Insulin pump complications among children with diabetes
Open accessAbstract
QUESTION: Several children with diabetes in our clinic use continuous subcutaneous insulin infusion therapy. Recently a 5-year-old presented with a dysfunctional pump, and it took 2 days to identify the problem and resolve it. What are the potential pitfalls of insulin pumps in children and how can these be prevented? ANSWER: The use of continuous subcutaneous insulin infusion pumps has increased considerably during the past decade. Adverse events can range from mild events that can be resolved by troubleshooting at home, to severe incidents that necessitate admission to the hospital. Adverse events include technical issues, skin complications that can lead to infection, and metabolic imbalances that can lead to hospitalization. Long-term monitoring and targeted education are needed for children and their families to ensure early identification of problems with the pump and to avoid diabetic ketoacidosis or hypoglycemia.
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The incidence of adverse insulin pump events is between 0.5 and 5 events per person-year, and these often do not require hospitalization.
“Others have found that the incidence of adverse insulin pump events is between 0.5 and 5 events per person-year, which often do not require hospitalization. 2”
From Time to Moderate and Severe Hyperglycemia and Ketonemia Following an Insulin Pump Occlusion (2024) · cites this paper as [2]
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References 19 · Cited by 10
Research works printed but not linked: 12
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- Rosner B, Roman-Urrestarazu A. Health-related quality of life in paediatric patients with type 1 diabetes mellitus using insulin infusion systems. A systematic review and meta-analysis. PLoS One 2019;14(6):e0217655.
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- Ross P, Gray AR, Milburn J, Kumarasamy IM, Wu F, Farrand S, et al. Insulin pump-associated adverse events are common, but not associated with glycemic control, socio-economic status, or pump/infusion set type. Acta Diabetol 2016;53(6):991-8. Epub 2016 Sep 1.
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- Conwell LS, Pope E, Artiles AM, Mohanta A, Daneman A, Daneman D. Dermatological complications of continuous subcutaneous insulin infusion in children and adolescents. J Pediatr 2008;152(5):622-8. Epub 2008 Jan 22.
- Scaramuzza AE, Dell'Acqua M, Macedoni M, Zuccotti GV. Insulin pump therapy in children with type 1 diabetes: the dark side of the moon. J Diabetes Sci Technol 2013;7(4):1095-7.
- Milburn J, de Lange M, Wiltshire E, Ross P, Rayns J, Tomlinson P, et al. Evaluating the impact of an insulin pump discontinuation action plan on patient or caregiver confidence and anxiety. J Diabetes Metab Disord 2019;18(1):81-8. Can Fam Physician 2022;68:893-5. DOI: 10.46747/cfp.6812893 Child Health Update is produced by the Pediatric Research in Emergency Therapeutics (PRETx) program (http://www.pretx.org) at the BC Children's Hospital in Vancouver, BC.
- Authors
- Hou, M., Amed, S., & Goldman, R. D.
- Venue
- Canadian Family Physician
- Published
- 2022-12
- Volume
- 68
- Issue
- 12
- Pages
- 893-895
- ISSN
- 0008-350X (ISSN-L)
- 1715-5258
- PMC
- PMC9796986
- OpenAlex
- W4311474516
- Cited by
- 10
- References
- 19
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 2 · 2022: 1
- FWCI
- 1.48
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Canadian Family Physician (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Physical Sciences › Engineering › Biomedical Engineering › Intravenous Infusion Technology and Safety
- Keywords
- insulin pump therapy, pediatric diabetes, pump failure, diabetic ketoacidosis, hypoglycemia, skin complications, infection, metabolic imbalance, patient and family education, adverse events
- MeSH terms
- Child, Child, Preschool, Diabetes Mellitus, Type 1, Humans, Hypoglycemia, Hypoglycemic Agents, Insulin, Insulin Infusion Systems, Diabetic Ketoacidosis
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