Problems in diabetes managment in school setting in children and adolescents with type 1 diabetes in Serbia

Background/Aim. Children with type 1 diabetes typically spend one-third of the day in school and they should achieve the same level of diabetes management there as they do outside the school environment. The aim of this study was to identify problems in diabetes management in children with...

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Main Authors: Ješić Maja D., Milenković Tatjana, Mitrović Katarina, Todorović Slađana, Zdravković Vera, Ješić Miloš M., Bošnjović-Tucaković Tatjana, Marković Slavica, Vorgučin Ivana, Stanković Sandra, Sajić Silvija
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2016-01-01
Series:Vojnosanitetski Pregled
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Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501600007J.pdf
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author Ješić Maja D.
Milenković Tatjana
Mitrović Katarina
Todorović Slađana
Zdravković Vera
Ješić Miloš M.
Bošnjović-Tucaković Tatjana
Marković Slavica
Vorgučin Ivana
Stanković Sandra
Sajić Silvija
author_facet Ješić Maja D.
Milenković Tatjana
Mitrović Katarina
Todorović Slađana
Zdravković Vera
Ješić Miloš M.
Bošnjović-Tucaković Tatjana
Marković Slavica
Vorgučin Ivana
Stanković Sandra
Sajić Silvija
author_sort Ješić Maja D.
collection DOAJ
description Background/Aim. Children with type 1 diabetes typically spend one-third of the day in school and they should achieve the same level of diabetes management there as they do outside the school environment. The aim of this study was to identify problems in diabetes management in children with type 1 diabetes at school according to the perceptions reported by children and parents. Methods. This crosssectional survey was carried out at nine public hospitals in Serbia with a cohort of 6-18-year old children/adolescents. The parents were personally informed about the objectives of the survey and the necessity to involve their children. The self-reporting questionnaire included demographic information as well as some questions that helped to evaluate the general situation of children with type 1 diabetes at school. Results. The obtained results show that not all children test blood glucose levels at school (50% of children in the 6-10- year-old age group and 67.3% in the age group over 11 years) and that not all children receive insulin at school (81.1% vs 18.9%, and 57.7% vs 42.3%, respectively). The frequency of severe hypoglycemia was 2.7% in children and 3.3% in adolescents. A high proportion of teachers did not have diabetes training. Conclusion. This brief report about problems in children and adolescents with type 1 diabetes at school in Serbia indicates what happens in the school setting and suggests how to improve control of this disease and facilitate the complete integration of children with diabetes at school.
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spelling doaj-art-fe9c6d4d1ff542ae9ba3c2faa0c4ad7f2025-08-20T02:22:32ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202016-01-0173327327610.2298/VSP150203007J0042-84501600007JProblems in diabetes managment in school setting in children and adolescents with type 1 diabetes in SerbiaJešić Maja D.0Milenković Tatjana1Mitrović Katarina2Todorović Slađana3Zdravković Vera4Ješić Miloš M.5Bošnjović-Tucaković Tatjana6Marković Slavica7Vorgučin Ivana8Stanković Sandra9Sajić Silvija10University Children’s Hospital, Belgrade + Faculty of Medicine, BelgradeMother and Child Health Care Institute of Serbia "Dr Vukan Čupić", BelgradeMother and Child Health Care Institute of Serbia "Dr Vukan Čupić", BelgradeMother and Child Health Care Institute of Serbia "Dr Vukan Čupić", BelgradeUniversity Children’s Hospital, Belgrade + Faculty of Medicine, BelgradeUniversity Children’s Hospital, Belgrade + Faculty of Medicine, BelgradeHealth Center “Studenica”, KraljevoPediatric Clinic, Clinical Center Kragujevac, KragujevacInstitute for Child and Youth Health Care of Vojvodina, Novi SadClinical Center Niš, Clinic for Childrens Internal Disease, NišUniversity Children’s Hospital, Belgrade + Faculty of Medicine, BelgradeBackground/Aim. Children with type 1 diabetes typically spend one-third of the day in school and they should achieve the same level of diabetes management there as they do outside the school environment. The aim of this study was to identify problems in diabetes management in children with type 1 diabetes at school according to the perceptions reported by children and parents. Methods. This crosssectional survey was carried out at nine public hospitals in Serbia with a cohort of 6-18-year old children/adolescents. The parents were personally informed about the objectives of the survey and the necessity to involve their children. The self-reporting questionnaire included demographic information as well as some questions that helped to evaluate the general situation of children with type 1 diabetes at school. Results. The obtained results show that not all children test blood glucose levels at school (50% of children in the 6-10- year-old age group and 67.3% in the age group over 11 years) and that not all children receive insulin at school (81.1% vs 18.9%, and 57.7% vs 42.3%, respectively). The frequency of severe hypoglycemia was 2.7% in children and 3.3% in adolescents. A high proportion of teachers did not have diabetes training. Conclusion. This brief report about problems in children and adolescents with type 1 diabetes at school in Serbia indicates what happens in the school setting and suggests how to improve control of this disease and facilitate the complete integration of children with diabetes at school.http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501600007J.pdfdiabetes mellitus, type 1childSerbiaschoolsquestionnairespreventive health services
spellingShingle Ješić Maja D.
Milenković Tatjana
Mitrović Katarina
Todorović Slađana
Zdravković Vera
Ješić Miloš M.
Bošnjović-Tucaković Tatjana
Marković Slavica
Vorgučin Ivana
Stanković Sandra
Sajić Silvija
Problems in diabetes managment in school setting in children and adolescents with type 1 diabetes in Serbia
Vojnosanitetski Pregled
diabetes mellitus, type 1
child
Serbia
schools
questionnaires
preventive health services
title Problems in diabetes managment in school setting in children and adolescents with type 1 diabetes in Serbia
title_full Problems in diabetes managment in school setting in children and adolescents with type 1 diabetes in Serbia
title_fullStr Problems in diabetes managment in school setting in children and adolescents with type 1 diabetes in Serbia
title_full_unstemmed Problems in diabetes managment in school setting in children and adolescents with type 1 diabetes in Serbia
title_short Problems in diabetes managment in school setting in children and adolescents with type 1 diabetes in Serbia
title_sort problems in diabetes managment in school setting in children and adolescents with type 1 diabetes in serbia
topic diabetes mellitus, type 1
child
Serbia
schools
questionnaires
preventive health services
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501600007J.pdf
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