title: [Treatment of diabetes in children under 3 years of age. Indications, methods and results].
abstract: Before modern methods of diabetes management were available, the achievement of strict glycemic control was considered almost impossible in most children with early onset of the disease. The present results obtained over 2 years in 31 children aged 21 +/- 2 (SEM) months at the onset of the disease indicate the efficiency of intensive conventional therapy in 21 of them: glycosylated hemoglobin averaged 7.0 +/- 0.3% (N = 4.7 +/- 0.7%) during the observed 26 +/- 7 months, with only 0.02 +/- 0.01 hypoglycemic attack per patient-month and no diabetic ketoacidosis. In the remaining 10 children, who resisted intensive conventional therapy, we used insulin pumps to improve blood glucose control, with the following results over 21 +/- 4 months: Glycosylated hemoglobin decreased from 9.3 +/- 0.3% (before pump) to 8.0 +/- 0.4% (p less than 0.05). The frequency of hypoglycemia decreased dramatically from 1.7 +/- 0.7 to 0.03 +/- 0.01 episode per patient-month. The frequency of ketonuria and ketoacidosis was unchanged. We concluded that intensification of therapy through conventional means, or pump treatment if necessary, allows a long term efficient control of blood glucose in preschool children.
authors.affiliation: Travail du Service d'Endocrinologie Pédiatrique, Hôpital Saint-Vincent-de-Paul, Paris.
authors.forename: E
authors.initials: E
authors.lastname: Boselli
authors.forename: P F
authors.initials: PF
authors.lastname: Bougnères
authors.forename: C
authors.initials: C
authors.lastname: Couprie
authors.forename: J L
authors.initials: JL
authors.lastname: Chaussain
mesh_terms: D001786:Blood Glucose / Q000032:analysis; D002675:Child, Preschool; D003922:Diabetes Mellitus, Type 1 / Q000628:therapy*; D004032:Diet; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007003:Hypoglycemia / Q000628:therapy; D007223:Infant; D007231:Infant, Newborn; D007267:Injections; D007328:Insulin / Q000008:administration & dosage / Q000627:therapeutic use*; D007332:Insulin Infusion Systems; D008297:Male; D010353:Patient Education as Topic
chemical_list: D001786:Blood Glucose; D007328:Insulin
vernacular_title: Traitement du diabète de l'enfant de moins de 3 ans. Indications, méthodes et résultats.