Document Detail


Treatment options for paediatric diabetes.
MedLine Citation:
PMID:  20666700     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
IMPORTANCE OF THE FIELD: Diabetes mellitus is the most common endocrine disease in childhood. The global incidence of diabetes emphasizes the health, social and financial magnitude of this disease and the importance of optimizing disease management and prevention.
AREAS COVERED IN THIS REVIEW: This article reviews the treatments options for type 1 and 2 diabetes in children, focusing on insulin regimens and new alternative therapies.
WHAT THE READER WILL GAIN: The treatment goals for children with diabetes mellitus are to achieve normal development with prevention of complications. Insulin is the primary medication in the treatment of type 1 diabetes. New therapeutic options and prevention strategies (cellular therapies, immunomodulation and vaccination) aim to preserve residual beta-cell function. There are limited data about the effectiveness and safety of treatment strategies for type 2 diabetes. Many oral agents are approved only for use in adults and have not been yet studied in children.
TAKE-HOME MESSAGE: Therapy regimens should be adapted to the lifestyle of individual patients to achieve optimal blood glucose control. The replacement of beta-cells, preservation of the residual beta-cell function and investigation of additional oral treatment options, present a hope for a cure.
Authors:
Alberto Verrotti; Rosa Maria Chiuri; Annalisa Blasetti; Angelika Mohn; Francesco Chiarelli
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Expert opinion on pharmacotherapy     Volume:  11     ISSN:  1744-7666     ISO Abbreviation:  Expert Opin Pharmacother     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-21     Completed Date:  2011-08-11     Revised Date:  2011-08-25    
Medline Journal Info:
Nlm Unique ID:  100897346     Medline TA:  Expert Opin Pharmacother     Country:  England    
Other Details:
Languages:  eng     Pagination:  2483-95     Citation Subset:  IM    
Affiliation:
University of Chieti, Department of Pediatrics, Italy.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Animals
Blood Glucose / drug effects,  genetics,  metabolism
Child
Diabetes Mellitus, Type 1 / blood,  genetics,  therapy*
Diabetes Mellitus, Type 2 / blood,  genetics,  therapy*
Gene Therapy / trends*
Humans
Hypoglycemic Agents / pharmacology,  therapeutic use*
Insulin / therapeutic use
Islets of Langerhans Transplantation / trends*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Blood Glucose; 0/Hypoglycemic Agents; 11061-68-0/Insulin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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