title: [Diabetes treatment in children: intensive therapy is not always best].
abstract: Since the 'Diabetes Complications and Control Trial' results were published in 1993, intensive insulin therapy has been the standard treatment for paediatric patients with insulin-dependent diabetes mellitus. This therapy significantly lowers the risk of long term complications of diabetes. The intensive therapy occurs by either continuous insulin infusion via a pump or a 4-times daily injection regime. In three young patients--two girls of 16 and a boy aged 12 years--the intensive treatment option appeared to be inadequate due to a variety of factors including lack of parental support and an eating disorder. All patients were put on a 2 or 3-times daily regime, which resulted in great improvements to their HbA1c levels and sense of well being. To the boy and one of the girls, extra support was given by a home care nurse. We recommend an individualized approach to the paediatric diabetic patient when it comes to the degree of intensity of the treatment.
authors: Meander Medisch Centrum, Amersfoort, The Netherlands.
authors: Renske
authors: R
authors: Oegema
authors: Petra
authors: P
authors: Schram
authors: Roos
authors: R
authors: Nuboer
mesh_terms: D000293:Adolescent; D002648:Child; D048909:Diabetes Complications / Q000517:prevention & control*; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy* / Q000523:psychology*; D001068:Feeding and Eating Disorders / Q000150:complications; D005260:Female; D006701:Home Nursing; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D007328:Insulin / Q000627:therapeutic use*; D007332:Insulin Infusion Systems; D008297:Male; D010349:Patient Compliance; D012944:Social Support
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin