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Erschienen in: Journal of Diabetes & Metabolic Disorders 1/2019

12.02.2019 | Research Article

Insulin pump initiation and education for children and adolescents – a qualitative study of current practice in New Zealand

verfasst von: Yasmin H. AbdulAziz, Hesham S. Al-Sallami, Esko Wiltshire, Jenny Rayns, Jinny Willis, Joanna McClintock, Natalie Medlicott, Benjamin J. Wheeler, the Paediatric Society of New Zealand Diabetes Clinical Network

Erschienen in: Journal of Diabetes & Metabolic Disorders | Ausgabe 1/2019

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Abstract

Purpose

Worldwide, the use of insulin pumps for the management of type 1 diabetes is increasing. There are no national or international published guidelines and few guidance recommendations detailing the education and training required to commence insulin pump therapy. The aim of this study is to describe current clinical practice regarding initiation of insulin pump therapy in children and adolescents with type 1 diabetes in New Zealand.

Methods

Pediatric diabetes nurse specialists from selected New Zealand hospitals (n = 16) were identified and invited to participate in this qualitative study. For those consenting, structured interviews were conducted. The questions covered basic hospital demographics and various aspects of insulin pump initiation including pump start planning, education, and aspects of follow-up and after-care.

Results

The response rate was 100% (16 out of 16 hospitals). Diabetes clinics interviewed varied in size from 50 to 450 pediatric patients and frequency of insulin pump use from 11% - 46%. Clinical practice differed between clinics. Important differences related to: use of continuous glucose monitoring (12/16); and differing views on immediate vs. delayed use of pump advanced features. Location of pump starts also varied, with both in-patient (2/16) and out-patient (14/16) approaches seen. The motivations and beliefs relating to these various pump start approaches also varied.

Conclusions

Differences seen between hospitals reflected team preference, and possibly a lack of consensus/guidance from the medical literature. Lessons may be learnt and further rationalisation and improvement in education remains possible by combining and adopting strengths from different hospitals.
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Metadaten
Titel
Insulin pump initiation and education for children and adolescents – a qualitative study of current practice in New Zealand
verfasst von
Yasmin H. AbdulAziz
Hesham S. Al-Sallami
Esko Wiltshire
Jenny Rayns
Jinny Willis
Joanna McClintock
Natalie Medlicott
Benjamin J. Wheeler
the Paediatric Society of New Zealand Diabetes Clinical Network
Publikationsdatum
12.02.2019
Verlag
Springer International Publishing
Erschienen in
Journal of Diabetes & Metabolic Disorders / Ausgabe 1/2019
Elektronische ISSN: 2251-6581
DOI
https://doi.org/10.1007/s40200-019-00390-6

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