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Missed Insulin Boluses for Snacks in Youth With Type 1 Diabetes
Oleh:
VanderWel, Brandon W.
;
Messer, Laurel H.
;
Horton, Lauren A.
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
Diabetes Care vol. 33 no. 03 (Mar. 2010)
,
page 507-508.
Topik:
DIABETES
;
DIABETES MELLITUS
;
Missed Insulin Boluses
;
Snacks
;
Youth With Type 1 Diabetes
Ketersediaan
Perpustakaan FK
Nomor Panggil:
D05.K.2010.01
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
OBJECTIVE : To evaluate the effects of missed insulin boluses for snacks in youth with type 1 diabetes. RESEARCH DESIGN AND METHODS : Three months of simultaneous continuous subcutaneous insulin infusion and continuous glucose monitoring data from nine subjects were retrospectively evaluated. Glucose excursions between 1330 and 1700 h were defined as relating to snacks with insulin or snacks with no insulin administered. Area under the curve >180 mg/dl (AUC >180), average ? glucose, and rate of change were analyzed and compared within and between groups. RESULTS : A total of 94 snacks without insulin and 101 snacks with insulin were analyzed. Snacks without insulin had significantly higher log (AUC >180 + 1) (1.26 vs. 0.44 mg/dl per event; P < 0.001), ? glucose (114 vs. 52 mg/dl; P < 0.001), and average rate of change (1.3 vs. 1.1 mg/dl per minute; P < 0.001). CONCLUSIONS : This study shows that afternoon snacks without insulin boluses are common and result in significantly higher glucose excursions than snacks with insulin administration.
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