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- Title
Behaviour and metabolic control in children with Type 1 diabetes mellitus on insulin pump therapy: 2-year follow-up.
- Authors
Knight, S. J.; Northam, E. A.; Cameron, F. J.; Ambler, G. R.
- Abstract
Diabet. Med. 28, 1109-1112 (2011) Abstract Aims This study investigated whether continuous subcutaneous insulin infusion is associated with sustained improvement in behaviour and metabolic control. Methods Children with Type 1 diabetes mellitus ( n = 27, 8-18 years old) who had been assessed previously prior to commencing continuous subcutaneous insulin infusion, and 6-8 weeks later, were re-evaluated 2 years after commencing insulin pump therapy. Behaviour was reassessed using the Behavioral Assessment System for Children-2nd edition (BASC-2) and current HbA1c levels were recorded. Results Two years after commencing continuous subcutaneous insulin infusion, parent-reported internalizing and externalizing symptoms were significantly lower than pre-insulin pump therapy commencement levels. Self reports of internalizing and externalizing problems did not differ significantly across the three assessment points. There was no significant difference between pre-insulin pump therapy HbA1c and HbA1c after 2 years on continuous subcutaneous insulin infusion, despite an initial improvement 6-8 weeks after commencing the therapy. Conclusions Children with Type 1 diabetes mellitus showed sustained improvements in parent-reported behaviour, but not in self reports of behaviour or in metabolic control 2 years after commencement of continuous subcutaneous insulin infusion.
- Subjects
PATIENT aftercare; TREATMENT of diabetes; MEDICAL care; MEDICAL needs assessment; SUBCUTANEOUS injections; AFFECT (Psychology); ANALYSIS of variance; BEHAVIOR; BLOOD sugar; DIABETES; DRUG infusion pumps; INSULIN; METABOLISM; METABOLIC regulation; T-test (Statistics); DATA analysis; TREATMENT duration
- Publication
Diabetic Medicine, 2011, Vol 28, Issue 9, p1109
- ISSN
0742-3071
- Publication type
Article
- DOI
10.1111/j.1464-5491.2011.03322.x