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Médecine thérapeutique / Pédiatrie

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Compliance in childhood and adolescent diabetes Volume 20, issue 1, Janvier-Février-Mars 2017

Authors
CHU de Nantes,
Hôpital Femme Enfant Adolescent,
service d’endocrinologie et diabétologie pédiatriques,
44093 Nantes,
France
* Tirés à part

Type 1 diabetes is a frequent chronic pathology in childhood, and it incidence is growing up, especially for the very young child. The complicated and intensive treatment aim to obtain a good glycemic control in order to limit complications but also to permit a good quality of life with the disease. In that intensive therapeutic context, the compliance problematic is observed at all ages but even more during adolescence.

The compliance can be improved by the patient education and the support of the child and his family. The goal is to help the child to acquire and to maintain skills to organise at the best his life with diabetes and to developp progressively autonomy to take care of himself. We need to set realistic goals of treatment and compliance, shared, debated and negotiated between caregivers and patients: this is called the therapeutic alliance.