The initiation of the treatment with a flexible insulin regimen in a 4-year-old boy with the type 1 diabetes mellitus in an out-patient setting
Abstract
The initiation of the treatment of the type 1 diabetes mellitus (T1D) in an out-patient setting is the alternative to the initial hospitalization. The process must comply with medical, social and communication criteria.
In most cases, flexible regimens use basal and prandial insulin separately. Instead of the time points, amounts of carbohydrates and insulin doses, the time points and insulin doses related to carbohydrate units (grams or carbohydrate exchangeable units) are prescribed.
Children and/or adults with diabetes mellitus thus don't have to eat the same amount of carbohydrates in every individual food. The case report presents the simultaneous use of the two approaches and it discusses their clinical benefits.
A description of the use of glucose flash sensor and contact phone line during the treatment is included.