Evaluation of characteristics of glycemic control in patients with diabetes mellitus type 1, treated with conventional and basal & bolus insulin in Mofid children’s hospital (2012-2018)

Treatment of diabetes mellitus type 1 in children is achieved with different insulin regimens. Evaluation of each of these regimens and comparing them together, helps us to decide which of them is better for our patients. The aim of this study is to evaluate glycemic control and anthropometric indices in DM1 patients under treatment with two different insulin regimen (conventional and basal & bolus).

In this cross sectional study 73 children with DM1 divided into two groups (conventional therapy= 35patients and basal & bolus treatment in 38 patients). Demographic data include: age, sex, height, weight, BMI, duration of diabetes, mean FBS in last month, mean post prandial glucose in last month, mean 9 month HbA1C, number of hypoglycemia in last month and number of DKA in last year.

There was higher height and weight Z score of patients in basal & bolus group compare to conventional group. (P: 0.024).But there was not significant difference in BMI Z score between two groups, and also there was not significant difference in glycemic control and acute complications (hypoglycemia and DKA) between two groups.

Therapeutic regimen must be achieved by considering personal, familial and psychological property in Iranian patients.