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Initiation of insulin pump therapy in children at diagnosis of type 1 diabetes resulted in improved long-term glycaemic control

Foskett, D,, Lang, E.G.,, King, B.R.,, Miller, M.N., Dunn, Sandra and Price, D.A. (2015). Initiation of insulin pump therapy in children at diagnosis of type 1 diabetes resulted in improved long-term glycaemic control<br />. Pediatric Diabetes,.

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Title Initiation of insulin pump therapy in children at diagnosis of type 1 diabetes resulted in improved long-term glycaemic control
Author Foskett, D,
Lang, E.G.,
King, B.R.,
Miller, M.N.
Dunn, Sandra
Price, D.A.
Journal Name Pediatric Diabetes
Publication Date 2015
eISSN 1399-5448
Place of Publication United States
Publisher Wiley-Blackwell Publishing, Inc
Abstract Insulin Pump Therapy (IPT) is now a standard therapy in children and young people with type 1 diabetes (1). Most IPT programs use criteria such as poor metabolic control or episodes of severe hypoglycaemia for initiating IPT in children who have used injectable insulin from diagnosis (2, 3, 4, 5). The initial stimulus for this study was analysis of what appeared to be favourable results from a pilot study by the authors of children where IPT introduced at diagnosis ( 6 ). It was then decided to undertake a retrospective comparative analysis of those commenced on IPT at diagnosis versus later after diagnosis.
We now report on outcomes of IPT programs in three paediatric diabetes practices. The three paediatric practices were not connected other than each paediatrician had significant interest and experience in management of children and young people with type 1 diabetes; expertise in IPT and each practice utilised the same Credentialed Diabetes Nurse Educator to educate both parents and patients on the use of IPT. All three practices had the same treatment goals and a uniform approach to target setting for blood glucose levels and HbA1c. To the authors knowledge there have been no previous studies comparing outcomes in children and young people commenced on IPT at diagnosis with those where IPTIPT was commenced later.
Keywords Type 1 diabetes management
insulin pump therapy
paediatric type 1 diabetes
 
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Created: Tue, 21 Jul 2015, 13:37:45 CST by Sandra Dunn