title: Comparison of continuous subcutaneous insulin infusion with multiple insulin injections using the NovoPen.
abstract: Twenty-one patients with insulin-dependent diabetes mellitus (IDDM) participated in a 20-week randomized cross-over comparison of continuous subcutaneous insulin infusion (CSII) with intensified conventional treatment (ICT) using the NovoPen. The Medix or the Auto-Syringe pumps were used for CSII and, during ICT with NovoPen, conventional plastic syringes were used for injections of intermediate-acting insulin at bedtime. At entry HbA1c, was 8.7 +/- 0.4% (mean +/- SE) in CSII patients and 8.8 +/- 0.5% in the ICF group. HbA1c declined significantly in both groups (ICT 7.6 +/- 0.2%; CSII 7.6 +/- 0.2%) though there was no significant difference between the responses. Overall mean blood glucose was slightly but significantly lower during CSII than during ICT (CSII: 7.6 +/- 0.2 mmol/l; ICT: 8.7 +/- 0.4 mmol/l, p less than 0.05). The number of hypoglycaemic episodes did not differ significantly between patients treated with NovoPen and CSII. At the end of the study, a questionnaire revealed that all but one patient preferred ICT with NovoPen to conventional therapy. Given the choice for future treatment, 6 patients chose CSII, 12 patients preferred ICT with NovoPen and 1 was unsure.
authors.affiliation: Hvidöre Hospital, Klampenborg, Denmark.
authors.forename: N
authors.initials: N
authors.lastname: Saurbrey
authors.forename: S
authors.initials: S
authors.lastname: Arnold-Larsen
authors.forename: B
authors.initials: B
authors.lastname: Møller-Jensen
authors.forename: C
authors.initials: C
authors.lastname: Kühl
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000032:analysis; D002985:Clinical Protocols; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy*; D004334:Drug Administration Schedule; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007279:Injections, Subcutaneous; D007328:Insulin / Q000008:administration & dosage*; D007332:Insulin Infusion Systems; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care
chemical_list: D001786:Blood Glucose; D007328:Insulin