P-077 Diabetes Comes to School: About 79 Patients

Introduction Diabetes is a chronic disease, the incidence of which continues to increase among children. School Children generally spend 30 hours per week at school, making management of treatment and acute complications at school a key element for better glycemic balance as well as good academic performance. Objectives of the study Describe the daily difficulties encountered by diabetic schoolchildren, as well as the impact on glycemic balance and academic performance. Methods Descriptive study of 79 young people followed at the endocrinology and metabolic diseases department of Casablanca. Results The average age is 16.2 years with a female predominance of 62%. The duration of diabetes was 7.93 ± 4.02 years. Mean HBA1c = 11.19 ± 2.12%). Our patients reported hypoglycemia occurring at school in 76% of cases, only 31% stopped the activity to regain sugar, and self-monitoring in 24%. We note that 29% left school voluntarily, 59% say they have academic difficulties, only 12% say they are fulfilled and plan to pursue higher education. The main causes reported are; 35% stigmatization of those around them and denigration, 28% are ashamed of insuline injections in public, 12% blame the number of hospitalizations, 29% note the frequency of hypoglycemia at school, and 7% report a decline in visual acuity. Conclusion Schools must provide all students a safe place for self-care, helping them manage everyday challenges: hypoglycemia at school, multiple injections, self-monitoring, in order to improve glycemic balance and ensure academic success.