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Published on: June 11, 2012
Management of insulin pump therapy in children with type 1 diabetes
Nadeem Abdullah1, Claire Pesterfield1, Daniela Elleri2
1Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Cambridge, UK.
Insights
Insulin pump therapy offers flexible insulin delivery for children and adolescents with type 1 diabetes. Sensor-augmented pump therapy may further enhance blood glucose control in this age group.
Area of Science:
- Pediatric Endocrinology
- Diabetes Technology
Background:
- Type 1 diabetes management in children and adolescents presents unique challenges.
- Insulin pump therapy (IPT) offers an alternative to multiple daily injections (MDI).
Purpose of the Study:
- To review the principles and practical management of insulin pump therapy in pediatric patients.
- To summarize features of available insulin pumps and discuss their advantages and disadvantages.
Main Methods:
- Review of current literature on insulin pump therapy in pediatric type 1 diabetes.
- Analysis of features and practical considerations of commercially available insulin pumps.
Main Results:
- Insulin pumps provide greater flexibility in insulin dosing and meal planning compared to MDI.
- Sensor-augmented pump therapy, integrating continuous glucose monitoring, shows potential for improved glycemic control.
- Many young individuals with diabetes successfully integrate insulin pumps into their daily lives.
Conclusions:
- Insulin pump therapy is a viable and often preferred treatment for pediatric type 1 diabetes.
- Understanding the practical aspects, benefits, and limitations of pump technology is crucial for effective management.
Abstract:
Insulin pump therapy is a current treatment option for children and adolescents with type 1 diabetes. Insulin pumps can provide a greater flexibility in insulin administration and meal planning, as compared with multiple insulin injections, and they may be particularly suitable for the paediatric age group. Many young people with diabetes have integrated insulin pumps into their daily practice. The use of insulin pumps can also be supplemented by the information retrieved from continuous glucose monitoring in the sensor-augmented pump therapy, which may improve glycaemic control. In this review, we describe the principles of pump therapy and summarise features of commercially available insulin pumps, with focus on practical management and the advantages and disadvantages of this technology.
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