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Insulinpumpentherapie

Standardtherapie für Diabetespatienten im Alter unter 5 Jahren

Insulin pump therapy

Standard therapy for diabetes patients less than 5 years old

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Der Diabetologe Aims and scope

Zusammenfassung

Kleinkinder mit Typ-1-Diabetes stellen aufgrund ihres niedrigen und häufig wechselnden Insulinbedarfs eine Herausforderung für den Kinderdiabetologen dar. Mittlerweile werden mehr als 80 % aller Patienten mit Typ-1-Diabetes, die jünger als 5 Jahre sind, mit einer Insulinpumpe behandelt, sodass von einer Standardtherapie für dieses Alter gesprochen werden kann. Die Insulinpumpe ermöglicht eine große Flexibilität mit Anpassung an wechselnde Bewegung, unvorhersehbare Kohlenhydrataufnahme und häufig auftretende Infektionen mit erhöhtem Insulinbedarf. Auch die Betreuung im Kindergarten und durch Pflegedienste wird durch eine Pumpe einfacher. Die Kombinationsmöglichkeit mit einer s.c.-Glukosekonzentration-Messung und einer automatischen Hypoglykämieabschaltung kann für einige Kleinkinder weitere Vorteile bieten.

Abstract

Toddlers and infants with type 1 diabetes are one of the most challenging patient groups for pediatric diabetologists because of low and frequently changing insulin requirements. In Germany more than 80 % of children less than 5 years old with type 1 diabetes are treated with an insulin pump; therefore, this is currently the standard treatment. High flexibility is essential for changing physical activity, unpredictable carbohydrate intake and frequent infectious diseases that could lead to higher insulin demand. Caregivers in kindergartens can more easily be involved in diabetes treatment with pumps. The combination of insulin pumps with continuous subcutaneous glucose measurement and an automatic low glucose switch off could have benefits for individual toddlers.

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Interessenkonflikt

Der korrespondierende Autor weist für sich und seine Koautoren auf folgende Beziehungen hin: T. Kapellen bekam Vortragshonorare von den Firmen Medtronic, Roche und Lilly.

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Authors and Affiliations

  1. Universitätsklinik und Poliklinik für Kinder und Jugendliche, Liebigstr. 20, 04103, Leipzig, Deutschland

    T. Kapellen & W. Kiess

  2. Kinderkrankenhaus Wilhelmstift, Hamburg, Deutschland

    B. Heidtmann

  3. Institut für Epidemiologie und medizinische Biometrie, Universität Ulm, Ulm, Deutschland

    R.W. Holl

Authors
  1. T. Kapellen
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  2. B. Heidtmann
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  3. R.W. Holl
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  4. W. Kiess
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Corresponding author

Correspondence to T. Kapellen.

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Kapellen, T., Heidtmann, B., Holl, R. et al. Insulinpumpentherapie. Diabetologe 9, 135–139 (2013). https://doi.org/10.1007/s11428-012-0972-4

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  • DOI: https://doi.org/10.1007/s11428-012-0972-4

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