Evaluation of glycemic control indices in children with type ۱ diabetes being treated

Introduction: Differences in glycemic control of patients in conventional and Basal & Bolus methods can be an influential factor in deciding on the treatment method of choice for a particular patient with a specific background. And has been based on the calculation of carbohydrate content in the diet and multiple injections.Methods: In this cross-sectional study, ۱۴۶ children with type ۱ diabetes (conventional methods (n=۷۰) and Basal & Bolus (n=۷۶)) were included in the study during the years ۲۰۱۸ to ۲۰۲۰. Demographic indices, body mass index, duration of diabetes, fasting blood sugar during the last month and also the amount of HbA۱c in the last three periods were measured and compared between the groups.Results: Statistical results showed no significant difference between the two treatments. The average fasting sugar during the last month for the conventional group was ۹۶.۸۱±۱۰.۲۵ and for the Basal & Bolus was ۹۵.۵۹±۹.۱۹ (P=۰.۵۵۱). The average fasting sugar two hours after eating during the last month for the conventional group was ۱۱۵.۴۸±۱۵.۵۹ for Basal & Bolus equals ۱۱۸.۴۱±۱۱.۲۹. (P=۰.۴۸۹)Conclusion: The difference in the results of studies comparing the conventional and basal&Bollus methods and analog and homologous insulins is not fully interpretable. However, it can be said with certainty that the type of nutrition appropriate to the method and level of patient education and acceptance of treatment by the patient can affect the outcome of glycemic control and the occurrence of complications in a treatment method.

Keywords:

Diabetes , Insulin , Children , Conventional , basal& Bollus