and help clinicians decide the eligibility of patients for insulin infusion. • Regular education should be provided by nurse educators to maintain the psychosocial wellbeing of patients who suffer from fear of pump malfunction. AbstractObjectives: We aimed to determine the quality of life (QoL) of Kuwaiti adults with type 1 diabetes mellitus (T1DM) who used continuous subcutaneous insulin infusions (CSIIs) and to understand their perception of this treatment. Background: CSII is an effective and safe alternative to multiple daily injections for T1DM, with the potential to improve both glycemic control and QoL. Although CSII has been widely used in Kuwait, its effectiveness and benefits have not been properly evaluated. Healthcare providers and patients need more information on CSII before its initiation. Methods: In this qualitative case study, semi-structured individual interviews were performed using a topic guide. Interviews were

Background:Kuwait has a high prevalence and incidence of type 1 diabetes (T1D). At present there is a need for structured educational programs (SEP) specifically tailored for Arabian youth with T1D. This SEP was locally and culturally adapted from the Kids In Control of Food (KICk-OFF) course delivered at the Dasman Diabetes Institute, Kuwait. Aims:To explore the psychological and social impact of a pilot SEP for Arabian youth with T1D and their mothers through exploring their respective perspectives. Methods:All 20 participants were interviewed using semistructured interviews individually, with a duration of approximately 30-45 min. The interviews were recorded and then transcribed verbatim. Data were analyzed using an inductive thematic approach. Results:The adolescents gained more self-confidence in managing their diabetes and their mothers were more confident in allowing their children take the lead in their diabetes self-management. Participants were empowered with adequate knowledge about the underlying pathophysiology of glucose metabolism and the nutritional and pharmacological management which made them feel in control and helped them to better cope with diabetes. It reduced diabetes-related family stress and gave them more social freedom, supporting behavioral change for a better lifestyle. Conclusions:Attending the adapted SEP had a positive impact on adolescents with T1D and their mothers through enhancement of their knowledge and confidence, thus giving them a sense of disease control. This pilot study has proven effective in terms of enhancement of confidence in diabetes management and psychosocial factors. Therefore, there is a need for a wider implementation.

Background: Kuwait is the second highest country in the incidence of T1D globally. Familial study of this disease may disclose certain causative agents responsible for passing the disease through families. The recruitment of T1D patients and their family members to participate in a Kuwaiti autoimmune diabetes (KADS) Study was challenging. It is a longitudinal study, it required taking blood samples every 6 months for 3 years duration for all family members of a person with diabetes. It is important to note that, in Kuwait, convincing families to participate in researches were an extremely difficult task which needs a highly skilled personal to persuade family participations. Aim: This abstract aimed to examine different recruitment approaches which were used and highlights the role of diabetes educators (DE) in the recruitment process. Method: Three recruitment approaches were examined.1-Physician-approach; recruitment took place through their physicians follow up visit.2-Research coordinator (RC) approach recruitment took place in the clinic area. While patient is waiting for his medical appointment the research coordinator offers participating in the research.3-DE approach Recruitment took place through their educator follow up visit. Results: Physicians were able to recruit 22 participants, but none of them completed the process of participation. While the RC could not recruit any participants. However, the DEs were able to recruit 274 participants. Conclusion: Although the Kuwaiti families are generally obedient to their doctors, the physician were not able to recruit only few participants for this study. In contrast, the prolonged pre-established good relationship between the patient, family and the DE resulted in mutual trust and facilitated the process of recruitment. Hence, more subjects were recruited compare to the physician and the RC approaches. Thus, the DE approach was proved to be a successful approach to recruit people for researches. Disclosure Z. Rahme: None. N.A. Taha: None. N. Mesbah: None.

Objective: to investigate the impact of basic insulin pump training for school nurses and physicians on knowledge and confidence in caring for type1 diabetes[T1D] students using insulin pump therapy [IPT]. Methods: In groups of 15 healthcare professionals, a pediatric diabetologist and 3 diabetes educators (who are certified pump trainers) provided basic pump training for 137 healthcare providers, who were novice to IPT. For a duration of 4 hours, the training included 2 interactive lectures about IPT, management protocols of hyperglycemia, hypoglycemia and ketosis, followed by hands-on insulin pump workshop. Pre and post knowledge assessment about IPT management was performed using a 10-item knowledge questionnaire. Pre and post confidence level were assessed with a 9-item questionnaire using Likert’s scale T. Results: 62 school nurses (7males) mean age 41.5 ± 11.7, with school experience of 8.8 ± 9.1 y and 75 school physicians (13 males), mean age 36.25 ± 6.2, with school experience 3.4 ± 1.5 y; attended the mentioned training. Pre and post knowledge assessment and confidence level scores were compared using Pearson’s correlations. Significant improvement in knowledge were found for both schools' physicians (r=0.007) and nurses (r=0.01). Additionally, significant improvement in confidence in caring for T1D students on insulin pump were found for both school physicians (p-value=0.047) and school nurses (p-value=0.018). Conclusion: Pre-assessment showed the lack of knowledge and low confidence of school healthcare professionals about IPT. Significant improvement in knowledge and confidence in caring for T1D students who are on IPT resulted from the delivery of these workshops, which proved the effective role of diabetes educators to pump the knowledge and skills and enhanced their confidence in providing essential management for students at schools. Disclosure Z. Rahme: None. N. Mesbah: None. F. Aljaser: None. E. Saad: None. N.A. Taha: None.