International Society for Pediatric and Adolescent Diabetes
ISPAD 2014 | 40th Anniversary |
235
P147
Functional insulin therapy used in Tetouan (Morocco) in adolescents with type 1 diabetes
M. Hamddan Lachkar
1
, A. Kerkeb
2,3
, N. Loukach
4
, M. Khlafa
5
1
Free University Hospital Brussels, Pediatric Team Diabetes, Brussels, Belgium,
2
Provincial Diabetes
Tetouan, Quilma, Morocco,
3
Association pour la prise en charge précoce, Tetouan, Morocco,
4
Private
Practice for Diabetology, Tetouan, Morocco,
5
Moroccan Federation of Diabetes, Tetouan, Morocco
Objectives:
The objective of this study was to evaluate the effect of instauration of the basal bolus
insulin regime on the glycemic control as well as the quality of life of Moroccan poorly controlled type 1
diabetes adolescents.
Methods:
22 type 1 diabetes patients between 8 and 21 years old with an HbA1C ≥ 8% and a
minimum level of education were included between Feb 2012 and March 2013, if they had at least 1
complication of their diabetes. The subjects received a formation of 36 hours on basal bolus insulin
regimen. Afterwards, they were divided in 2 groups, all being treated with basal bolus insulin at home
and received material for frequent finger blood glucose controls.
Results:
A mean decrease of 2.34 % in HbA1C was observed 3 months after instauration of the basal
bolus regime. This decrease has even improved throughout the follow up period of 19 months with
another 0.5%. There was a 25% decrease in episodes of mild hypoglycemia. No episodes of severe
hypoglycemia requiring hospital care were observed.
Conclusions:
Even in a peripheral region of Morocco, where no patients or professional team had
any prior knowledge of functional insulin therapy, it is possible to obtain, as in most Western countries,
a significant improvement in HbA1c by instauring an intensified basal bolus insulin therapy.
Furthermore, this treatment regimen is highly accepted by patients, giving them freedom in their
dietary habits allowing them to achieve knowledge on carb counting, and motivating them in better
diabetes control.
