Evidence
![](https://psychiatryai.com/wp-content/uploads/2023/04/psychiatryai_com.webp)
Indian Pediatr. 2024 Apr 22:S097475591600636. Online ahead of print.
ABSTRACT
Children and adolescents with Type 1 diabetes (T1D) require bolus insulin before each meal, necessitating self-care activities including blood glucose checking to determine insulin dose (or check for hypoglycemia) and injecting insulin during school hours. Though these activities are essential for optimizing glycemic control, they are met with reluctance from parents, the child, school authorities, and sometimes peers. This requires ongoing education and support for the child, school staff, and other students, by the diabetes care team. Many problems of performing self-care activities can be greatly reduced by allowing them in the child’s classroom itself, a strategy which offers several logistical, safety, psychological and social benefits. The glucometer and strips, continuous glucose monitoring device, insulin in a cool case, and hypoglycemia kit are kept in the teacher’s custody, and used by the child as needed, under supervision. This normalizes diabetes and its care, obviates concealment of diabetes, enhances the child’s and teacher’s confidence, optimizes diabetes care by ensuring timely and consistent insulin dosing, encourages hypoglycemia prevention and management, and reduces the chances of the child being bullied. It also promotes acceptance of diabetes by peers and greater community awareness. Other places for self-care like the medical room or the toilet have disadvantages. Possible limitations of this strategy could be objections occasionally raised by some school staff, lack of privacy needed by adolescents, or bullying by classmates: issues which need proactive handling. The diabetes care team may do well to emphasize performing self-care activities in the classroom, working with school staff and parents to this end.
PMID:38655887
![Google](https://www.google.com/images/branding/googlelogo/2x/googlelogo_light_color_92x30dp.png)
![Google Keep](https://www.gstatic.com/images/branding/product/1x/keep_48dp.png)
![Share on Linkedin](https://psychiatryai.com/wp-content/uploads/2023/10/linkedin-logo-png-2048-1.png)
Estimated reading time: 5 minute(s)
Latest: Psychiatryai.com #RAISR4D Evidence
![](/wp-content/uploads/2024/04/bd462cc11bcf0bd0d0d6f1d0f8b7cd04-modified-1.png)
Cool Evidence: Engaging Young People and Students in Real-World Evidence
![](/wp-content/uploads/2024/04/bd462cc11bcf0bd0d0d6f1d0f8b7cd04-modified-1.png)
Real-Time Evidence Search [Psychiatry]
![](/wp-content/uploads/2024/04/pubmed.png)
AI Research
![](/wp-content/uploads/2024/05/Il5nR_nf_400x400-modified-1.png)
Classroom as the Site for Type 1 Diabetes Self-Care Activities
![](https://psychiatryai.com/wp-content/uploads/2023/04/psychiatryai_com.webp)
🌐 90 Days
AI Virtual Reality Related Evidence Matrix
Intentional Insulin Overdose and Depression in Subjects with and Without Diabetes Mellitus: A Commentary Effects of Tirzepatide vs Semaglutide on β-cell Function, Insulin Sensitivity, and Glucose Control During a Meal Test Implications of cognitive and daily living capabilities on early type 2 diabetes management: a preliminary case-control study Effectiveness of the ALT/AST ratio for predicting insulin resistance in a Korean population: A large-scale, cross-sectional cohort study 1-Deoxynojirimycin attenuates pathological markers of Alzheimer's disease in the in vitro model of neuronal insulin resistance A neural-mast cell axis regulates skin microcirculation in diabetes Hyperglycemia and cognitive impairments anticipate the onset of an overt type 2 diabetes-like phenotype in TALLYHO/JngJ mice The relationship between DASC-8 categories and the effectiveness of education on insulin self-injection techniques in elderly patients with diabetes Adipose Tissue Insulin Resistance in South Asian and Nordic Women after Gestational Diabetes Mellitus Early blood glucose control for people with type 2 diabetes is crucial for reducing complications and prolonging life Which LGBTQ+ Inclusive School Strategies Support LGBTQ+ Student, Staff and Parent Perceptions of School Climate? A Latent Class Analysis Insulin resistance may accelerate typical changes in heart function among type 1 diabetes patients, particularly in overweight patients: a preliminary study Insulin resistance may accelerate typical changes in heart function among type 1 diabetes patients, particularly in overweight patients: a preliminary study Parent perceptions of school relationships: Considerations of racial-ethnic differences and youth's peer victimization Unraveling the mechanisms of hepatogenous diabetes and its therapeutic perspectives To tell or not to tell about bullying-New insights from the