P-385: Challenges affecting self-care management practices among adolescents with type 1 diabetes mellitus in Dar es Salaam, Tanzania
L Malasa, E Godfrey, M Fataki, F S KalabamuAbstract
Introduction
Type 1 diabetes (T1D) is an increasing non-communicable disease in sub-Saharan Africa, including Tanzania. While self-care practices are crucial for managing diabetes effectively, still, a substantial proportion of adolescents with type 1 diabetes have poor glycaemic control. This study provides important insights into the real-world challenges faced by adolescents with Type 1 Diabetes in self-care management, generating evidence needed to develop more effective strategies for diabetes management in this population.
Objectives
The aim of this study was to explore challenges affecting self-care management practices among adolescents with type 1 diabetes.
Methods
This was a qualitative study in which focus group discussions were conducted by engaging T1D adolescents with poor glycaemic control attending clinics at Amana, Temeke and Mwananyamala regional referral hospitals in Dar es Salaam, Tanzania. Thematic analysis method was used to analyze the data.
Results
Several challenges that adolescents with Type 1 Diabetes face in managing their condition revealed were insulin management, blood glucose monitoring, dietary management, exercise-related concerns, healthcare system and perceptions of Type 1 Diabetes disease.
Conclusions
There is an urgent need for targeted interventions designed specifically for this population. The interventions should address the multifactorial nature of poor glycaemic control by incorporating age-appropriate education, family-centered care approaches, peer support programs, and enhanced healthcare system capacity.