title: [Problems with indications for continuous subcutaneous insulin infusion in 2 juvenile patients with diabetes mellitus].
abstract: Continuous subcutaneous insulin infusion (CSII) using peripheral insulin pumps is only indicated if optimal conventional insulin treatment fails. If psychosocial variables are associated with chronic metabolic disregulation of the treated diabetes mellitus, it may be difficult to decide what came first: the chronic disregulation or the psychosocial variables. In childhood, disregulation of the diabetes may be related to stress-factors, generating a vicious circle. In two such minors CSII was tried with dissatisfying and potentially dangerous results.
mesh_terms: D000293:Adolescent; D001007:Anxiety; D001828:Body Image; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy* / Q000523:psychology; D003926:Diabetic Coma / Q000209:etiology / Q000523:psychology; D005260:Female; D006801:Humans; D007332:Insulin Infusion Systems; D010287:Parent-Child Relations
vernacular_title: Problemen met de indicatie-stelling voor continue subcutane insuline-infusie bij twee minderjarige patiënten met diabetes mellitus.