Background: Diabetes mellitus is one of the most common chronic disorders in the
world. This study aimed to assess the diabetic children's problems related to insulin
injection. Study Design: Adescriptive design was conducted at diabetic outpatient
clinic/children's hospital affiliated to Ain Shams University Hospitals. Study subjects: A
purposive sample of 100 diabetic children from both genders and aged from 6-18 years
(accompanying mothers were interviewed when necessary). Data collection tools: I.
Structured interviewing questionnaire to gather data concerning characteristics of the studied
diabetic children and their parents, medical history, follow up and self care, children's
knowledge regarding diabetes and the problems related to insulin injection. II. Observational
checklist of insulin injection to assess the studied children's reported practice of insulin
injection. Results: The study revealed that, more than half of the studied children had
unsatisfactory total knowledge regarding type1 diabetes and insulin injection and more than
half of them had moderate problems related to insulin injection, also more than half of the
children practiced insulin injection correctly and there was highly statistical significant
difference between problems related to insulin injection and children's total knowledge
related to diabetes and practice of insulin injection. Conclusion: The study concluded that,
most of the studied diabetic children had moderate and mild problems related to insulin
injection. The study revealed an inadequate knowledge related to diabetes and insulin
treatment. Recommendations: The study recommended continuous health education for the
diabetic children and their parents regarding insulin injection technique, dose calculation,
possible complications, injection problems and its management.