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0 26. 8. 2015.

Evaluation of Boluses Delivered by Insulin Pump in Type 1 Diabetes Mellitus Paediatric Patients

Frequent downloading and analysing data from IP memory especially bolus delivery evaluation are very important for better regulation of T1DM in pediatric patients with IP treatment.. We analyse data from 41 patients (M24/F17), mean age 13,5 years, 15 prepubertal/26 pubertal, mean diabetes duration 7,1± 2,4 years, mean HbA1c 8,9 ±1,3 %., delivered mean 5,4±1,65 boluses daily. Lowest HbA1c (7,6± 1,0 %) was in patients delivered 8-10 boluses daily, and the worst HbA1c (11,1±2,1%) was in patients with 1-3 boluses daily. NS difference was between bolus number (5,6/5,3) in prepubertal and pubertal patients. Only 12 patients (29%) used Bolus Wizard (BW) calculation in everyday pump use, and they had significantly lower HbA1c than non BW users (8,22/8,99 %, p < 0,05). Patients who delivered more insulin of total daily insulin intake in bolus form had significantly lower HbA1c level (p<0, 05). There was no significant difference in correlation of number of delivered boluses and diabetes duration, and with duration of insulin pump treatment. AIMS AND OBJECTIVES


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