HOME INSULIN THERAPY - PROBLEMS ANALYSED FROM A PEDIATRIC DIABETIC CLINIC AT CHENNAI
V. POOVAZHAGI*, AYESHA SULTHANA BEGUM**, M. S. THANGAVELU***, S. PARIVARDHANI****, MANGAYARKARASI SENGUTTUVAN *****
Institute of Child Health & Hospital for Children, Chennai. *, Institute of Child Health & Hospital for Children, Chennai. **, Institute of Child Health & Hospital for Children, Chennai. ***, Institute of Child Health & Hospital for Children, Chennai. ****, Institute of Child Health & Hospital for Children, Chennai. *****
Aim
To study the problems encountered during the home insulin therapy for children with diabetes mellitus.
Methodology
140 diabetic children on insulin at the diabetic clinic of the Institute if child health were analyzed for problems in therapy this descriptive study.
Results
Of the 348 diabetic years of follow up the local complications were swelling, abscess and hypertrophy in 3.2 per 100 person years. Method of storage of insulin did not reveal any significant difference in the complications. 83% had good compliance to therapy. Recurrent DKA was 5.4 per 100 person years. All children were reusing insulin needles. Average use of a needle was 3.64 days. Infants had problems in dispensing the small doses.
Objective
Home insulin therapy in our setup is safe with minimal problems. However we feel that we should reinforce the proper methods of storage and the technique of giving injections, now and then to the caretakers.
Conclusion
The clinical presentation in children is different from that in adults with rapid progression and late diagnosis in children. There is also a significant increase in immune response with simple supportive measures.
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POOVAZHAGI V, BEGUM S A, THANGAVELU S M, PARIVARDHANI S, SENGUTTUVAN M.. Available From : http://www.pediatriconcall.com/fordoctor/ Conference_abstracts/report.aspx?reportid=45
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