Fulfilling the promise of insulin pump therapy in childhood diabetes

Pediatr Diabetes. 2006 Aug:7 Suppl 4:4-10. doi: 10.1111/j.1399-543X.2006.00171.x.

Abstract

Although insulin pump or continuous subcutaneous insulin infusion (CSII) treatment was first introduced more than 25 yr ago, very few children and adolescents with type 1 diabetes mellitus (T1DM) utilized this therapy until recently. In this paper, we review many of the early triumphs, as well as a number of unexpected obstacles that were encountered in applying CSII in the treatment of T1DM. Nevertheless, the greater urgency to obtain optimal control of diabetes following the Diabetes Control and Complications Trial (DCCT), the introduction of rapid-acting insulin analogs and improvements in pump technology have led to a sharp increase in the use of this therapy in youth with T1DM and, generally, favorable outcomes. Moreover, the recent introduction of continuous glucose monitoring systems (CGMSs) offers the prospect of finally realizing the full potential of insulin pump therapy to normalize hemoglobin A1c (HbAlc) levels with minimal risk of hypoglycemia.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Blood Glucose / analysis
  • Blood Glucose Self-Monitoring / instrumentation
  • Child
  • Clinical Trials as Topic
  • Diabetes Mellitus, Type 1 / drug therapy*
  • Diabetic Retinopathy / prevention & control
  • Humans
  • Hypoglycemia / etiology
  • Infusion Pumps, Implantable / adverse effects
  • Insulin / pharmacology
  • Insulin / therapeutic use*
  • Insulin Infusion Systems* / adverse effects
  • Insulin Resistance / physiology
  • Monitoring, Physiologic / methods

Substances

  • Blood Glucose
  • Insulin