Archives of Disease in Childhood 2009;94:412-413
LEADING ARTICLES
Insulin injections in schools
Julie A Edge, Oxford Children’s Hospital, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, UK; julie.edge@paediatrics.ox.ac.uk
Accepted 15 January 2009
| The first 150 words of the full text of this article appear below. |
Diabetes control is poor in children in the UK compared with most European countries; only 17% of children achieve HbA1c levels below the target value of 7.5%.1 Historically, we have tended to use insulin regimens requiring twice-daily injections (before breakfast and before the evening meal), meaning that children did not generally require an insulin injection or blood glucose check during the school day. However, the majority of large centres in this country and most in Europe are now using multiple injection therapy (MIT) and continuous subcutaneous insulin infusions (insulin pumps) which are more physiological and have the potential of improving glycaemic control when used intensively. Both require much greater input throughout the day as insulin is required at every meal-time, and, in order to improve control further, the dose of insulin must be related to the carbohydrate content of the meal and to the prevailing blood glucose level.
Diabetes management
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
- Full Text
- Full Text (PDF)
-
All Versions of this Article:
adc.2008.147322v1
94/6/412 most recent - Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in ADC Online
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
