PMID- 6364666 OWN - NLM STAT- MEDLINE DCOM- 19840302 LR - 20191031 IS - 0001-5563 (Print) IS - 0001-5563 (Linking) VI - 20 IP - 4 DP - 1983 Oct-Dec TI - The treatment of unstable type I diabetes: conventional versus portable pump insulin administration. PG - 363-70 AB - The treatment of unstable insulin-dependent diabetics (UIDD) is still an unsolved problem. A comparison was made between optimized conventional treatment (OCT) (Ultralente + Actrapid at breakfast, Actrapid at lunch and Actrapid at dinner) and continuous s.c. insulin infusion (CSII) for 30 days in 10 UIDD outpatients. Continuous 24-h blood glucose monitoring with an artificial pancreas, fasting values of HbA1, plasma lipids, growth hormone, glucagon, daily urinary glucose and protein excretion were recorded after each treatment; a daily blood glucose profile was determined every week. Daily mean blood glucose values dropped significantly (p less than 0.01): from 187.2 +/- 66.6 (OCT) to 111.6 +/- 27.0 mg/dl (CSII), and hypoglycemic and ketotic events disappeared during CSII. A significant improvement (p less than 0.01 - p less than 0.001) in all other parameters was also observed. It is suggested that CSII may help to improve metabolic control and the quality of life in UIDD. FAU - Cavallo-Perin, P AU - Cavallo-Perin P FAU - Pagano, G AU - Pagano G FAU - Tagliaferro, V AU - Tagliaferro V FAU - Jarre, P AU - Jarre P FAU - Ozzello, A AU - Ozzello A FAU - Lenti, G AU - Lenti G LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Italy TA - Acta Diabetol Lat JT - Acta diabetologica latina JID - 0123567 RN - 0 (Blood Glucose) RN - 0 (Insulin) SB - IM MH - Adolescent MH - Adult MH - Blood Glucose/analysis MH - Diabetes Mellitus, Type 1/*drug therapy/metabolism MH - Female MH - Humans MH - Injections, Subcutaneous/methods MH - Insulin/*administration & dosage MH - Insulin Infusion Systems MH - Male EDAT- 1983/10/01 00:00 MHDA- 1983/10/01 00:01 CRDT- 1983/10/01 00:00 PHST- 1983/10/01 00:00 [pubmed] PHST- 1983/10/01 00:01 [medline] PHST- 1983/10/01 00:00 [entrez] AID - 10.1007/BF02581168 [doi] PST - ppublish SO - Acta Diabetol Lat. 1983 Oct-Dec;20(4):363-70. doi: 10.1007/BF02581168.