Diabetes Education in Children and Adolescentswith Type 1 Diabetes in China

Background: the prevalence of type 1 diab etes is increasing in pediatrics and diabetes education plays one of the most important role in the management of diabetes, especially in children. however, the related evi- dence concerned diabetes education is rare in children and adolescents. therefore, w e aimed to investigate the status of diabetes education in hospital, which could help us know the reality of diabetes education. methods: we choose a nurse who is mainly responsible for diabetes education and management in each hospi-tal to fill out the questionnaire. overall, 98 nurses were enrolled from tertiary children's specialized hospitals and pediatric wards of general tertiary hospitals from jan 2018 to dec 2019. results: of 98 nurses enrolled, 61 (63.3%) nurses from 98 hospitals responded, 39 ( 63.9%) of them received specialized training in diabetes. there were no differences in education characteristics among regions of china. there were 26(42.6%) hospitals have a full-time nurse for diabetes education or nurses with endocrinology training increased with the number of cases/year (p=0.02 and p=0.009). the use of game-based education, knowledge assessment at discharge did not vary among hospital volumes, and the presence of a psychiatrist (p=0.41, p=0.65, and p=0.85, respectively). diet management education is the most common (23.0%) difficul-ty in children diabetes education. conclusion: the level of diabetes education in children and adolescents varied among hospitals, but not among regions in china. there was a lack of resources provided for children and adolescents diabetes educa-tion in terms of training and specialized services.