A PRIMER ON THE USE OF INSULIN PUMPS IN ADOLESCENTS

Optimal metabolic control to minimize ion-term complications is a majo r treatment goal for adolescents with diabetes mellitus. Reaching this goal is extremely challenging in this population due to unique physio logical changes and psychosocial variables that affect metabolic contr ol. Continuous subcutaneous insulin infusion (CSII) many be an excelle nt treatment alternative for selected adolescents to help overcome som e of these challenges. CSII allows for minute insulin changes at varia ble times throughout the day providing greater lifestyle flexibility. The purpose of this paper is to review the use of insulin pump therapy in adolescents. Specific strategies regarding screening initiation, a nd maintenance of this therapy are described, and case examples are us ed for illustration. Implications for nursing practice and diabetes ed ucation are discussed.