title: The use of continuous subcutaneous insulin infusion (CSII) as the treatment of choice in children and adolescents with type 1 diabetes.
abstract: Continuous subcutaneous insulin infusion (CSII) by external pumps is shown in several clinical trials to be a safe and effective treatment modality for patients with T1D. The present prospective observational study evaluated the efficacy and safety of CSII in children and adolescents treated in a routine clinical setting. 186 patients using CSII from 3 to 30 months were included in the analysis. A significant decrease of GlyHbA1c was observed after 3 months (p < 0.005) and was sustained throughout the study with a mean all over reduction of 0.7%. Events of ketoacidosis and severe hypoglycemia amounted to 0.027 and 0.014 per patient-year, respectively. Routine use of CSII in children and adolescents with T1D is effective in improving metabolic control and associated with a very low incidence of ketoacidosis or severe hypoglycemia.
authors.affiliation: University Children's Hospital, Dept. of Pediatric Endocrinology, Diabetes and Metabolism, Ljubljana, Slovenia. tadej.battelino@mf.uni-lj.si
authors.forename: Tadej
authors.initials: T
authors.lastname: Battelino
authors.forename: Natasa
authors.initials: N
authors.lastname: Ursic-Bratina
authors.forename: Nina
authors.initials: N
authors.lastname: Bratanic
authors.forename: Mojca
authors.initials: M
authors.lastname: Zerjav-Tansek
authors.forename: Magdalena
authors.initials: M
authors.lastname: Avbelj
authors.forename: Ciril
authors.initials: C
authors.lastname: Krzisnik
mesh_terms: D000293:Adolescent; D000328:Adult; D015415:Biomarkers / Q000097:blood; D002648:Child; D002675:Child, Preschool; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000188:drug therapy*; D005260:Female; D005500:Follow-Up Studies; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage*; D007223:Infant; D007231:Infant, Newborn; D007260:Infusion Pumps; D007328:Insulin / Q000008:administration & dosage*; D008297:Male; D011446:Prospective Studies; D016896:Treatment Outcome
chemical_list: D015415:Biomarkers; D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; D007328:Insulin