Automated Insulin Delivery Systems in Pediatric Type 1 Diabetes: A Narrative Review

被引:7
作者
Adolfsson, Peter [1 ,2 ]
Hanas, Ragnar [1 ,3 ]
Zaharieva, Dessi P. [4 ]
Dovc, Klemen [5 ,6 ]
Jendle, Johan [7 ,8 ]
机构
[1] Univ Gothenburg, Sahlgrenska Acad, Inst Clin Sci, Gothenburg, Sweden
[2] Hosp Halland Kungsbacka, Dept Pediat, Kungsbacka, Sweden
[3] NU Hosp Grp, Dept Pediat, Uddevalla, Sweden
[4] Stanford Univ, Sch Med, Div Endocrinol, Dept Pediat, Stanford, CA USA
[5] Univ Ljubljana, Fac Med, Ljubljana, Slovenia
[6] Univ Childrens Hosp, Dept Pediat Endocrinol, Diabet & Metab Dis, Ljubljana, Slovenia
[7] Orebro Univ, Inst Med Sci, Sch Med, Orebro, Orebro, Sweden
[8] Orebro Univ, Diabet Endocrinol & Metab Res Ctr, Orebro, Orebro, Sweden
关键词
automated insulin delivery; exercise; hybrid closed loop; pediatric; illness; type; 1; diabetes; HYBRID CLOSED-LOOP; YOUNG-CHILDREN; RANDOMIZED-TRIAL; ADOLESCENTS; CROSSOVER; HYPOGLYCEMIA; MULTICENTER; THERAPY; PEOPLE; ADULTS;
D O I
10.1177/19322968241248404
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This narrative review assesses the use of automated insulin delivery (AID) systems in managing persons with type 1 diabetes (PWD) in the pediatric population. It outlines current research, the differences between various AID systems currently on the market and the challenges faced, and discusses potential opportunities for further advancements within this field. Furthermore, the narrative review includes various expert opinions on how different AID systems can be used in the event of challenges with rapidly changing insulin requirements. These include examples, such as during illness with increased or decreased insulin requirements and during physical activity of different intensities or durations. Case descriptions give examples of scenarios with added user-initiated actions depending on the type of AID system used. The authors also discuss how another AID system could have been used in these situations.
引用
收藏
页码:1324 / 1333
页数:10
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