Psychosocial implications of type 1 diabetes mellitus among children in India: an emerging challenge for social work profession

One of the widespread childhood chronic illnesses, which is seldom talked about is type 1 diabetes mellitus (T1DM). The discussion on T1DM is often missed because the emphasis is majorly on the adult DM or type 2 DM which is a lifestyle disorder. T1DM occurs at an early age and is a lifelong insulin deficiency. The treatment and the strict regime lead to numerous psychological and social repercussions for the child (patient) and the caregivers. The implications vary from issues in family, at school, at social gatherings, often creating behavioural disorders. These implications further affect the patient’s health, DM self-care tasks, glycaemic control, and adherence to treatment. It is important to create awareness among people that chronic illness often causes negative psychological and social consequences but one needs to learn to cope with them. T1DM is not just about insulin shots and blood tests; but much beyond it. It requires proper understanding and support which has to be provided by professionals other than doctors. This paper looks at the prevalence of the disease, the implications for the child and the caregivers, and discusses T1DM as an emerging challenge for social work profession.