study on the perceptions of criminal sanctioning, anticipation of school punishment, agency, and trust toward school staff Non-alcoholic fatty liver disease in obese subjects as related to increasing insulin resistance and deteriorating glucose control: Three years of follow-up from a longitudinal survey Transition to self-management among emerging adults with type 1 diabetes: a mixed methods study Hypoglycemia and Alzheimer Disease Risk: The Possible Role of Dasiglucagon Diabetes mellitus and hard braking events in older adult drivers Posttraumatic Stress Disorder and Type 2 Diabetes Outcomes in Veterans Management of older adults with diabetes mellitus: Perspective from geriatric medicine Barriers to Providing Transitional Supports for Autistic Students: Insights of School Professionals Cardiovascular risk reduction in type 2 diabetes: What the non-specialist needs to know about current guidelines Meta-analysis of the clinical efficacy of liraglutide in treating type 2 diabetes mellitus complicated with non-alcoholic fatty liver disease Role of metabolic dysfunction and inflammation along the liver-brain axis in animal models with obesity-induced neurodegeneration Precision Medicine to Redefine Insulin Secretion and Monogenic Diabetes-Randomized Controlled Trial (PRISM-RCT) in Chinese patients with young-onset diabetes: design, methods and baseline characteristics Effects of Dexmedetomidine on Perioperative Glycemic Control in Adult Diabetic Patients Undergoing Cardiac Surgery Suicidal Ideation, Suicide Attempts, and Suicide Deaths in Adolescents and Young Adults With Type 1 Diabetes: A Systematic Review and Meta-analysis Glycated Hemoglobin A1c Time in Range and Dementia in Older Adults With Diabetes Impact of Lipids on Insulin Resistance: Insights from Human and Animal Studies Effectiveness of Interoceptive Programs to Improve Academic Self-Regulation and Reduce Behavioral Problems Among Children With Learning Disabilities Building Better Bridges: Outcomes of a Community-Partnered New School Transition Intervention for Students on the Autism Spectrum Predictors of drug and substance abuse among school-going adolescents living in drug hotspot in Malaysia Completion of Upper Secondary Mainstream School in Autistic Students in Sweden Clinician commentary on addressing suicidality safety risk in students through a hospital-school-community telepartnership program Developmental Impacts of Early Sensory Patterns on School-Age Adaptive, Maladaptive, and Participation Outcomes in Autistic and Non-autistic Children Relationship between the type and number of social participation events and the cognitive function in older diabetics Frequency of Restless Legs Syndrome in Pakistani Patients With Type 2 Diabetes Mellitus Frequency of Restless Legs Syndrome in Pakistani Patients With Type 2 Diabetes Mellitus "Your Child Should Not Return": Preschool Expulsion Among Children With Attention-Deficit/Hyperactivity Disorder as an Early Indicator of Later Risks Bidirectional Associations Between Mental Health Disorders and Chronic Diabetic Complications in Individuals With Type 1 or Type 2 Diabetes Preventing diabetes complications A retrospective study of 29 fatal cases of insulin overdose Application of the path analysis model to evaluate the role of distress, mental health literacy and burnout in predicting self-care behaviors among patients with type 2 diabetes Large-scale experiment in STEM education for high school students using artificial intelligence kit based on computer vision and Python Influence of continuous 4C nursing on quality of life and self-care ability of patients with diabetes retinopathy: An observational study Prediction of internet addiction among high school students in a rural Southern Karnataka, India-A cross-sectional study Relationships between parental involvement in homework and learning outcomes among elementary school students: The moderating role of societal collectivism-individualism Heterogeneity in the effect of type 2 diabetes on dementia incidence in a diverse cohort of Asian American and non-Latino White older adults The relationship between teachers' disciplinary practices and school bullying and students' satisfaction with school: The moderated mediation effects of sex and school belonging Effect of recurrent severe insulin-induced hypoglycemia on the cognitive function and brain oxidative status in the rats Attachment Problems and Mentalizing Capacity Relate to Parent-Child Informant Discrepancies in Female Adolescents with Borderline Personality Disorder A brain-derived insulin signal encodes protein satiety for nutrient-specific feeding inhibition Prevalence of depressive symptoms among urban school adolescents in Vietnam: The role of youth, family, and school