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Updated: Jun 13, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
[Consensus document on continuous subcutaneous insulin infusion (CSII) treatment in paediatrics with type I diabetes]
R Barrio Castellanos1, B García Cuartero, A Gómez Gila
1Hospital Universitario Ramón y Cajal, Madrid, España. rbarrio.hrc@salud.madrid.org
Insights
Continuous subcutaneous insulin infusion is a viable option for children and adolescents with type 1 diabetes. This Spanish Pediatric Endocrinology Society statement outlines practical considerations for its use in pediatric diabetes management.
Area of Science:
- Pediatric Endocrinology
- Metabolic Disorders
- Diabetes Management
Background:
- Type 1 diabetes in children and adolescents requires effective glucose control strategies.
- Continuous subcutaneous insulin infusion (CSII) offers a potential advancement in insulin delivery for pediatric patients.
- The Spanish Pediatric Endocrinology Society (SEEP) developed a position statement to guide CSII implementation.
Framework:
- Evidence-based review of international consensus on CSII in pediatric type 1 diabetes.
- Assessment of indications, suitable candidates, feasibility, and limitations of CSII.
- Development of consensual answers to practical questions regarding CSII for clinicians.
Implementation:
- Guidelines for the practical application of CSII in pediatric diabetes care.
- Considerations for patient selection and suitability for CSII therapy.
- Addressing the feasibility and potential limitations of CSII in children and adolescents.
Implications:
- Improved glycemic control and quality of life for pediatric patients with type 1 diabetes.
- Standardized approach to CSII implementation within the Spanish healthcare system.
- Enhanced clinical decision-making for endocrinologists managing pediatric diabetes.
Abstract:
This article reports on the Spanish Position Statement for the Diabetes Pediátric Group for the Spanish Pediatric Endocrinology Society (SEEP) on continuous subcutaneous insulin infusion in children and adolescents with type 1 diabetes. The practical issues about their indications, appropriate candidates, feasibility, and limits are outlined. The conclusions are based on the comprehensive review and balanced assessment of the evidence base on the international consensus and consensual answers to these questions for the participants.
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