The Process of Managing the Children with Type 1 Diabetes in the Family: A Grounded Theory Study

Mahnaz Sanjari, Hamid Peyrovi, Neda Mehrdad


Background: Diabetes is a disease that affects all family members. Parents of children with type 1 diabetes are always concerned about all aspects of children’s life. The aim of this study was to elucidate the process of managing children with diabetes in the family.

Materials and Methods: This is a qualitative grounded theory of a doctoral dissertation, which was done on 2016. The 18 participants were selected through purposive and theoretical sampling until data saturation. The main participants in this study included parents, siblings, and children with type 1 diabetes. The data was gathered by semi-structured interviews as well as field notes and memos. Data analysis was done concurrently with data collection in four levels, including data analysis for concept and contex, bringing the process into the analysis, and integration of categories according to Corbin and Struss (2008). Core category appeared at the end of integrated categories.

Results: “The family with diabetes in the child’s diabetes orbit” as a core category contains the process of managing children with diabetes within the family, which included three main subcategories, including “entering into the diabetes orbit”, “movement into the diabetes orbit”, and “living into the diabetes orbit”.

Conclusions: The family through the concept of “The family with diabetes in the child’s diabetes orbit “as a main concern of families with diabetes suffering diabetes attempt to select and practicing appropriate strategies and manage diabetes and children with diabetes.


Child, diabetes mellitus, type 1, disease management, family, Iran

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