Living with type 1 diabetes mellitus: How does the condition affect children's and adolescents' quality of life?

Objective: Our study aimed to measure the health-related quality of life (QoL) of Tunisian children and adolescents with type 1 diabetes mellitus (T1MD). Methods: This cross-sectional study included 48 patients aged 3-18 years with T1MD, diagnosed for at least 6 months, and their parents, who underwent outpatient examinations from September to December 2018. The children's QoL was assessed using the PedQL 3.0 Diabetes Module exploring five dimensions: diabetes symptoms, treatment barriers, treatment adherence, worry, and communication problems. Parents shared their perception of their children's QoL through the PedQL 4.0 parents' report (general health and emotional, social, and scholar functioning). Glycemic control was assessed using the last glycated haemoglobin (HbA(1c)) values. Results: The patients' average QoL score was 80.52 (+/- 13.61) without significant differences between gender and age. The longer the duration of the disease, the worse the glycemic control. Girls and adolescents seemed to have poorer glycemic control. Boys and adolescents had more difficulties in all aspects of QoL. Parents perceived a worse QoL than that reported by their sons/daughters (72.34 +/- 16.42; P = 0.006). Conclusion: These findings emphasize the importance of an interdisciplinary, biopsychosocial, and family-centered care approach to patients with T1MD. (C) 2019 French Society of Pediatrics. Published by Elsevier Masson SAS. All rights reserved.