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World J Diabetes. Dec 15, 2014; 5(6): 877-881
Published online Dec 15, 2014. doi: 10.4239/wjd.v5.i6.877
Published online Dec 15, 2014. doi: 10.4239/wjd.v5.i6.877
Intensive diabetes management and goal setting are key aspects of improving metabolic control in children and young people with type 1 diabetes mellitus
Astha Soni, Sze May Ng, Department of Paediatrics, Southport and Ormskirk NHS Trust, L39 2AZ Ormskirk, United Kingdom
Sze May Ng, Department of Women’s and Children’s Health, Institute of Translational Medicine, University of Liverpool, L8 7SS Liverpool, United Kingdom
Author contributions: Soni A and Ng SM equally contributed to this work.
Correspondence to: Sze May Ng, FRCPCH, MSc, PhD, Department of Paediatrics, Southport and Ormskirk NHS Trust, Wigan Road, Ormskirk, L39 2AZ Lancashire, United Kingdom. may.ng@nhs.net
Telephone: +44-169-5656163 Fax: +44-169-5656282
Received: August 5, 2014
Revised: October 5, 2014
Accepted: October 23, 2014
Published online: December 15, 2014
Revised: October 5, 2014
Accepted: October 23, 2014
Published online: December 15, 2014
Core Tip
Core tip: The aim of diabetes treatment is to maintain normoglycaemia in order to prevent long term complications. Insulin is the mainstay of diabetes treatment and is delivered by various regimens. Superiority of one regimen over the other is not established. Newer techniques with sensor augmented pumps have shown improvement in the diabetes control. Other aspects of intensive treatment are goal setting and adequate multidisciplinary support for self-management. Self-management is necessary to achieve the goals of diabetes treatment. Interventions based on clear psycho-educational principles are shown to be effective in improving outcomes.