Current Diabetes Technologies and Everyday School Life of Children and Adolescents with Type 1 Diabetes: Did We Do Our Homework?
Authors' conclusion
Despite a well-resourced healthcare system, schools lack integrated standardized diabetes support. Although AID use improved glycemic control, this did not translate into better school participation and was associated with increased school-related contacts, suggesting a shift in burden to parents, possibly due to insufficient support for AID use in school. Structured, integrated support adapted to new diabetes technologies is needed.
Study context
- Population
- Parents of school-aged children (6–16 years) with type 1 diabetes (T1D) in Germanyparents participated (77.6% mothers) · primary school 203 · secondary school 554 · special needs schools 13
- Participants
- 775 parents
- Outcome
- External support during school hours among primary school children
Main finding
As reported in the abstract
Primary school children who received external support during school hours
76%
Observational data: associations, not effects.
Further findings
Participation in school activities
- Secondary school students unable to participate in certain activities
- 10%-28%
- Primary school students unable to participate in certain activities
- 24%-61%
- Secondary school students were more likely to participate in school activities
HbA1c levels
- HbA1c levels were lower among automated insulin delivery (AID) users
School participation with AID use
- AID use did not improve participation
School phone calls
- AID use was associated with more frequent school phone calls
- P = 0.042
Early pick-ups
- AID use was associated with more frequent early pick-ups
- P < 0.001
Parental working hours · immediately following the child's diabetes diagnosis
- Parents who reduced their working hours
- Approximately one-third
Original publication
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