P-288: Assessment of knowledge among parents and carers on sick day management at children and adolescent with type 1 diabetes in st. paul’s hospital millennium medic college, Addis Ababa, Ethiopia
S AbebayeAbstract
Introduction
Sick day management is a vital component of diabetes care education, aiming to equip parents and carers with the knowledge and skills necessary to prevent adverse outcomes during episodes of illness. Despite this, studies have shown that parents and carers often have inadequate knowledge regarding appropriate sick day management, leading to increased rates of emergency room visits, hospitalizations, and even life-threatening complications.
Objectives
To assess the level of knowledge among parents and carer’s regarding sick day management practices for children and adolescents with Type 1 Diabetes at St. Paul’s Hospital Millennium Medical College.
Methods
A facility-based cross-sectional study was conducted from March 15 to April 15, 2025. A structured questionnaire were used to collect the data. Data were collected by kobo tool box and analyzed using SPSS version 27.
Results
In this study 95.3% of Parents and carer’s haven’t the written sick day management plan. 67.9% of Parents and carer’s not confident to managing their child during illness. Parents and carers in this study 57.5% not adjust insulin during the child was sick. The parents and carers knowledge for monitor blood glucose were 61.3% less frequency.The parents and carer’s knowledge for the warning sign of diabetic ketoacidosis (DKA) in this study were 41.0% knowing only the sign and symptoms of hyperglycemia and 15.1% of parents and carer’s were not known for the sign and symptoms of hyperglycemia and diabetic ketoacidosis. The parents and carer’s training in this study 86.8% were not received training for sick day rules.
Conclusions
Parents and carer’s at St. Paul’s Hospital Millennium Medical College have poor understanding on sick day management, Blood glucose monitoring, glucose/urine ketone monitoring, insulin adjustment and hydration during illness for children and adolescent with type 1 diabetes.