Submit Manuscript. Journal Home. Editorial Board. Submit to this journal. Current issue. DOI: Int J Diabetes Clin Res This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Background: Intensive insulin therapy is progressively replacing conventional therapy in young children to improve diabetes control.
However, the specific skills required to manage insulin pumps may hamper social integration as much as the fear of severe hypoglycemia using conventional therapy. Methods: The impact of a continuous education program targeting parents and their substitutes on their living places, was assessed in 23 subjects aged 2.
Results: HbA1c levels were undistinguishable in both groups throughout the study period, remaining within recommended ADA target. Whereas a greater increase in insulin dose was observed in the CV group 0. This result may be particularly relevant for less developed countries and contribute to reduce the cost of diabetes management without increasing the risks of side effects.
Insulin dependent diabetes mellitus, Patient education, Preschool child, Cost effectiveness. Type 1 diabetes incidence is rising particularly among preschool children [ 1 - 6 ]. Whereas conventional therapy is still widely used, subcutaneous continuous insulin infusion CSII has recently been proposed to improve meal schedule flexibility, overcome glycemia instability, decrease the risk of severe hypoglycemia and therefore improve HbA1c levels [ 7 - 10 ].
Pump therapy also appears to be helpful to parents by decreasing their anxiety towards daily care [ 11 ]. Despite pumps technical challenge, improved quality of life is described by a majority of parents [ 9 , 12 , 13 ]. On the other hand, this therapeutic approach appears to be more expensive than conventional therapy and consequently limited to industrialized countries [ 14 ].
