Insulin pump failures in Italian children with Type 1 diabetes: retrospective 1-year cohort study

I. Rabbone, N Minuto, R Bonfanti, M. Marigliano, F. Cerutti, Valentino Cherubini, G d'Annunzio, Anna Paola Frongia, D. Iafusco, G. Ignaccolo, F Lombardo, R Schiaffini, S. Toni, S. Tumini, S. Zucchini, A Pistorio, A E Scaramuzza, Italian Paediatric Pump Failure Study Group

Research output: Contribution to journalArticle

Abstract

AIMS: Insulin pump failure and/or malfunction requiring replacement have not been thoroughly investigated. This study evaluated pump replacement in children and adolescents with Type 1 diabetes using insulin pump therapy.

METHODS: Data were collected for all participants younger than 19 years, starting insulin pump therapy before 31 December 2013. For each child, age, disease duration, date of insulin pump therapy initiation, insulin pump model, failure/malfunction/replacement yes/no and reason were considered for the year 2013.

RESULTS: Data were returned by 40 of 43 paediatric centres belonging to the Diabetes Study Group of the Italian Society of Paediatric Endocrinology and Diabetology. In total, 1574 of 11 311 (13.9%) children and adolescents with Type 1 diabetes were using an insulin pump: 29.2% Animas VIBE(™) , 9.4% Medtronic MiniMed 715/515(™) , 34.3% Medtronic MiniMed VEO(™) , 24.3% Accu-Check Spirit Combo(™) and 2.8% other models. In 2013, 0.165 insulin pump replacements per patient-year (11.8% due to pump failure/malfunction and 4.7% due to accidental damage) were recorded. Animas VIBE(™) (22.1%) and Medtronic MiniMed VEO(™) (17.7%) were the most replaced.

CONCLUSIONS: In a large cohort of Italian children and adolescents with Type 1 diabetes, insulin pump failure/malfunction and consequent replacement are aligned with rates previously reported and higher in more sophisticated pump models.

Original languageEnglish
JournalDiabetic Medicine
DOIs
Publication statusE-pub ahead of print - Nov 25 2016

Keywords

  • Journal Article

Fingerprint Dive into the research topics of 'Insulin pump failures in Italian children with Type 1 diabetes: retrospective 1-year cohort study'. Together they form a unique fingerprint.

  • Cite this

    Rabbone, I., Minuto, N., Bonfanti, R., Marigliano, M., Cerutti, F., Cherubini, V., d'Annunzio, G., Frongia, A. P., Iafusco, D., Ignaccolo, G., Lombardo, F., Schiaffini, R., Toni, S., Tumini, S., Zucchini, S., Pistorio, A., Scaramuzza, A. E., & Italian Paediatric Pump Failure Study Group (2016). Insulin pump failures in Italian children with Type 1 diabetes: retrospective 1-year cohort study. Diabetic Medicine. https://doi.org/10.1111/dme.13294