DOI: 10.1159/hrp/adaag020.471 ISSN: 1663-2818

P-414: Role of schools in the management of type 1 diabetes mellitus: a survey of facilitating/hindering aspects of school daily life

V Vargas, G Dandolini, M L Szekut, V Martins, C Hirashima, E Peres, K Nartis

Abstract

Introduction

The management of Type 1 Diabetes (T1D) by educators directly influences the self-care behavior of children and adolescents. There is a significant lack of knowledge and preparation among education professionals regarding T1D. This lack of training contributes to avoidable immediate and long-term health complications

Objectives

Realizar um levantamento das ações escolares relacionadas ao cuidado de alunos com Diabetes Tipo 1 (DM1) no cotidiano escolar. Identificar os fatores facilitadores e dificultadores no ambiente escolar que interferem no gerenciamento da condição.

Methods

Study Design: A survey conducted through a semi-open questionnaire Participants: 46 individuals, including 5 adolescents, 18 children (aged 5–16), and 23 parents. Setting: Data collection was performed individually and in person during consultations at a public T1D outpatient clinic.

Results

Negative Findings (78% of participants): Schools failed to provide appropriate environments for insulin administration, lacked trained staff to assist students, and were unprepared to manage hypoglycemia or hyperglycemia. Additionally, no guidance was given regarding snack exchanges between students. Positive Findings (70.58% of guardians): Schools allowed snack consumption when necessary, encouraged participation in physical activities, and maintained updated emergency contacts

Conclusions

The study concludes that school actions focus primarily on communication with parents rather than direct solutions. There is a critical need for expanded training within the school community to improve the effectiveness of T1D management. Enhancing school protocols could significantly contribute to the health and quality of life of students with diabetes.

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