relationships Prevalence of depressive symptoms among urban school adolescents in Vietnam: The role of youth, family, and school relationships Insulin Abuse: A Case Report of Munchausen Syndrome Understanding mental health in developmental dyslexia through a neurodiversity lens: The mediating effect of school-connectedness on anxiety, depression and conduct problems Associations of renin-angiotensin system inhibitor use with brain insulin signaling and neuropathology Hearing Loss and Autism Spectrum Disorder Hearing Loss and Autism Spectrum Disorder Whole-genome sequencing identifies variants in ANK1, LRRN1, HAS1, and other genes and regulatory regions for stroke in type 1 diabetes Prevalence and predictors of school truancy among adolescents in Sierra Leone: evidence from the 2017 Global School-based Health Survey Inclusive classroom norms and children's expectations of inclusion of peers with learning difficulties in their social world
Evidence Blueprint
Classroom as the Site for Type 1 Diabetes Self-Care Activities
![](https://psychiatryai.com/wp-content/uploads/2023/04/psychiatryai_com.webp)
☊ AI-Driven Related Evidence Nodes
(recent articles with at least 5 words in title)
More Evidence
![](https://psychiatryai.com/wp-content/uploads/2023/04/psychiatryai_com.webp)
Classroom as the Site for Type 1 Diabetes Self-Care Activities
🌐 365 Days
AI Virtual Reality Related Evidence Matrix
Intentional Insulin Overdose and Depression in Subjects with and Without Diabetes Mellitus: A Commentary School participation of autistic youths: The influence of youth, family and school factors Association of physical activity and sports participation with insulin resistance and non-alcoholic fatty liver disease in people with type 1 diabetes Tomorrow, what evolutions in diabetes? Lithium and exercise ameliorate insulin-deficient hyperglycemia by independently attenuating pancreatic α-cell mass and hepatic gluconeogenesis The Maintain High Blood Glucose subscale of the child hypoglycemia fear survey: proposed preliminary cut points for screening youth with type 1 diabetes Behavioral health outcomes and social determinants of health in children with diabetes and juvenile arthritis Effects of Tirzepatide vs Semaglutide on β-cell Function, Insulin Sensitivity, and Glucose Control During a Meal Test Whisker-evoked neurovascular coupling is preserved during hypoglycemia in mouse cortical arterioles and capillaries The Impact of Parental Electronic Health Literacy on Disease Management and Outcomes in Pediatric Type 1 Diabetes Mellitus: Cross-Sectional Clinical Study Mitigating Severe Hypoglycemia in Users of Advanced Diabetes Technologies: Impaired Awareness of Hypoglycemia and Unhelpful Hypoglycemia Beliefs as Targets for Interventions Evaluation of the possible impact of the fear of hypoglycemia on diabetes management in children and adolescents with type 1 diabetes mellitus and their parents: a cross-sectional study When the Education System and Autism Collide: An Australian Qualitative Study Exploring School Exclusion and the Impact on Parent Mental Health Diabetes distress in urban Black youth with type 1 diabetes and their caregivers: associations with glycemic control, depression, and health behaviors Association of thyroid function with non-alcoholic fatty liver disease in recent-onset diabetes Factors Associated With Diabetes Self-Care Performance in Indonesians With Type 2 Diabetes: A Cross-Sectional Study Implications of cognitive and daily living capabilities on early type 2 diabetes management: a preliminary case-control study Associations between physical activity patterns and quality of life in persons with type 2 diabetes: A cross sectional study Effectiveness of the ALT/AST ratio for predicting insulin resistance in a Korean population: A large-scale, cross-sectional cohort study Anxiety and Risk Perception in Parents of Children Identified by Population Screening as High Risk for Type 1 Diabetes No correlation between carotid intima-media thickness and long-term glycemic control in individuals with type 1 diabetes 1-Deoxynojirimycin attenuates pathological markers of Alzheimer's disease in the in vitro model of neuronal insulin resistance Glucose variability and mood in people with type 1 diabetes using ecological momentary assessment A neural-mast cell axis regulates skin microcirculation in diabetes Moderating Effect of Depression on Glycemic Control in an eHealth Intervention Among Black Youth With Type 1 Diabetes: Findings From a Multicenter Randomized Controlled Trial Moderating Effect of Depression on Glycemic Control in an eHealth Intervention Among Black Youth With Type 1 Diabetes: Findings From a Multicenter Randomized Controlled Trial Depletion of TBC1D4 improves the metabolic exercise response by