Insulin Pump Therapy Is Associated with Less Post-Exercise Hyperglycemia than Multiple Daily Injections: An Observational Study of Physically Active Type 1 Diabetes Patients

2013 ◽  
Vol 15 (1) ◽  
pp. 84-88 ◽  
Author(s):  
Jane E. Yardley ◽  
Katherine E. Iscoe ◽  
Ronald J. Sigal ◽  
Glen P. Kenny ◽  
Bruce A. Perkins ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Observational Study ◽  
Insulin Pump ◽  
Insulin Pump Therapy ◽  
Pump Therapy ◽  
Physically Active ◽  
Post Exercise ◽  
Active Type ◽  
Multiple Daily Injections

scholarly journals Insulin pump therapy, multiple daily injections, and cardiovascular mortality in 18 168 people with type 1 diabetes: observational study

BMJ ◽  
2015 ◽  
Vol 350 (jun22 1) ◽  
pp. h3234-h3234 ◽  
Author(s):  
I. Steineck ◽  
J. Cederholm ◽  
B. Eliasson ◽  
A. Rawshani ◽  
K. Eeg-Olofsson ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Observational Study ◽  
Cardiovascular Mortality ◽  
Insulin Pump ◽  
Insulin Pump Therapy ◽  
Pump Therapy ◽  
Multiple Daily Injections

scholarly journals Retinal characteristics during 1 year of insulin pump therapy in type 1 diabetes: a prospective, controlled, observational study

2016 ◽  
Vol 94 (6) ◽  
pp. 540-547 ◽  
Author(s):  
Oliver Niels Klefter ◽  
Eva Hommel ◽  
Inger Christine Munch ◽  
Kirsten Nørgaard ◽  
Sten Madsbad ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Observational Study ◽  
Insulin Pump ◽  
Insulin Pump Therapy ◽  
Pump Therapy

Comparison of Insulin Pump Therapy and Multiple Daily Injections Insulin Regimen in Patients with Type 1 Diabetes During Ramadan Fasting

2017 ◽  
Vol 19 (6) ◽  
pp. 349-354 ◽  
Author(s):  
Reem Alamoudi ◽  
Maram Alsubaiee ◽  
Ali Alqarni ◽  
Yousef Saleh ◽  
Saleh Aljaser ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Insulin Pump ◽  
Insulin Pump Therapy ◽  
Insulin Regimen ◽  
Pump Therapy ◽  
Ramadan Fasting ◽  
Multiple Daily Injections

Contrasting Challenges of Insulin Pump Therapy in a Toddler and Adolescent With Type 1 Diabetes

2005 ◽  
Vol 31 (4) ◽  
pp. 584-590 ◽  
Author(s):  
Elizabeth A. Doyle ◽  
Amy T. Steffen ◽  
William V. Tamborlane
Keyword(s):  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Insulin Pump ◽  
Insulin Pump Therapy ◽  
Pump Therapy ◽  
Diabetes Clinic ◽  
Physically Active ◽  
Parental Assistance ◽  
Life Improvement

Purpose To describe the challenges and outcomes of continuous subcutaneous insulin infusion (CSII) pump therapy in a toddler and adolescent with type 1 diabetes. Insight into patient-family aspects motivating pump use is provided. Methods Two cases treated at the Pediatric Diabetes Clinic at Yale University. Results Upon parental request, CSII was initiated to improve glycemic control in a 4-year-old boy (case 1) with unpredictable food intake. During 68 months of CSII therapy, hemoglobin A1C levels averaged 6.3% ± 0.6%. Severe hypoglycemic episodes ceased 36 months ago, and occasional postprandial hyperglycemia during early school years was corrected with school nurses’ reminders about premeal insulin bolus doses. Currently 9.5 years old, he independently manages all his insulin injections with parental assistance only to change the catheter site. Case 2 is a girl who was nearly 12 years of age when diagnosed with type 1 diabetes. Initially managed with daily injections, hypoglycemic episodes were interfering with her physically active lifestyle. At age 13 years, she elected CSII therapy, and glycemic control improved. Temporarily erratic in the immediate period pre- and postmenarche, metabolic control has since stabilized. At 15 years old, she successfully manages her diabetes independently. Conclusions To optimize glycemic control, CSII can be initiated and used effectively, both in children of all ages and in adolescents with type 1 diabetes. CSII may be ideal therapy for toddlers, with no apparent lower age boundary for initiating CSII; however, the parenting challenges and requirements for supportive education differ between toddlers and adolescents. When disease and pump management are appropriately individualized, CSII therapy can help children with diabetes achieve and sustain glycemic control. Lifestyle flexibility, quality-of-life improvement, and independence can thus begin early in childhood and be maintained throughout young adulthood.

