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Impact of ELKa, the Electronic Device for Prandial Insulin Dose Calculation, on Metabolic Control in Children and Adolescents with Type 1 Diabetes Mellitus: A Randomized Controlled Trial
المؤلفون المشاركون
Ramatowska, Anna
Szypowska, Agnieszka
Piechowiak, Katarzyna
Kowalska, Agnieszka
المصدر
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-9، 9ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-01-23
دولة النشر
مصر
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
Background.
The ELKa system is composed of computer software, with a database of nutrients, and a dedicated USB kitchen scale.
It was designed to automatize the everyday calculations of food exchanges and prandial insulin doses.
Aim.
To investigate the influence of the ELKa on metabolic control in children with type 1 diabetes mellitus (T1DM).
Methods.
A randomized, parallel, open-label clinical trial involved 106 patients aged <18 years with T1DM, Hb A 1C ≤ 10 % , undergoing intensive insulin therapy, allocated to the intervention group, who used the ELKa ( n = 53 ), or the control group ( n = 53 ), who used conventional calculation methods.
Results.
After the 26-week follow-up, the intention-to-treat analysis showed no differences to all endpoints.
In per protocol analysis, 22/53 (41.5%) patients reporting ELKa usage for >50% of meals achieved lower Hb A 1C levels ( P = 0.002 ), lower basal insulin amounts ( P = 0.049 ), and lower intrasubject standard deviation of blood glucose levels ( P = 0.023 ) in comparison with the control.
Moreover, in the intervention group, significant reduction of Hb A 1C level, by 0.55% point ( P = 0.002 ), was noted.
No intergroup differences were found in the hypoglycemic episodes, BMI-SDS, bolus insulin dosage, and total daily insulin dosage.
Conclusions.
The ELKa system improves metabolic control in children with T1DM under regular usage.
The trial is registered at ClinicalTrials.gov, number NCT02194517.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Kowalska, Agnieszka& Piechowiak, Katarzyna& Ramatowska, Anna& Szypowska, Agnieszka. 2017. Impact of ELKa, the Electronic Device for Prandial Insulin Dose Calculation, on Metabolic Control in Children and Adolescents with Type 1 Diabetes Mellitus: A Randomized Controlled Trial. Journal of Diabetes Research،Vol. 2017, no. 2017, pp.1-9.
https://search.emarefa.net/detail/BIM-1173847
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Kowalska, Agnieszka…[et al.]. Impact of ELKa, the Electronic Device for Prandial Insulin Dose Calculation, on Metabolic Control in Children and Adolescents with Type 1 Diabetes Mellitus: A Randomized Controlled Trial. Journal of Diabetes Research No. 2017 (2017), pp.1-9.
https://search.emarefa.net/detail/BIM-1173847
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Kowalska, Agnieszka& Piechowiak, Katarzyna& Ramatowska, Anna& Szypowska, Agnieszka. Impact of ELKa, the Electronic Device for Prandial Insulin Dose Calculation, on Metabolic Control in Children and Adolescents with Type 1 Diabetes Mellitus: A Randomized Controlled Trial. Journal of Diabetes Research. 2017. Vol. 2017, no. 2017, pp.1-9.
https://search.emarefa.net/detail/BIM-1173847
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1173847
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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