Abass-Ndao Hospital Center, Cheikh Anta Diop Avenue, 25755 Dakar, Senegal.
Abass-Ndao Hospital Center, Cheikh Anta Diop Avenue, 25755 Dakar, Senegal.
Arch Pediatr. 2021 May;28(4):307-310. doi: 10.1016/j.arcped.2021.02.006. Epub 2021 Mar 11.
Childhood type 1 diabetes (T1D) is a chronic condition with serious repercussions on both the quality of life of the child and the family. Insulin therapy is the cornerstone of optimal blood sugar control. The main objective of our study was to assess the level of knowledge of physicians about insulin therapy in diabetes.
This was a multicenter survey over a period of 5 months (from March 5 to August 2, 2018). It took place in five reference university hospital centers in the Dakar region.
The number of doctors interviewed in our study was 82, 47.6% of whom were confirmed pediatricians or pediatricians in the process of specialization. The number of years of experience in the field of diabetes was on average 3 years. Fast-acting regular insulins were recommended by 75.6% of doctors and mixtures of insulin (intermediate and rapid-acting) by 50% of doctors. Overall, 91% of doctors recommend a variation in insulin injection sites. The "basal bolus" treatment regimen with insulin analogs was recommended by 50% of doctors, while 31.7% recommended it with human insulin. Regarding adapting insulin doses for leisure and sports activities, more than half (54.9%) of the doctors had to reduce the doses.
This study enabled us to assess the level of knowledge of insulin therapy among doctors caring for children with diabetes in Senegal, which proved to be limited. We recommend the reinforcement and follow-up of training on the management of T1D for providers at the different facilities.
儿童 1 型糖尿病（T1D）是一种慢性疾病，对儿童和家庭的生活质量都有严重影响。胰岛素治疗是控制血糖的关键。我们研究的主要目的是评估医生对糖尿病胰岛素治疗的认识水平。
这是一项为期 5 个月（2018 年 3 月 5 日至 8 月 2 日）的多中心调查。它在达喀尔地区的五个参考大学医院中心进行。
我们的研究共采访了 82 名医生，其中 47.6%是经过认证的儿科医生或正在接受儿科专业培训的医生。他们在糖尿病领域的平均经验年限为 3 年。75.6%的医生推荐速效常规胰岛素，50%的医生推荐胰岛素混合物（中效和速效）。总体而言，91%的医生建议改变胰岛素注射部位。50%的医生推荐使用胰岛素类似物的“基础-餐时”治疗方案，而 31.7%的医生推荐使用人胰岛素。关于根据休闲和体育活动调整胰岛素剂量，超过一半（54.9%）的医生需要减少剂量。
这项研究使我们能够评估塞内加尔儿童糖尿病医生对胰岛素治疗的认识水平，结果表明这种认识有限。我们建议在不同的医疗机构加强和跟踪对 T1D 管理的培训。
