eISSN: 2083-8441
ISSN: 2081-237X
Pediatric Endocrinology Diabetes and Metabolism
Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
vol. 30
Original paper

Prevalence and factors associated with school failure in children with type 1 diabetes

Sawsen Nouira
Taieb Ach
1, 2
Asma Ammar
Meriem Ach
Ghada Sabbagh
Olfa Ezzi
Asma Benabdelkrim

  1. Department of Endocrinology, University Hospital of Farhat Hached Sousse, Tunisia
  2. Laboratory of Exercise Physiology and Pathophysiology, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia
  3. Department of Hospital Hygiene, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia
  4. Family Medicine, University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia
Pediatr Endocrinol Diabetes Metab 2024; 30 (1): 3-7
Online publish date: 2024/03/14
View full text Get citation
PlumX metrics:
Type 1 diabetes mellitus (T1DM) is a health problem that can be difficult for young people to accept. The aim of this study is to determine the prevalence and characteristics of school failure in children with T1DM and to identify the associated factors.

Material and methods
This is a retrospective study conducted in the endocrinology department of the Farhat Hached Hospital in Sousse, regarding T1DM patients, by analysing their school and career paths according to their clinicobiological and social data. School failure was defined in our study by the presence of at least one year's repetition and/or exclusion from school.

Our study included 70 patients. School failure was recorded in 71.4% of cases. School drop-out was observed in 47.1% of patients. The reasons for school drop-out were iterative hospitalizations in 31.4% of cases and glycaemic instability with hyper/hypoglycaemic fluctuations in 17.1%. Multivariate analysis showed that the risk factors significantly associated with school failure were, respectively, number of hospitalizations for ketosis ≥ 5 (p = 0.037) and higher mean HbA1c at the last consultations (p = 0.001). Use of functional insulin therapy (p = 0.031) and use of insulin analogue (p = 0.004) were significantly protective factors.

The risk of school failure in T1DM is real and should not be underestimated. Socioeconomic factors such as lack of financial resources, limited family support, and an unfavourable social environment can contribute to school avoidance.


type 1 diabetes, school, insulin therapy, microangiopathy

Quick links
© 2024 Termedia Sp. z o.o.
Developed by Bentus.