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Title: Insulin Pump Therapy in Type 1 Diabetic Patients: Experience at the American University of Beirut Medical Center
Author(s): M Merheb, J Chaiban, I Salti, R Sammak, M Choucair, M Nasrallah
Source: International Journal of Diabetes and Metabolism , 2008 , Vol 16 , Issue 2, 57 ; 61

Abstract: Objective: To study glycemic control after initiation of pump therapy in a group of patients with type 1 diabetes..Materials and Methods: We reviewed all consecutive charts of adolescent and adult Lebanese patients with type 1 diabetes treated at the American University of Beirut Medical Center who were started on continuous subcutaneous insulin infusion (CSII) between 2003 and 2005. Their previous insulin regimen included premixed insulin preparation, glargine/lispro or NPH with short-acting insulin, as 2 or 3 injections per day. Results: The charts of 12 patients (7 men and 5 women) were reviewed. Their median age was 24.5 years (range 16-45) and the median disease duration was 10 years (range 2-21). At the time of study, the median duration of pump use was 18 months (range 2-28). Hemoglobin A1C significantly improved [median 8.4 (6.5-10) to 6.9 (5-8.5) % , p=0.003] and the rate of hypoglycemia was reduced (from a total of 32 to 4 episodes per week), with no significant effects on body weight or insulin dose. While on CSII, all patients reported satisfaction in their quality of life in terms of physical, emotional and social well-being. Conclusion: This case series is the first to report the use and outcome of CSII in Lebanon with improved glycemic profile and quality of life in adult patients with type 1 diabetes...

Addresses: Division of Endocrinology, Department of Medicine, American University of Beirut Medical Center, Beirut, Lebanon..

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Country Code: AE