according to a report by leading health charity Diabetes UK¹. The charity now calls for improved provision of and access to educational and psychological support for children and young people with diabetes.
Last year 61 per cent of children and young people with diabetes aged up to 17 years said that they rarely felt able to talk about their needs or only able to talk about them “some of the time” when trying to discuss their diabetes care goals with their healthcare team¹. For example, many children and young people wanted to have better access to advice on food choices and to psychological support but last year only 16 per cent of children and young people always had access to a dietitian and only 0.5 per cent to a psychologist¹.
The Diabetes UK’s Survey of people with diabetes and access to healthcare services 2009 report also shows that 56% of children and young people wanted to see better communication between their diabetes care team and schools so that they could receive the necessary joined-up support to manage their diabetes better¹. Diabetes UK calls for all young people and children with diabetes to have a care plan developed in collaboration with their school and their healthcare team: at the moment 46 per cent of children and young people do not have a plan in place¹.
The management of diabetes in children and young people can be more complex compared with adults. Adolescence is a notoriously difficult time to achieve good diabetes control as hormonal changes can affect blood glucose levels. Having poor diabetes control makes children and young people more at risk of developing the serious complications of diabetes in the future, including stroke, heart disease, amputation, kidney disease and blindness.
Douglas Smallwood, Chief Executive of Diabetes UK, said: “Coping with a condition like diabetes as a child or a young person is a great challenge and many struggle with their diabetes management. We must provide children and young people with diabetes with all the necessary help and support so they can manage their condition effectively and avoid developing the serious complications of diabetes in the future.
The majority of diabetes management is self-care so it is crucial that children and young people feel that they are being listened to and can take control of their condition. If they feel their views are not taken into account, we run the risk that they will become disenfranchised and become less likely to attend their healthcare appointments as adults.”
Dr Deborah Christie, Consultant Clinical Psychologist at University College London Hospital (UCLH) said “We must understand that managing diabetes within a full and active life is challenging for children, young people and families. This is why it is vital to offer them the type of support and advice they need. Psychological support for instance is an area where more provision is urgently needed.”
In the UK there are 25,000 children and young people under the age of 25 with Type 1 diabetes and it is estimated that as many as 1,400 children may have Type 2 diabetes.
Diabetes UK’s Get Serious campaign aims to get as many people as possible to sign up and join them in the fight against diabetes. Visit www.diabetes.org.uk/GetSerious and simply add your name and email address to show your support.
