The use of insulin pump therapy in the pediatric age group

S. Shalitin, M. Phillip*

*Corresponding author for this work

Research output: Contribution to journalShort surveypeer-review

Abstract

Diabetic children and their caregivers face the never-ceasing challenge of maintaining blood glucose levels as close as possible to the normal range so as to prevent or delay long-term micro- and macrovascular complications, to minimize the risk of severe hypoglycemic episodes, and to improve quality of life. Continuous subcutaneous insulin infusion (CSII) therapy represents a treatment option that can aid in achieving these goals. Granted that insulin secretor responses to physiological stimuli are complex and difficult to duplicate, CSII is the most physiological method of insulin delivery currently available, simulating the pattern of insulin secretion with a continuous adjustable 'basal' delivery and superimposed mealtime 'boluses'. CSII offers greater flexibility and more precise insulin delivery than do multiple daily injections, and thus can reduce the frequency of severe hypoglycemia. However, when CSII was compared to multiple daily injections in randomized crossover or controlled trials in children or adolescents, generally there was no significant difference in HbA1c. This review briefly summarizes the current state of knowledge regarding the use of CSII in pediatric and adolescent patients with type 1 diabetes mellitus.

Original languageEnglish
Pages (from-to)14-21
Number of pages8
JournalHormone Research
Volume70
Issue number1
DOIs
StatePublished - Jul 2008

Keywords

  • Continuous subcutaneous insulin infusion
  • Diabetic children/adolescents, life quality
  • Insulin pump diabetes therapy

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