Conflict of interest: For all authors (JP, EM, CH, CR, MS) no competing financial interests exist.
Insulin pump therapy in children and adolescents: Changes in dietary habits, composition and quality of life
Article first published online: 21 MAR 2013
© 2013 The Authors. Journal of Paediatrics and Child Health © 2013 Paediatrics and Child Health Division (Royal Australasian College of Physicians)
Journal of Paediatrics and Child Health
Volume 49, Issue 4, pages E300–E305, April 2013
How to Cite
Peters, J. E., Mount, E., Huggins, C. E., Rodda, C. and Silvers, M. A. (2013), Insulin pump therapy in children and adolescents: Changes in dietary habits, composition and quality of life. Journal of Paediatrics and Child Health, 49: E300–E305. doi: 10.1111/jpc.12162
- Issue published online: 11 APR 2013
- Article first published online: 21 MAR 2013
- Manuscript Accepted: 27 FEB 2012
- Monash Children's Diabetes Ambulatory Care Service multidisciplinary team
- diabetes mellitus;
- type 1;
- insulin infusion systems;
- quality of life
Continuous subcutaneous insulin infusion (CSII) can improve glycaemic control and dietary flexibility compared with conventional insulin therapies. There is little information on whether users are utilising this increased dietary flexibility, and whether dietary quality is affected.
A pre-post observational study was undertaken in 28 children and adolescents with type 1 diabetes commencing CSII. Meal pattern and dietary composition was examined from 3-day food diaries completed before and 3–6 months after CSII commencement. Participants completed the Diabetes-Specific Quality of Life for Youth Short Form, and body mass index z-score, and glycated haemoglobin were measured. A second posttest was undertaken at 18 months with those who were still on CSII and contactable (n = 18).
Energy and macronutrient intake before and 18 months after CSII commencement were unchanged. Mean snacking events decreased significantly by 1.2 snacks per day (P = 0.009), as did the percentage energy derived from snacks (28.8%, 95% confidence interval (CI) 21.5–36.1 vs. 19.3%, 95% CI 13.2–25.4; P = 0.045). Diabetes-Specific Quality of Life for Youth Short Form score was not significantly affected by pump commencement (25.9 95% CI 18.2–33.6), and body mass index z-score remained similar before and after CSII. Glycated haemoglobin decreased by 0.5% in the 3–6 months following CSII commencement, but was similar to baseline at 18 months.
This study demonstrates that the commencement of CSII did not lead to an abandonment of healthy eating principles, and that patients utilised the increased dietary flexibility to make changes to their snacking pattern.