The experience with the use of insulin pump therapy in children and adolescents with type 1 diabetes mellitus

Aim. To evaluate the importance of insulin pump therapy for the achievement of DM1 compensation in children of different age. Materials and methods. The study included 36 patients aged 5-18 years with DM1. Efficiency of insulin pump therapy was assessed from the results of clinical and metabolic monitoring; the data obtained were treated with the use of the Statistica 6.0 program. Results. The use of insulin pump therapy permits to achieve compensation of carbohydrate metabolism in children and adolescents with type 1 diabetes by modeling therapeutic schemes for individual patients. The basal regime of insulin administration at a minimal rate is indicated to young children taking into account their generally low background requirement for insulin. Adolescents need a stepwise regime of insulin delivery with an increased rate of administration inearly morning and evening hours. Conclusion. The continuous regime of subcutaneous insulinadministration ensures the freedom of choice of the character of physical activity and simplifies control of diabetes in children and adolescents engaged in sports activities.