How modern technologies improve daily diabetic control

Gawel, Wladyslaw; Tabor, Aleksandra; Kamińska, Halla; Deja, Marek; Jarosz-Chobot, Przemysława

doi:10.5114/pedm.2018.80996

Cited by 3 publications

(2 citation statements)

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“…The 21st century is an age of innovation. Each year new medical devices enter the market in hope of saving or at least improving the life of patients . Due to the chronic nature and increasing prevalence of diabetes, the United Nations has declared diabetes a pandemic, making it the only non‐infectious disease with that status .…”

Section: Introductionmentioning

confidence: 99%

How does a predictive low glucose suspend (PLGS) system tackle pediatric lifespan challenges in diabetes treatment? Real world data analysis

et al. 2019

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Objectives: The aim of the study was to assess the benefits of a predictive low glucose suspend (PLGS) system in real-life in children and adolescents with type 1 diabetes of different age and age-related clinical challenges.Methods: Real life retrospective and descriptive analysis included 44 children (26 girls) with type 1 diabetes who were introduced to PLGS system. We divided them in three age groups: I (3-6 years old, n = 12), II (7-10 y/o, n = 16), III (11-19 y/o, n = 16). All children and their caregivers received unified training in self-management during PLGS therapy. Patients' data included: age, HbA1C levels, sex. While from the CGM metric, we obtained: time of sensor use (SENSuse), time in range (TiR): in, below and over target range and average blood glycemia (AVG), insulin suspension time (INSsusp).Results: SENSuse was 93% in total, with 92%, 94%, and 87% in age groups I, II, III, respectively. In total the reduction of mean HbA1C from 7.61% to 6.88% (P < .05), while for the I, II, and III it was 7.46% to 6.72%, 6.91% to 6.41%, and 8.46 to 7.44%, respectively (P < .05). Although we observed a significant reduction of HbA1C, the time below target range was minimal. Specific findings included: group I-longest INSsusp (17%), group II-lowest glycemic variability (CV) (36%), and group III-highest AVG (169 mg/dL). There was a reverse correlation between suspend before low and age (−0.32, P < .05). In group I CV reduced TiR in target range (TiRin) (−0.82, P < .05), in group II use of complex boluses increased TiRin (0.52, P < .05). In group III higher CV increased HbA1C (0.64, P < .05) while reducing TiRin (−0.72, P < .05).Conclusions: PLGS is a suitable and safe therapeutic option for children with diabetes of all age and it is effective in addressing age-specific challenges. PLGS improves glycemic control in children of all age, positively affecting its different parameters. K E Y W O R D Sdiabetes, insulin pumps, technology

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Section: Introductionmentioning

confidence: 99%

How does a predictive low glucose suspend (PLGS) system tackle pediatric lifespan challenges in diabetes treatment? Real world data analysis

et al. 2019

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“…Free Style Libre), which measure the level of glycemia in real time, non-invasively and without the need to take a blood sample. These systems allow children with diabetes to better control and manage their illness [15] and make it significantly easier for teachers to care for pupils with diabetes preventing both hypo-and hyperglycaemia. By identifying the barriers to the provision of proper care for diabetic students in 2020, the lack of proper regulation and the lack of nurses were considered to be as important as in 2013.…”

Section: Discussionmentioning

confidence: 99%

Providing care for children with type 1 diabetes in kindergartens and schools

Zamarlik

Piątek

2020

pedm

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Introduction: Type 1 diabetes in the paediatric population is becoming a serious social problem affecting an increasing number of families with small, dependent children. Polish educational institutions are not prepared to provide care for students with diabetes. There are no nurses who, by law, are responsible for taking care for diabetic children. Teachers are not trained to provide care for pupils with diabetes and there is no system of obligatory, standardized training in this field. The aim of the study was to examine parents' opinions of the quality of care for diabetic students in educational institutions and compare the results obtained in 2013 and 2020. Material and methods: The research, in the form of a questionnaire containing closed and open questions, was conducted in 2013 (n = 602) and 2020 (n = 604). Results: There has been a slight positive change in providing the right care for children with type 1 diabetes in school facilities. In 2013 parents rated the quality of diabetic care as: bad -13%, insufficient -68%, sufficient -14%, good -5%, and in 2020 as: bad -11%, insufficient -54%, sufficient -25.5%, good -10.5%. However, the problem of the lack of appropriate legal regulations and absence of nurses in educational institutions has deepened. Systematic training of staff financed from public funds has still not been provided. Conclusions: It is necessary to solve the problem systematically, introduce mandatory, standardized training, clarify the responsibilities of teachers taking care of children with diabetes, introduce appropriate legislative changes and regulate the currently omitted preschool children.

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Whole pancreas transplantation: Advantages and disadvantages, and an overview of new technologies in organ resuscitation

Pleass

2022

Pancreas and Beta Cell Replacement

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How modern technologies improve daily diabetic control

Abstract: How modern technologies improve daily diabetic control Jak nowoczesne technologie poprawiają kontrolę cukrzycy na co dzień?

Cited by 3 publications

References 32 publications

How does a predictive low glucose suspend (PLGS) system tackle pediatric lifespan challenges in diabetes treatment? Real world data analysis

How does a predictive low glucose suspend (PLGS) system tackle pediatric lifespan challenges in diabetes treatment? Real world data analysis

Providing care for children with type 1 diabetes in kindergartens and schools

Whole pancreas transplantation: Advantages and disadvantages, and an overview of new technologies in organ resuscitation

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