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Paediatric type 1 diabetes 2018: Clinical and research insights

Stephen J Zborovski1, Farid H Mahmud1

  • 1Division of Endocrinology, The Hospital for Sick Children, Department of Pediatrics, University of Toronto, Toronto, Ontario.

Paediatrics & Child Health
|May 18, 2018
PubMed

Insights

Advances in type 1 diabetes management for youth include new insulin formulations and technologies. Innovations like insulin pumps and continuous glucose monitoring improve glycemic control and quality of life.

Area of Science:

  • Pediatrics
  • Endocrinology
  • Diabetes Technology

Background:

  • Type 1 diabetes management in children and adolescents faces challenges due to glucose variability.
  • Insulin selection and lipohypertrophy significantly impact blood glucose levels.
  • Continuous advancements in clinical practice and technology are transforming diabetes care.

Purpose of the Study:

  • To provide clinicians with an overview of recent innovations in pediatric type 1 diabetes care.
  • To highlight the impact of new technologies on glycemic control and quality of life.
  • To discuss advancements in insulin therapy and glucose monitoring systems.

Main Methods:

  • Review of current literature on pediatric type 1 diabetes management.
  • Analysis of emerging clinical and technological innovations.
  • Discussion of new insulin analogues, insulin pumps, and continuous glucose monitoring (CGM) systems.

Main Results:

  • New insulin analogues and advanced insulin pumps offer improved therapeutic options.
  • Continuous glucose monitoring systems are increasingly integrated into diabetes management, reducing the need for capillary blood glucose checks.
  • Features like 'low glucose suspend' represent steps toward fully automated insulin delivery systems.

Conclusions:

  • Technological innovations are significantly enhancing the management of type 1 diabetes in pediatric populations.
  • Future developments aim for fully closed-loop systems to further optimize glycemic control and patient well-being.
  • Clinicians need to stay updated on these evolving aspects of diabetes care for children and adolescents.

Keywords:
PaediatricsReviewType 1 diabetes

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