Neonatal diabetes mellitus: Insulin pump as an alternative management strategy

Neonatal diabetes mellitus: Insulin pump as an alternative management strategy
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DOI:
10.1111/j.1440-1754.2005.00696.x
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发表时间:
2005-09-01
影响因子:
1.7
通讯作者:
Zacharin, M
Zacharin, M
中科院分区:
医学4区
文献类型:
--
作者:
Bharucha, T;Brown, J;Zacharin, M

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新生儿糖尿病(出生后第一个月内的高血糖症,需要胰岛素)可能是短暂的或永久性的。由于缺乏皮下脂肪和需要小剂量胰岛素,管理是复杂的,并且可能会因其他医疗问题而复杂化。三例,其中第一个是用传统的胰岛素治疗。后两例患者均采用皮下胰岛素泵治疗成功。我们提出建议的指导方针,治疗新生儿糖尿病,使用这种新的方法来管理。
Neonatal diabetes mellitus (hyperglycaemia within the first month of life, with an insulin requirement) may be transient or permanent. Management is complex, due to lack of subcutaneous fat and the need for small doses of insulin, and may be complicated by additional medical problems. Three cases are presented, the first of which was treated with conventional insulin therapy. The latter two were successfully treated with subcutaneous insulin pump therapy. We present suggested guidelines for treatment of neonatal diabetes, using this novel approach to management.