One-year follow-up of 50 rural underprivileged type 1 diabetes children on insulin pump therapy: Breaking socio-economic barriers in diabetes technologies
Aims: To audit the feasibility and clinical outcomes of fifty rural underprivileged children with Type 1 diabetes on insulin pump therapy for a one-year duration. Material and Methods: All patients were audited from the Type 1 database of Madhuram Diabetes and Thyroid Centre (Unit of Idhayangal Ch...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Indian Journal of Endocrinology and Metabolism |
| Subjects: | |
| Online Access: | http://www.ijem.in/article.asp?issn=2230-8210;year=2023;volume=27;issue=3;spage=213;epage=215;aulast=Swaminathan |
| _version_ | 1797775203503177728 |
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| author | Krishnan Swaminathan |
| author_facet | Krishnan Swaminathan |
| author_sort | Krishnan Swaminathan |
| collection | DOAJ |
| description | Aims: To audit the feasibility and clinical outcomes of fifty rural underprivileged children with Type 1 diabetes on insulin pump therapy for a one-year duration. Material and Methods: All patients were audited from the Type 1 database of Madhuram Diabetes and Thyroid Centre (Unit of Idhayangal Charitable Trust www.idhayangal.org, NGO focussed on Type 1 diabetes from poor socio-economic strata). Below Poverty Line (BPL) was defined as any family earning less than Rs 2 lacs per annum. All children acted as their own controls managed on MDI for at least six months before pump start. Data were tabulated in Microsoft Excel and analysed. Results: There were significant reductions in glycosylated haemoglobin at 6 months and one-year of insulin pump therapy compared to baseline pre-pump MDI values. In addition, significant reductions in diabetic ketoacidosis and severe hypoglycaemia admissions were seen. Conclusion: Insulin pump therapy without prejudice on indicated well-selected rural underprivileged children with Type 1 diabetes leads to clinically meaningful outcomes. NGO-Private-Industry partnership is vital to expand access of modern diabetes technologies to reach the most underprivileged. |
| first_indexed | 2024-03-12T22:31:25Z |
| format | Article |
| id | doaj.art-2b6833427df5481dade51e73ade1406a |
| institution | Directory Open Access Journal |
| issn | 2230-8210 |
| language | English |
| last_indexed | 2024-03-12T22:31:25Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Endocrinology and Metabolism |
| spelling | doaj.art-2b6833427df5481dade51e73ade1406a2023-07-21T14:56:15ZengWolters Kluwer Medknow PublicationsIndian Journal of Endocrinology and Metabolism2230-82102023-01-0127321321510.4103/ijem.ijem_324_22One-year follow-up of 50 rural underprivileged type 1 diabetes children on insulin pump therapy: Breaking socio-economic barriers in diabetes technologiesKrishnan SwaminathanAims: To audit the feasibility and clinical outcomes of fifty rural underprivileged children with Type 1 diabetes on insulin pump therapy for a one-year duration. Material and Methods: All patients were audited from the Type 1 database of Madhuram Diabetes and Thyroid Centre (Unit of Idhayangal Charitable Trust www.idhayangal.org, NGO focussed on Type 1 diabetes from poor socio-economic strata). Below Poverty Line (BPL) was defined as any family earning less than Rs 2 lacs per annum. All children acted as their own controls managed on MDI for at least six months before pump start. Data were tabulated in Microsoft Excel and analysed. Results: There were significant reductions in glycosylated haemoglobin at 6 months and one-year of insulin pump therapy compared to baseline pre-pump MDI values. In addition, significant reductions in diabetic ketoacidosis and severe hypoglycaemia admissions were seen. Conclusion: Insulin pump therapy without prejudice on indicated well-selected rural underprivileged children with Type 1 diabetes leads to clinically meaningful outcomes. NGO-Private-Industry partnership is vital to expand access of modern diabetes technologies to reach the most underprivileged.http://www.ijem.in/article.asp?issn=2230-8210;year=2023;volume=27;issue=3;spage=213;epage=215;aulast=Swaminathaninsulin pumppoor socio-economic stratatype 1 diabetes |
| spellingShingle | Krishnan Swaminathan One-year follow-up of 50 rural underprivileged type 1 diabetes children on insulin pump therapy: Breaking socio-economic barriers in diabetes technologies Indian Journal of Endocrinology and Metabolism insulin pump poor socio-economic strata type 1 diabetes |
| title | One-year follow-up of 50 rural underprivileged type 1 diabetes children on insulin pump therapy: Breaking socio-economic barriers in diabetes technologies |
| title_full | One-year follow-up of 50 rural underprivileged type 1 diabetes children on insulin pump therapy: Breaking socio-economic barriers in diabetes technologies |
| title_fullStr | One-year follow-up of 50 rural underprivileged type 1 diabetes children on insulin pump therapy: Breaking socio-economic barriers in diabetes technologies |
| title_full_unstemmed | One-year follow-up of 50 rural underprivileged type 1 diabetes children on insulin pump therapy: Breaking socio-economic barriers in diabetes technologies |
| title_short | One-year follow-up of 50 rural underprivileged type 1 diabetes children on insulin pump therapy: Breaking socio-economic barriers in diabetes technologies |
| title_sort | one year follow up of 50 rural underprivileged type 1 diabetes children on insulin pump therapy breaking socio economic barriers in diabetes technologies |
| topic | insulin pump poor socio-economic strata type 1 diabetes |
| url | http://www.ijem.in/article.asp?issn=2230-8210;year=2023;volume=27;issue=3;spage=213;epage=215;aulast=Swaminathan |
| work_keys_str_mv | AT krishnanswaminathan oneyearfollowupof50ruralunderprivilegedtype1diabeteschildrenoninsulinpumptherapybreakingsocioeconomicbarriersindiabetestechnologies |