Evaluation of home based insulin therapy among pediatric patients with type I diabetes mellitus - A prospective analytical study

Soundararajan N, Thangavel A, Vidjeadevan D, Vijayaraghavan A

Pdf Page Numbers :- 304-309

Soundararajan N^1,*, Thangavel A¹, Vidjeadevan D¹ and Annamalai Vijayaraghavan²

¹Department of Paediatrics, KAPV Government Medical College, Trichy, Tamil Nadu 620001, India

²Department of Paediatrics, Metha Hospital, Chetpet, Chennai, Tamil Nadu 6000031, India

*Corresponding author: Dr. Soundararajan N, Department of Paediatrics, KAPV Government Medical College, Trichy, Tamil Nadu 620001, India. Email: dr.sound77@gmail.com

Received 2 July 2024; Revised 31 August 2024; Accepted 4 September 2024; Published 10 September 2024

Citation: Soundararajan N, Thangavel A, Vidjeadevan D, Vijayaraghavan A. Evaluation of home based insulin therapy among pediatric patients with type I diabetes mellitus - A prospective analytical study. J Med Sci Res. 2024; 12(4):304-309. DOI: http://dx.doi.org/10.17727/JMSR.2024/12-57

Copyright: © 2024 Soundararajan N et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

PDF

Abstract

Background: Home based insulin therapy is one of the major challenges faced by the Type I diabetes mellitus (T1DM) patients with regards to the injection technique and correct dosing. The study aimed to assess the home based insulin therapy and its complications and to evaluate the impact of counselling on home based insulin therapy among Type I diabetes mellitus patients.

Methodology: A prospective analytical study was conducted at Institution of Child Health, Egmore for a period of one year. Children of age less than 15 years and are newly diagnosed with type I diabetes or recently diagnosed diabetes of less than 18 months duration were included as our study subjects. A non-random quota sampling technique was followed for sample calculation and based on that 85 children satisfying our inclusion and exclusion criteria were selected as our study sample.

Results: The demographic details shows that the mean age among males was 10.2 ± 3.2 and for females it was 8.9 ± 2.8 and the male: female ratio was 0.88: 1. It was observed among the study subjects that there was a regular improvement in their knowledge and practice over a period of time, during each visit the number of care givers with correct knowledge and practice were increasing starting from base level assessment to third follow-up visit and it was found to be statistically significant (p<.001).

Conclusion: The present study has proven that repeated education and proper training given to the care providers of Type I DM patients plays a major role in control of their diabetic status as well as preventing them from developing injection site complications.

Keywords: insulin injection technique; care providers; glycemic control