AimTo characterise current insulin pump settings used in young patients with type 1 diabetes mellitus (T1DM) and their relationship to glycaemic and weight control.
MethodsThis retrospective study included patients aged <18 years old with T1DM duration >1 year who were using the Medtronic pump device. Data from the insulin pumps including number of blood glucose (BG) tests per day, basal and bolus insulin parameters, carbohydrate ratio (CR) and insulin sensitivity factors (ISF) were averaged over 14 days for statistical analyses. Anthropometric data and recent HbA1c was also recorded.
This is the first study to look at family perceptions of adverse events while using modern CSII. It highlights a high self-reported rate of CSII-related adverse events, pump replacement, and subsequent presentation to the hospital. Potential areas for additional targeted education are identified. Further prospective study examining pump adverse event characteristics and incidence is warranted.
Constant exposure to real-time data can lead to unsafe management responses in adolescents with the behavior influenced by trust or mistrust in the system. Adolescents should be empowered with problem-solving strategies for safe management.
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