Factors related to CSII compliance.

Abstract:

:Many studies have demonstrated the metabolic efficacy of continuous subcutaneous insulin infusion (CSII) and particularly a reduction of glycaemic fluctuations in type 1 diabetic patients. Despite this benefit, many patients decide to discontinue the use of CSII. To determine the factors related to discontinuation of CSII we analyzed clinical data from a group of 70 patients who had been consecutively started on this treatment from April 2000 to April 2002. Patients were followed for up to 2 years. Eighteen (25.7%) patients decided to terminate CSII during the study after an average of 235 days (range 21-293). The reasons for stopping CSII were decision of the patients (10), end of pregnancy (4), needle site infections (3) and lack of compliance (1). No significant difference was found between patients who had continued and those who had discontinued CSII for age, duration of diabetes, reasons for starting CSII, marital status, prepump concentration of HbA1c and prepump frequency of hypoglycaemia. There tend to be more discontinuations for pregnant women, patients attending hospital visits versus liberal practitioner and patients with lower educational level (below or over baccalaureat) although none of these differences was statistically significant. In conclusion we could not identify any predictive factor of CSII discontinuation.

journal_name

Diabetes Metab

journal_title

Diabetes & metabolism

authors

Ronsin O,Jannot-Lamotte MF,Vague P,Lassman-Vague V

doi

10.1016/s1262-3636(07)70173-8

subject

Has Abstract

pub_date

2005-02-01 00:00:00

pages

90-5

issue

1

eissn

1262-3636

issn

1878-1780

pii

s1262-3636(07)70173-8

journal_volume

31

pub_type

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