Endocrine Abstracts

Introduction

Functional insulin therapy is an educational method that is part of a strategy to intensify type 1 diabetes in order to optimize the balance of diabetes while improving the psychological aspect of the patient. The aim of this study is to assess the impact of functional insulin therapy on the psychological aspect of type 1 diabetics.

Patients and method

This is a retrospective and analytical descriptive study, conducted from March 2019 to August 2019, we included 20 type 1 diabetic patients who benefited from a functional insulin therapy education program and an evaluation of the psychological impact made by a questionnaire and a psychological interview.

Results

The average age of the patients was 20 years, with a sex M/F ratio of 4/16, and the duration of diabetes was on average 8 years. Functional insulin therapy is used exclusively in all patients. The psychological evaluation shows an improvement in the perception of the impact of diabetes in (66%), there is a decrease in anxiety in (75%), With (80%) of the patients declared a satisfaction with the method, (60%) declared acceptance of the treatment, 14 patients (70%) reported more autonomy and self-management and only (40%) reported an improvement in their socio-professional relationships, The doctor-patient relationship improved in (90%) patients. According to the open questions, functional insulin therapy provides better diabetes control and food freedom. The difficulties mainly felt are the calculation of the quantities of carbohydrates, the economic constraint and the multiple injections for treatment and monitoring.

Conclusion

The results suggest that learning functional insulin therapy improves the psychological aspect of type 1 diabetics through better control of the disease.