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Biocybernetics and Biomedical Engineering

Tytuł artykułu

Treatment of patients with type 1 diabetes – Insulin pumps or multiple injections?

Autorzy Krzymien, J.  Rachuta, M.  Kozlowska, I.  Ladyzynski, P.  Foltynski, P. 
Treść / Zawartość
Warianty tytułu
Języki publikacji EN
EN In theory, the continuous subcutaneous insulin infusion (CSII) has a few advantages over the multiple daily insulin injections (MDI) that should lead to improved glycemic control and lower risk of hypoglycemia. In practice, both treatment regimens allow for adequate control of glycemia. The objective of this review is to discuss the most important factors contributing to this situation. We made a comprehensive evidence-based review of the factors affecting effectiveness of CSII and MDI, with a special attention to algorithms for insulin dose adjustments and the automatic bolus calculators. Regardless of the treatment regimen that is used a few different interdependent factors influence the final result of the intensive insulin therapy. These factors comprise: patients' education, attitude, emotional stability and compliance, and careful analysis of the treatment results by a physician establishing the appropriate rate of basal insulin infusion or the basal dose of insulin and adjusting insulin doses to: the meals, the planned physical activity and the actual and target glucose levels. Our study implies that good glycemic control in patients with type 1 diabetes requires not only a thorough patient education and complying with medical recommendations, but also an individual determination of therapy goals and ways of achieving them. That is why, regardless of the treatment method that is applied, it is the choice of appropriate algorithms and adjusting them to the patient's way of life what allow for achieving pre-specified therapeutic goals. Technical means such as automatic bolus calculators might supplement but they cannot replace patients education and compliance.
Słowa kluczowe
PL cukrzyca   cukrzyca typu 1   infuzja   zastrzyk insulinowy  
EN diabetes mellitus   type 1 diabetes   continuous subcutaneous insulin   infusion   multiple daily insulin injections   automatic bolus calculator  
Wydawca Nałęcz Institute of Biocybernetics and Biomedical Engineering of the Polish Academy of Sciences
Czasopismo Biocybernetics and Biomedical Engineering
Rocznik 2016
Tom Vol. 36, no. 1
Strony 1--8
Opis fizyczny Bibliogr. 60 poz., tab., wykr.
autor Krzymien, J.
autor Rachuta, M.
  • Clinic of Gastroenterology and Metabolic Diseases, Medical University of Warsaw, Warsaw, Poland,
autor Kozlowska, I.
  • Clinic of Gastroenterology and Metabolic Diseases, Medical University of Warsaw, Warsaw, Poland,
autor Ladyzynski, P.
  • Nalecz Institute of Biocybernetics and Biomedical Engineering Polish Academy of Sciences, 4 Trojdena Street, 02-109 Warsaw, Poland,
autor Foltynski, P.
  • Nalecz Institute of Biocybernetics and Biomedical Engineering Polish Academy of Sciences, 4 Trojdena Street, 02-109 Warsaw, Poland,
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PL Opracowanie ze środków MNiSW w ramach umowy 812/P-DUN/2016 na działalność upowszechniającą naukę.
Kolekcja BazTech
Identyfikator YADDA bwmeta1.element.baztech-1aa687a9-abe2-4a93-a525-83ddcda44c85
DOI 10.1016/j.bbe.2015.10.002