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Published on: April 23, 2018
Application of Nano-Insulin Pump in Children with Diabetic Ketoacidosis
Jiao Wang1, Lihai Zhang2, Xianhe Wang1
1Department of Pediatrics, The First Affiliated Hospital of Jiamusi University, Jiamusi 154000, Heilongjiang, PR China.
Insights
Nano-insulin pumps significantly improve outcomes for children with diabetic ketoacidosis (DKA). This advanced technology reduces recovery time and hospital stays compared to traditional insulin pumps, offering a safer, more effective treatment for pediatric diabetes management.
Area of Science:
- Pediatric Endocrinology
- Diabetes Technology
- Metabolic Disorders
Background:
- Type 1 diabetes (T1D) in children necessitates insulin therapy due to absolute insulin deficiency.
- Diabetic ketoacidosis (DKA) is a common, serious complication in pediatric T1D.
- Traditional insulin pumps, while beneficial, pose risks of pain and infection in children.
Purpose of the Study:
- To evaluate the efficacy and safety of nano-insulin pump infusion (NIP) versus traditional insulin pump (IP) in pediatric DKA patients.
- To compare clinical indicators, recovery times, and complication rates between NIP and IP groups.
Main Methods:
- A randomized controlled study involving 72 children diagnosed with DKA.
- Participants were divided into two groups: traditional insulin pump (IP) and nano-insulin pump (NIP) infusion.
- Key clinical parameters, including blood glucose, ketone levels, and venous pH, were monitored.
Main Results:
- The NIP group showed greater reductions in fasting blood glucose (FBG) and postprandial blood glucose (PBG).
- NIP significantly shortened recovery times for urine ketone, blood ketone, glucose, and venous pH compared to IP (P < 0.05).
- The NIP group experienced shorter hospital stays, lower insulin dosage, and reduced incidence of hypoglycemia and infusion site infections (P < 0.05).
Conclusions:
- Nano-insulin pump infusion is a highly effective treatment for children with DKA.
- NIP offers rapid and significant improvements in glycemic control and ketone body levels.
- This technology enhances patient safety by reducing complications and hospital resource utilization.
Abstract:
Type 1 diabetes is an insulin-dependent type of diabetes that is most common among children. Due to absolute deficiency of insulin in patients, diabetic ketoacidosis (DKA) can easily ensue. Insulin pump can simulate the physiological secretion of islet, but increases the risk of pain and infection in children due to its traumatic effect. This study aimed to analyze the application effect of nano-insulin pump in children with DKA. Children with DKA admitted to our hospital from May 2018 to May 2020 were included in this study and, according to the random number table method, they were divided into two groups, with each group containing 36 cases. The first group received traditional insulin pump infusion (IP), while the second group received nano-insulin pump infusion (NIP). It was found that the reduction of FBG and PBG in NIP group was greater than that in IP group. The recovery time of urine ketone, blood ketone, glucose, venous pH, and other clinical indicators in the NIP group were all lower than those in the IP group (P < 0.05). The length of hospital stay, insulin dosage, incidence of hypoglycemia, and infusion site infection rate in the NIP group were all lower than those in the IP group (P <0.05). The findings indicate that the application of nano-insulin pump in children with DKA had a significant effect and could quickly and obviously correct the levels of blood glucose and ketone body in children.
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