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Endocrine Abstracts (2015) 39 EP60 | DOI: 10.1530/endoabs.39.EP60

BSPED2015 e-Posters Diabetes (47 abstracts)

To pump or not to pump; paediatric insulin pump efficacy

Mariam Rahm & Sermed Mezher


University of Manchester, Manchester, UK.


Background: Insulin pumps are used in the management of type 1 diabetes in children at Macclesfield District General Hospital (MDGH). There has been no study previously conducted at MDGH to check the efficacy of the insulin pumps against non-pump methods such as multiple daily injections.

Methods: Review on the number of admissions, type of admissions and insulin administration method were collected from the years 2012–2015. The types of admissions were grouped into preventable and non-preventable. Non-insulin pump methods were grouped as non-pump. Average HbA1C levels were collected using Accucheck. 85 patients between ages of 4 and 18 were identified, 50 of which were on a pump. The number of preventable admissions and average HbA1c levels of the pump group were then compared to the results of the non-pump group.

Results: Three patients were excluded when comparing HbA1c levels as no data on HbA1c could be found in the notes. The pump group had lower HbA1c levels, 82.01±5.609 mmol/mol, compared to non-pump, 99.70±11.299 mmol/mol. P value for average HbA1C was <0.167. Total preventable admissions were on average lower in the pump group than non-pump group, 36 and 51% respectively. P value for total P admissions was <0.463.

Conclusion: No significant difference in average HbA1c levels or total P admissions when comparing pump to non-pump was found. To reduce admissions and improve glycaemic control, comprehensive education, with the help of a multidisciplinary team is needed. Prospective studies testing insulin pump efficacy are warranted.

Volume 39

43rd Meeting of the British Society for Paediatric Endocrinology and Diabetes

British Society for Paediatric Endocrinology and Diabetes 

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