Author/Editor		Danne, T; Battelino, T; Jarosz-Chobot, P; Kordonouri, O
Title		Establishing glycaemic control with continuous subcutaneous insulin infusion in children and adolescents with type 1 diabetes: experience of the PedPump Study in 17 countries
Type		članek
Source		Diabetologia
Vol. and No.		Letnik 51, št. 9
Publication year		2008
Volume		str. 1594-601
Language		eng
Abstract		Aims/hypotesis: To assess the use of paediatric continuous subcutaneous infusion (CSII) under real-life conditions by analysing data recorded for up to 90 days and relating them to outcome. Methods: Pump programming data from patients aged 0-18 years treated with CSII in 30 centres from 16 European countries and Israel were recorded during routine clinical visits. HbA(1c) was measured centrally. Results: A total of 1,041 patients (age: 11.8 +/- 4.2 years; diabetes duration: 6.0 +/- 3.6 years; average CSII duration: 2.0 +/- 1.3 years; HbA(1c): 8.0 +/- 1.3% [means +/- SD]) participated. Glycaemic control was better in preschool (n = 142; 7.5 +/- 0.9%) and pre-adolescent (6-11 years, n = 321; 7.7 +/- 1.0%) children than in adolescent patients (12-18 years, n = 578; 8.3 +/- 1.4%). There was a significant negative correlation between HbA(1c) and daily bolus number, but not between HbA(1c) and total daily insulin dose. The use of <6.7 daily boluses was a significant predictor of an HbA(1c) level >7.5%. The incidence of severe hypoglycaemia and ketoacidosis was 6.63 and 6.26 events per 100 patient-years, respectively. Conclusion/interptrent: This large paediatric survey of CSII shows that glycaemic targets can be frequently achieved, particularly in young children, and the incidence of acute complications is low. Adequate substitution of basal and prandial insulin is associated with a better HbA(1c).
Descriptors		INSULIN INFUSION SYSTEMS BLOOD GLUCOSE CHILD CROSS-SECTIONAL STUDIES DRUG ADMINISTRATION SCHEDULE EUROPE HEMOGLOBIN A, GLYCOSYLATED INJECTIONS, SUBCUTANEOUS INSULIN RETROSPECTIVE STUDIES