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Insulin pump OK for preschoolers with diabetes
Insulin pump OK for preschoolers with diabetes -- Posted by Gumbo on 11-22-04 15:55
Insulin pump OK for preschoolers with diabetes
Oct 14 (Reuters Health) - Young children with diabetes can be treated as
effectively with a portable insulin pump as with multiple daily insulin
injections, researchers report
Dr. Linda A. DiMeglio and colleagues from Indiana University, Indianapolis,
studied 42 diabetic preschoolers who were either treated with continuous
insulin infusion using an insulin pump or by intensive insulin injection
therapy. The investigators compared control of blood sugar levels, safety,
and parents' satisfaction in the two groups.
A total of 37 children completed 6 months of therapy, including 17 on
injection therapy and 20 on pump therapy.
Blood glucose control did not differ significantly between the two groups,
according to the results of the study published in the Journal of
Pediatrics.
The number of episodes of abnormally low blood sugar was higher in the group
using pumps than in those on injection therapy, but both groups experienced
one instance of a seizure due to this condition.
Parents were happy with pump therapy, and 95 percent of families continued
on the treatment beyond the 6 months.
"It remains to be seen whether the benefit of insulin pump therapy in terms
of flexibility and convenience justifies the increased costs for very young
children with diabetes," the researchers conclude.
"Studies of long-term outcomes of children begun on pump therapy at very
young ages also are needed," they add.
SOURCE: Journal of Pediatrics, September 2004.
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