scholarly journals Objectively Measured Adherence in Adolescents With Type 1 Diabetes on Multiple Daily Injections and Insulin Pump Therapy

2018 ◽  
Vol 44 (1) ◽  
pp. 21-31 ◽  
Author(s):  
Sarah C Westen ◽  
Jennifer L Warnick ◽  
Anastasia Albanese-O’Neill ◽  
Desmond A Schatz ◽  
Michael J Haller ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Insulin Pump ◽  
Insulin Pump Therapy ◽  
Pump Therapy ◽  
Multiple Daily Injections ◽  
Objectively Measured

Physical activity in type 1 diabetic young and early adults treated with insulin pump therapy. A preliminary report.

2019 ◽  
Vol 1 ◽  
pp. 13-21
Author(s):  
A. Roszkowski ◽  
K. Kulesza ◽  
M. Cybulski ◽  
A.M. Witkowska
Keyword(s):  
Physical Activity ◽  
Type 1 Diabetes ◽  
Insulin Pump ◽  
Vigorous Physical Activity ◽  
Insulin Pump Therapy ◽  
Control Group ◽  
Pump Therapy ◽  
Physically Active ◽  
Self Monitoring

<b>Purpose:</b> To determine the level of physical activity in young and early adults with type 1 diabetes in comparison with their healthy counterparts and to determine whether the use of insulin pump facilitates physical activity. <br/><b>Materials and methods:</b> This study included 40 type 1 diabetes (T1D) subjects of both sexes treated with a personal insulin pump therapy, and 30 healthy controls. The diagnostic survey included questions about nutrition, knowledge about the disease and whether the patient can control diabetes through physical activity, diet and self-monitoring. The International Physical Activity Questionnaire – long form (IPAQ-L), was used to assess the level of physical activity of both diabetic and control individuals. <br/><b>Results:</b> 87.5% T1D subjects believe that using an insulin pump facilitates their physical activity. The level of physical activity associated with cycling (p=0.038) and vigorous physical activity (p=0.008) was higher in T1D than in the control group. Statistically significant differences (p=0.043) were found for total physical activity. The total mean activity was higher in participants with T1D (8147.70 MET-min/week) compared to the control group (5857.55 MET-min/week). <br/><b>Conclusions:</b> Young and early adults with type 1 diabetes may be more physically active than their healthy counterparts, mainly in their leisure time. The use of a personal insulin pump facilitates physical activity, but most diabetics experience episodes of hypoglycemia after physical activity.

scholarly journals Long-term study of tubeless insulin pump therapy compared to multiple daily injections in youth with type 1 diabetes: Data from the German/Austrian DPV registry

2018 ◽  
Vol 19 (5) ◽  
pp. 979-984 ◽  
Author(s):  
Thomas Danne ◽  
Anke Schwandt ◽  
Torben Biester ◽  
Bettina Heidtmann ◽  
Birgit Rami-Merhar ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Insulin Pump ◽  
Insulin Pump Therapy ◽  
Term Study ◽  
Pump Therapy ◽  
Multiple Daily Injections ◽  
Long Term Study
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