title: Insulin treatment in adolescence.
abstract: Treatment of the adolescent diabetic continues to be a challenge for the physician. Ninety-five diabetic patients aged from 12-18 years were treated according to several therapeutic regimens. Principally the Spanish school time-table and, in some cases, life-style or brittle diabetes, determined the adoption of one of five proposed routines. The degree of control achieved assessed by the mean levels of HbA1 (10.6-10.3%), and the frequency and severity of hypoglycaemic accidents ("mild" variety in 25-30% of patients) were similar in all groups with total pancreatic insufficiency. The switch to a four-daily injection regimen (routine 5) with a pen-injector failed to improve metabolic control but patients had more flexibility in meal size and timing. These results suggest that even in teenagers diabetes can be acceptably treated.
authors.affiliation: Hospital Infantil Vall D'Hebron, Universidad Autonoma, Barcelona, Spain.
authors.forename: E
authors.initials: E
authors.lastname: Vicens-Calvet
authors.forename: M
authors.initials: M
authors.lastname: Gussinyé
authors.forename: M A
authors.initials: MA
authors.lastname: Albisu
authors.forename: N
authors.initials: N
authors.lastname: Potau
authors.forename: L
authors.initials: L
authors.lastname: Ibanez
mesh_terms: D000293:Adolescent; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy*; D005260:Female; D006801:Humans; D007328:Insulin / Q000627:therapeutic use*; D008019:Life Style; D008297:Male
chemical_list: D007328:Insulin