Nursing Research on the Green
Kalie R. Freeborn, BSN, RN, MSN-Student
- Background: Optimal glycemic control is essential for the management of very young children with Type 1 diabetes to reduce the number of diabetic complications and promote normal physiologic development.
- Significance: Advanced practice nurses may work with pediatric individuals who have type 1 diabetes. For these advanced practice nurses, understanding the most effective ways to control this disease is imperative.
- Purpose/objective: The purpose of this executive summary is to examine the efficacy of insulin pump (continuous subcutaneous insulin injection) usage compared to the use of multiple daily insulin injections (MDIs) for glycemic control in the very young (ages birth-8 years) pediatric population with Type 1 diabetes.
- Methods: Electronic data bases were systematically searched for peer reviewed random controlled trials or randomized crossover studies with documented HbA1c values from the years 2000 to 2011. Fifteen articles met the inclusion and exclusion criteria. Fifteen articles met the inclusion and exclusion criteria.
- Results: Continuous subcutaneous insulin injections were found to be as or more effective than multiple daily injections at overall glycemic control for the very young pediatric population with Type 1 diabetes.
- Clinical Implications: Future research is needed to investigate safety concerns and patient and caregiver satisfaction with insulin pump therapy. However, insulin pump therapy should be considered a viable treatment option for very young patients with Type 1 diabetes.
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