P-460: Impact of type 1 diabetes (T1D) on school failure in the pediatric medical department of the university hospital of Angré in Abidjan
S K Savane, Djè A Sonia, Koné T Ismael, Touré K Priscilla, L O Moke, Azagoh-Kouadio Richard, A AnkotcheAbstract
Introduction
Diabetes is the most common endocrine disorder among young people. The early onset of T1D can negatively affect patients’ quality of life, particularly their education.
Objectives
This study aimed to assess the impact of type 1 diabetes on school performance.
Methods
We conducted a prospective cross-sectional descriptive study. All patients aged ≤18 years, followed in the Pediatric Medical Department of the University Hospital of Angré for diabetes, were included. Sociodemographic data, school-related variables, and psycho-emotional impacts were recorded.
Results
The hospital prevalence was 0.26% (31/11.566). Among these, 68% (21/31) were enrolled in school. The average age was 13.90 ± 2.84 years (range: 7–18). Females predominated (81%), and 90% of patients lived in urban areas. A low socio-economic level was found in 57% of cases, and 81% of patients lacked medical insurance. The average duration since diagnosis was 5.4 years. Only 57% of patients had received training in functional insulin therapy. The mean HbA1c level was 9.9%, with 47% of patients having an HbA1c ≥10%. School absenteeism averaged 21.44 days per year. In 38% of cases, patients reported dissatisfaction with their academic performance. School failure was observed in 52% of patients, primarily due to acute diabetes decompensation, and 19% expressed a desire to drop out of school. None of the patients had received psychological support.
Conclusions
Type 1 diabetes negatively impacts children’s education. Its consequences include frequent absenteeism, poor academic performance, and low self-esteem. Continued therapeutic education and the involvement of school staff in diabetes management are essential to support the academic and psychological well-being of young diabetic patients.