Management of type 1 diabetes in primary schools in Ireland: a cross-sectional survey

McCollum, Danielle; Mason, Olivia; Codd, Mary; O’Grady, Michael J.

doi:10.1007/s11845-018-1942-7

Cited by 17 publications

(25 citation statements)

References 15 publications

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“…Regarding insulin administration, the present study identified that 85% of insulin boluses administered using insulin pumps were given in the classroom, whereas for insulin boluses administered in MDI regimens, 58% were injected in the school bathroom. A similar disparity has been observed in Irish primary school pupils . These findings contrast with the study by Särnblad et al .…”

Section: Discussioncontrasting

confidence: 64%

“…In the present study, 22% of adolescents received staff support for diabetes self‐care behaviours and 10% had an SNA. Moreover, adolescents were less likely to receive assistance than younger schoolchildren , a finding replicated in studies conducted in other jurisdictions . In a recent Swedish study, 40% of adolescents had access to one or more designated staff members to support diabetes self‐care but the prevalence of additional staff resources in the classroom because of the presence of a pupil with diabetes was just 3%.…”

Section: Discussionmentioning

confidence: 82%

“…The process of questionnaire development has been described in detail previously . It was developed by the senior author (M.O.G.)…”

Section: Methodsmentioning

confidence: 99%

“…Data were entered into a Microsoft Excel spreadsheet (Microsoft Corp., Redmond, WA, USA). Missing data were imputed where possible to do so accurately; however, imputation was only possible for data regarding insulin regimen, as reported previously . The data contained six different options for insulin type.…”

Section: Methodsmentioning

confidence: 99%

“…Data were coded with StatsDirect version 2.7.8 and evaluated for associations, differences in means and correlations using chi‐squared tests, Mann–Whitney U ‐tests, t ‐tests, Tukey's honest significant difference (HSD), anova and Pearson's r. A P value < 0.05 was taken to indicate statistical significance. In addition, analysis was conducted to compare data from this cohort with those from a previously published cohort of Irish primary school students studied using the same instrument .…”

Section: Methodsmentioning

confidence: 99%

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Diminished school‐based support for the management of type 1 diabetes in adolescents compared to younger children

McCollum

O’Grady

2019

Diabet. Med.

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Aims To evaluate diabetes management at school in a large cohort of adolescents with type 1 diabetes and to compare the level of support provided to adolescents with that provided to younger children.Methods Questionnaires were distributed to adolescents with type 1 diabetes attending nine regional and tertiary paediatric diabetes services in the Republic of Ireland. The data collected included patient demographics, treatment regimen and support provided for self-care management. Results were compared with a similar cohort of primary school children with type 1 diabetes, studied using similar methodology. ResultsThe study cohort comprised 405 adolescents with a median age of 15 years, of whom 215 (54%) were on multiple daily injections and 128 (32%) were on pump therapy. Eighty-five percent of pump users administered their bolus insulin in classrooms, whereas 76% of those on a multiple daily injection regimen injected outside the classroom. Girls were less likely to administer bolus insulin in an office (10% vs 19%) and more likely to administer it in the bathroom (50% vs 34%; P=0.01). Twenty-five adolescents (12%) on multiple daily injection regimens did not administer bolus insulin at school. Compared to primary school children with type 1 diabetes, adolescents were less likely to use pump therapy, have an emergency treatment plan and have a designated staff member responsible for care needs.Conclusions Support provided to adolescents with type 1 diabetes is diminished compared with that provided to younger schoolchildren.

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Section: Discussioncontrasting

confidence: 64%

Section: Discussionmentioning

confidence: 82%

“…The process of questionnaire development has been described in detail previously . It was developed by the senior author (M.O.G.)…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%