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Behaviour and metabolic control in children with Type 1 diabetes mellitus on insulin pump therapy: 2‐year follow‐up
Author(s) -
Knight S. J.,
Northam E. A.,
Cameron F. J.,
Ambler G. R.
Publication year - 2011
Publication title -
diabetic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.474
H-Index - 145
eISSN - 1464-5491
pISSN - 0742-3071
DOI - 10.1111/j.1464-5491.2011.03322.x
Subject(s) - medicine , metabolic control analysis , insulin , insulin pump , diabetes mellitus , type 1 diabetes , type 2 diabetes mellitus , metabolic disorder , endocrinology , pediatrics
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 HbA 1c 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 HbA 1c and HbA 1c 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.