FACTORS ASSOCIATED WITH INSULIN ADHERENCE IN TYPE 1 DIABETIC CHILDREN ATTENDING JAMAL AHMED RASHID PAEDIATRIC TEACHING HOSPITAL IN SULAIMANIA CITY
DOI:
https://doi.org/10.17656/jsmc.10333Keywords:
Type I Diabetes Mellitus, Blood glucose monitoring, Insulin adherence therapy, Sulaimani, Diabetic ketoacidosisAbstract
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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