Open Access Indonesian Journal of Medical Reviews Vol 1 Issue 4 2021 Diabetes Mellitus Type-1 and Psychosocial Intervention to Improve Quality of Life Sarah Amalia 1* 1 Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia A R T I C L E I N F O Keywords: Diabetes Mellitus Quality of Life Psychosocial Glycemic Control Corresponding author: Sarah Amalia E-mail address: sarahamalia56@gmail.com The author has reviewed and approved the final version of the manuscript. https://doi.org/10.37275/OAIJMR.v1i4.565 A B S T R A C T Type 1 diabetes mellitus is the most common chronic endocrine pathology among children. Data from the Indonesian Pediatric Association (IDAI) states that the incidence of DM in children aged 0-18 years has increased by 700% over a period of 10 years. Treatment includes diet, physical activity, insulin medication, and proper self-control. The necessary changes in habits and lifestyles can lead to psychosocial problems, including anxiety, depression and eating disorders. Subsequently, the child or adolescent and his or her family group may move into new balance characterized by good self-control and adherence to treatment, or deepen individual and group disorders which may reappear, especially in adolescence. The comprehensive treatment of type 1 diabetes mellitus requires addressing these aspects through multidisciplinary teams which include medical and psychosocial professionals. This review analyses the main aspects related to the psychosocial impact of diabetes mellitus type 1 among children, adolescents and their families mental. A substantial amount of behavioral science research has demonstrated that psychosocial factors play an integral role in the management of diabetes in both children and adults. Research has also shown how psychosocial therapies that can improve regimen adherence, glycemic control, psychosocial functioning, and quality of life. Introduction Diabetes Mellitus Type 1 (DMT1) or known as Insulin Dependent Diabetes Mellitus (IDDM) is one of the types of diabetes mellitus (DM) with a classification of dependence on insulin to regulate glucose metabolism in the blood. 1 Systemic abnormalities of T1DM cause impaired glucose metabolism characterized by chronic hyperglycemia. This situation is caused by damage to pancreatic cells both by autoimmune and idiopathic processes so that insulin production decreases and even stops. 2 Low insulin secretion results in disturbances in carbohydrate, fat, and protein metabolism. 3 Often DM is considered an adult disease. However, DM can also occur in children and adolescents, especially type-1 diabetes. Although the cases of type- 1 diabetes are mostly in children, there is a tendency to increase cases of type-2 diabetes in children with risk factors for obesity, genetics and ethnicity, as well as a family history of type-2 diabetes. Data from the Indonesian Pediatric Association (IDAI) states that the incidence of DM in children aged 0-18 years has increased by 700% over a period of 10 years. The number of new cases of type-1 and type-2 DM differs between populations with varying age and ethnic distributions. From September 2009 to September 2018 there were 1213 cases of type-1 DM, most of which were found in big cities such as DKI Jakarta, West Java, East Java, and South Sumatra. Data Open Access Indonesian Journal of Medical Reviews Journal Homepage: https://jurnalkedokteranunsri.id/index.php/OAIJMR 80