Despite >30 years of experience with, and marked improvements in, insulin pumps for treatment of type 1 diabetes mellitus, use of these devices in paediatrics has remained controversial. However, a recent report provides convincing new evidence of the long-term benefits of pump therapy in children and adolescents.
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References
Johnson, S. R., Cooper, M. N., Jones, T. W. & Davis, E. A. Long-term outcome of insulin pump therapy in children with type 1 diabetes assessed in a large population-based case–control study. Diabetologia http://dx.doi.org/10.1007/s00125-013-3007-9.
Tamborlane, W. V., Sherwin, R. S., Genel, M. & Felig, P. Reduction to normal of plasma glucose in juvenile diabetics by subcutaneous administration of insulin with a portable infusion pump. N. Engl. J. Med. 300, 573–578 (1979).
[No authors listed] Effect of intensive diabetes treatment on the development and progression of long-term complications in adolescents with insulin-dependent diabetes mellitus: Diabetes Control and Complications Trial. Diabetes Control and Complications Trial Research Group. J. Pediatr. 125, 177–188 (1994).
[No authors listed] Implementation of treatment protocols in the Diabetes Control and Complications Trial. Diabetes Care 18, 361–376 (1995).
Ahern, J. H. et al. Insulin pump therapy in pediatrics: a therapeutic alternative to safely lower therapy HbA1c levels across all age groups. Pediatr. Diabetes 3, 10–15 (2002).
Pankowska, E., Błazik, M., Dziechciarz, P., Szypowska, A. & Szajewska, H. Continuous subcutaneous insulin infusion vs. multiple daily injections in children with type 1 diabetes: a systematic review and meta-analysis of randomized control trials. Pediatr. Diabetes 10, 52–58 (2009).
DiMeglio, L. A. et al. A randomized controlled study of insulin pump therapy in diabetic preschoolers. J. Pediatr. 145, 380–384 (2004).
Beck, R. W. et al. The T1D Exchange clinic registry. J. Clin. Endocrinol. Metab. 97, 4383–4389 (2012).
Redondo, M. J. et al. Pediatric Diabetes Consortium Type 1 Diabetes New Onset (NeOn) Study: factors associated with HbA1c levels one year after diagnosis. Pediatr. Diabetes http://dx.doi.org/10.1111/pedi.12061.
Lin, M. H. et al. Race, socioeconomic status, and treatment center are associated with insulin pump therapy in youth in the first year following diagnosis of type 1 diabetes. Diabetes Technol. Ther. http://dx.doi.org/10.1089/dia.2013.0132.
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W. V. Tamborlane is a consultant for Medtronic Diabetes and Animas/LifeScan. J. L. Sherr declares no competing interests.
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Tamborlane, W., Sherr, J. Insulin pumps in children with T1DM—we told you so. Nat Rev Endocrinol 9, 629–630 (2013). https://doi.org/10.1038/nrendo.2013.190
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DOI: https://doi.org/10.1038/nrendo.2013.190
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