Journal article
Sick day management in children and adolescents with diabetes
Pediatric Diabetes, Vol.23(7), pp.912-925
2022
PMID: 36093857
Abstract
This new version of the sick day guidelines gives a greater emphasis on how to manage diabetes for prevention of ketosis and management with new technologies. Continuous glucose monitoring (CGM) is being routinely used by persons with diabetes with the newer CGM technology becoming increasingly more accurate, especially for day to day adjustments. In this article, “glucose values” unless specifically defined, mean either fingerstick or CGM values. CGM values may need to be cross-checked with fingerstick values if required. Infections such as COVID19, and even vaccinations for COVID19, can precipitate persistent increases in insulin requirements for days or weeks. Anticipatory guidance to deal with predictable patterns of increased insulin requirements such as chronic conditions requiring steroid therapy or hyperglycemia associated with menstrual periods, will reduce anxiety and unnecessary morbidity. Use of electronic data sharing platforms will help families and health care teams assist with sick day management. Closed loop technologies, combining both pumps and sensors, and their interactive regulation by artificial intelligence systems (hybrid closed loop systems, automated insulin delivery, or AID), may be helpful to keep the glucose levels in the target range during sick days; particularly those systems that incorporate personalizable glucose targets and user-initiated modes to reduce or intensify insulin delivery in special situations.
Details
- Title
- Sick day management in children and adolescents with diabetes
- Authors
- Helen Phelan (Author) - John Hunter Children's HospitalRagnar Hanas (Author) - University of GothenburgSabine E. Hofer (Author) - University of InnsbruckSteven James (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - LegacyAlanna Landry (Author) - Markham Stouffville HospitalWarren Lee (Author) - Growth & Diabetes Centre, and KK HospitalJamie R. Wood (Author) - Case Western Reserve UniversityEthel Codner (Corresponding Author) - University of Chile
- Publication details
- Pediatric Diabetes, Vol.23(7), pp.912-925
- Publisher
- Wiley-Blackwell Publishing, Inc.
- Date published
- 2022
- DOI
- 10.1111/pedi.13415
- ISSN
- 1399-5448
- PMID
- 36093857
- Organisation Unit
- School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
- Language
- English
- Record Identifier
- 99681395202621
- Output Type
- Journal article
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- Collaboration types
- Industry collaboration
- Domestic collaboration
- International collaboration
- Web Of Science research areas
- Endocrinology & Metabolism
- Pediatrics
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