FACTORS ASSOCIATED WITH INSULIN ADHERENCE IN TYPE 1 DIABETIC CHILDREN ATTENDING DR JAMAL AHMED RASHID PAEDIATRIC TEACHING HOSPITAL IN SULAIMANI CITY

Volume 11 , Issue 4 , December 2021 , Pages 469-476

Authors

Alan Abdullah Abdulrahman 1

1 Department of Paediatrics, College of Medicine, University of Sulaimani, Kurdistan region, Iraq.

DOI logo 10.17656/jsmc.10333

Keywords

Abstract

Background
Type 1 diabetes mellitus is a chronic condition in the paediatric age group. Its treatment is always challenging
for the affected child, the whole family, and the health care system. Reasonable control is usually the aim
because it will prevent or delay the complications of diabetes. Adherence to insulin therapy is among the
essential factors in the control of the disease.
Objectives
To identify factors that influence insulin adherence in children with Type 1 diabetes mellitus.
Patients and Methods
A cross-section study was done among type 1 diabetic children who have been registered in the diabetic centre
in Dr Jamal Ahmed Rashid Paediatric Teaching Hospital from April 1st to September 30th, 2018.
All the affected 104 cases were below 16 years of age. Caretakers of the patient were interviewed using
pretested questionnaires to provide information on socio-demographic characteristics. Insulin adherence
was measured by the 8-Item Morisky Medication Adherence Scale (MMAS); furthermore, injection-related
barriers to insulin injection were assessed.
Results
The mean age (±SD) of the 104 affected diabetic children was 7.07 ± 3.36 years. The male-to-female ratio
was 1.04:1 (53 males and 51 females). Good adherence was found in 72.1% of the cases, 19.2% had an average
adherence, with 8.7% were poorly adherent to therapy.
Conclusion
Most type 1 diabetic children had good adherence to insulin therapy with fair 1-2 blood glucose test monitoring
per day. Family supervision of the insulin injections and blood sugar monitoring were the two significant
factors in insulin adherence.

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