The experience with the use of insulin pump therapy in children and adolescents with type 1 diabetes mellitus
https://doi.org/10.14341/2072-0351-6065
Abstract
Aim.
To evaluate the importance of insulin pump therapy for the achievement of DM1 compensation in children of different age.
Materials and methods.
The study included 36 patients aged 5-18 years with DM1. Efficiency of insulin pump therapy was assessed from the resultsof clinical and metabolic monitoring; the data obtained were treated with the use of the Statistica 6.0 program.
Results.
The use of insulin pump therapy permits to achieve compensation of carbohydrate metabolism in children and adolescents with type 1 diabetesby modeling therapeutic schemes for individual patients. The basal regime of insulin administration at a minimal rate is indicated to young childrentaking into account their generally low background requirement for insulin. Adolescents need a stepwise regime of insulin delivery with an increasedrate of administration inearly morning and evening hours.
Conclusion.
The continuous regime of subcutaneous insulinadministration ensures the freedom of choice of the character of physical activity and simplifiescontrol of diabetes in children and adolescents engaged in sports activities.
To evaluate the importance of insulin pump therapy for the achievement of DM1 compensation in children of different age.
Materials and methods.
The study included 36 patients aged 5-18 years with DM1. Efficiency of insulin pump therapy was assessed from the resultsof clinical and metabolic monitoring; the data obtained were treated with the use of the Statistica 6.0 program.
Results.
The use of insulin pump therapy permits to achieve compensation of carbohydrate metabolism in children and adolescents with type 1 diabetesby modeling therapeutic schemes for individual patients. The basal regime of insulin administration at a minimal rate is indicated to young childrentaking into account their generally low background requirement for insulin. Adolescents need a stepwise regime of insulin delivery with an increasedrate of administration inearly morning and evening hours.
Conclusion.
The continuous regime of subcutaneous insulinadministration ensures the freedom of choice of the character of physical activity and simplifiescontrol of diabetes in children and adolescents engaged in sports activities.
About the Authors
Nina Viktorovna Bolotova
V.I. Razumovsky Saratov State Medical University, Saratov
Olga Viktorovna Kompaniets
V.I. Razumovsky Saratov State Medical University, Saratov
Natalya Yur'evna Filina
V.I. Razumovsky Saratov State Medical University, Saratov
Vadim Konstantinovich Polyakov
V.I. Razumovsky Saratov State Medical University, Saratov
References
1. Дедов И.И. Сахарный диабет у детей и подростков. - М.: Универсум Паблишинг, 2002. - 392 с.
2. Инсулиновая помпа в лечении сахарного диабета у детей и подростков: Методическое пособие для врачей / Под ред. И.И. Дедова. - М., 2008. - 39 с.
3. Philip M., Battelino T., Rodriguez H. et al Use of insulin Pump Therapy in the Pediatric Age-Group: Consensus statement from the European Society for Paediatric Endocrinology the Lawson Wilkins Pediatric Society, and the International Society for Pediatric andAdoleccment Diabetes, endorced by the American Association and the European Association for the Study of Diabetes // Diabetes Care. - 2007. - Vol. 30(6). - P. 1653-1662.
Review
For citations:
Bolotova N.V., Kompaniets O.V., Filina N.Yu., Polyakov V.K. The experience with the use of insulin pump therapy in children and adolescents with type 1 diabetes mellitus. Diabetes mellitus. 2010;13(4):93-96. (In Russ.) https://doi.org/10.14341/2072-0351-6065
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