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- July 4, 2008 |
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CME on Diabetes is a website built to transmit top-level CME conferences given by international experts in endocrinology, insulin resistance, prediabetes, metabolic syndrome and type 2 diabetes. More than 2.6 million slides have been viewed since the website launch. Thank you for your continued support and commitment!
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"Insulin Pump Therapy in Children and Adolescents" A.Prof. Timothy W. Jones (biography)
English - 2008-02-04 - 27 minutes
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 | (50 slides) |
Summary :
In this presentation A.Prof. Jones talks about the rationale for, and clinical experience with insulin pump therapy in children and adolescents.
The maintenance of good glycaemic control is difficult in children and adolescents with type 1 diabetes, due to a number of factors. Severe hypoglycemia remains a major problem, however insulin pump treatment was associated with reduced rates of severe hypoglycaemia in a population-based cohort of children with type 1 diabetes (1). In a short term observational study from Western Australia (McMahon et al.), pump therapy in patients with an average age at commencement of 12 years, was associated with improvement in glycaemic control; decrease in severe hypoglycaemia despite lower HbA1c; positive improvement in quality of life measures; and no significant weight gain. A review of paediatric studies has been published by Battelino, which looks at risk and benefits of continuous subcutaneous insulin infusion treatment (2).
A.Prof. Jones also discusses the preliminary results of a trial of insulin pump therapy from diagnosis in adolescents (EA Davis, ADA, 2007), and the importance of an experienced team for achievement of successful pump therapy.
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Learning objectives :
After viewing this presentation the participant will be able to discuss:
- Obstacles to good glycaemic control in children and adolescents with T1DM
- Safety and efficacy of insulin pump therapy in children and adolescents
- Importance of a patient and family centred team approach for insulin pump therapy to be successful
Bibliographic references :
1. Bulsara MK, Holman CD, Davis EA, Jones TW.The Impact of a Decade of Changing Treatment on Rates of Severe Hypoglycemia in a Population-Based Cohort of Children With Type 1 Diabetes Diabetes Care 27:2293-2298, 2004.
2. Battelino T.Risk and benefits of continuous subcutaneous insulin infusion (CSII) treatment in school children and adolescents Pediatr Diabetes. 2006 Aug;7 Suppl 4:20-4.
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