Psychological Aspects in the System of Self-Management Education for Children with Diabetes Mellitus (Literature Review and Own Data)

This paper analyzes the scientific data concerning self-managing education and psychological support as part of treatment and prevention of complications in children and adolescents with diabetes. There is a direct correlation between the compensation of diabetes, level of education of patients about their illness, psychological condition analysis and adequate self-control. We assessed the effectiveness of self-management training in combination with psychological help in children and adolescents with diabetes type 1. The study found that in the main group (87 patients) HbA1c rate after 3 and 6 months decreased to 9.12 ± 0.86 % and 8.75 ± 1.10 % compared to 9.51 ± 0.85 % before diabetes self-managing education. We noted positive dynamics of glycemic control, respectively, in 19.5 and 36.8 % of patients (compared with 10.3 % at the beginning of training). In I group (37 children and adolescents who had psychological help) HbA1c rate after 3 and 6 months decreased to 8.84 and 8.21 %, respectively (9.23 % before diabetes self-managing education)