overcoming genetically induced peripheral insulin resistance Hyperglycemia and cognitive impairments anticipate the onset of an overt type 2 diabetes-like phenotype in TALLYHO/JngJ mice The relationship between DASC-8 categories and the effectiveness of education on insulin self-injection techniques in elderly patients with diabetes Adipose Tissue Insulin Resistance in South Asian and Nordic Women after Gestational Diabetes Mellitus Early blood glucose control for people with type 2 diabetes is crucial for reducing complications and prolonging life Leisure, community, workforce participation and quality of life in primary and secondary caregivers of autistic children Which LGBTQ+ Inclusive School Strategies Support LGBTQ+ Student, Staff and Parent Perceptions of School Climate? A Latent Class Analysis Insulin Resistance, Non-Alcoholic Fatty Liver Disease and Type 2 Diabetes Mellitus: Clinical and Experimental Perspective Evaluating Transition Readiness in Older Adolescents and Young Adults With Type 1 Diabetes Diabetes: a review of its pathophysiology, and advanced methods of mitigation Parent-reported environmental factors and strategies to support home and community participation in children on the autism spectrum High Mannose Correlates With Surrogate Indexes of Insulin Resistance and Is Associated With an Increased Risk of Cardiovascular Events Independently of Glycemic Status and Traditional Risk Factors Insulin resistance may accelerate typical changes in heart function among type 1 diabetes patients, particularly in overweight patients: a preliminary study Insulin resistance may accelerate typical changes in heart function among type 1 diabetes patients, particularly in overweight patients: a preliminary study Parent perceptions of school relationships: Considerations of racial-ethnic differences and youth's peer victimization Insulin Use and The Risk of Hepatocellular Carcinoma: Insights and Implications Correlates of disordered eating and insulin restriction behavior and its association with psychological health in Taiwanese youths with diabetes mellitus Serum proinsulin levels as peripheral blood biomarkers in patients with cognitive impairment Implementation of information and communication technology to facilitate participation in high school occupations for students with neurodevelopmental disorders Unraveling the mechanisms of hepatogenous diabetes and its therapeutic perspectives Silibinin as a promising treatment for diabetes: Insights into behavioral and metabolic changes in an animal model Silibinin as a promising treatment for diabetes: Insights into behavioral and metabolic changes in an animal model Teaching Adolescents with type 1 Diabetes Self-compassion (TADS) to reduce diabetes distress: study protocol of a randomized controlled trial Latent Autoimmune Diabetes in Adults and a Continuous Glucose Monitoring Device: An Unfortunate Outcome To tell or not to tell about bullying-New insights from the study on the perceptions of criminal sanctioning, anticipation of school punishment, agency, and trust toward school staff The role of lipid dysregulation in gestational diabetes mellitus: Early prediction and postpartum prognosis Falsely low glycosylated haemoglobin levels probably secondary to hypersplenism in a patient with diabetes mellitus Associations between excessive screen time and school and out-of-school injuries among adolescents: A population-based study Effects of ADHD and ADHD treatment on glycemic management in Type 1 diabetes: A systematic review and meta-analysis of observational studies Non-alcoholic fatty liver disease in obese subjects as related to increasing insulin resistance and deteriorating glucose control: Three years of follow-up from a longitudinal survey Engagement in types of activities and frequency of alcohol use in a national sample of United States adolescents Implementation of the Mind Youth Questionnaire (MY-Q) for routine health-related quality of life screening of adolescents with type 1 diabetes in a large tertiary care center Effects of a Service-Learning Neuroscience Course on Mood and Intergroup Anxiety Understanding how classroom drama workshops can facilitate social capital for newly arrived migrant and refugee adolescents: Insights from Denmark Genetic risk of type 2 diabetes modifies the association between lifestyle and glycemic health at 5 years postpartum among high-risk women Renal failure following insulin purging in atypical anorexia nervosa and type 1 diabetes mellitus Association between different modalities of insulin administration and metabolic dysfunction-associated fatty liver disease in adults with type 1 diabetes mellitus Using Q-sort method to explore autistic students' views of the impacts of their anxiety at school