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Improved treatment satisfaction but no difference in metabolic control when using continuous subcutaneous insulin infusion vs. multiple daily injections in children at onset of type 1 diabetes mellitus

Artikel i vetenskaplig tidskrift
Författare L. Skogsberg
Hans Fors
R. Hanas
John Chaplin
E. Lindman
J. Skogsberg
Publicerad i Pediatric Diabetes
Volym 9
Nummer/häfte 5
Sidor 472-9
ISSN 1399-5448
Publiceringsår 2008
Publicerad vid Institutionen för kliniska vetenskaper
Sidor 472-9
Språk en
Länkar dx.doi.org/10.1111/j.1399-5448.2008...
Ämnesord CSII, diabetes mellitus, type 1, MDI, metabolic control, treatment satisfaction
Ämneskategorier Medicin och Hälsovetenskap

Sammanfattning

OBJECTIVE: The aim of this study was to compare safety, metabolic control, and treatment satisfaction in children/adolescents at onset of type 1 diabetes mellitus who were treated with either continuous subcutaneous insulin infusion (CSII) or multiple daily injections (MDI). RESEARCH DESIGN AND METHODS: Seventy-two children/adolescents (7-17 yr of age) were enrolled in this open, randomized, parallel, multicenter study. Approximately half of the patients were treated with MDI (natural protamine hagedorn [NPH] insulin twice daily and rapid-acting insulin three to -four times daily, n = 38) by pen, and the other half received CSII (n = 34). The patients were followed for 24 months with clinical visits at the entry of the study and after 1, 6, 12, and 24 months. During these visits, hemoglobin A1c, insulin doses, weight, and height were registered. Severe episodes of hypoglycemia and ketoacidosis as well as technical problems were recorded. In addition, the patients/parents answered the Diabetes Treatment Satisfaction Questionnaire. RESULTS: There was no significant difference in metabolic control between the treatment groups. Treatment satisfaction was significantly higher in the group treated with CSII compared with the MDI group (p

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