What is the primary concern for a 7-year-old child with insulin-dependent diabetes mellitus (IDDM) who asks his mother not to tell anyone at school that he has diabetes?
a. The child's safety
b. The privacy of the child
c. Development of a sense of industry
d. Peer group acceptance
A
Safety is the primary issue. School personnel need to be aware of the signs and symptoms of hypoglycemia and hyperglycemia and the appropriate interventions. Privacy is not a life-threatening concern. The treatment of IDDM should not interfere with the school-age child's development of a sense of industry. Peer group acceptance and body image are issues for the early adolescent with IDDM. This is not of greater priority than the child's safety.
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