Division of Pediatric Endocrinology, Department of Pediatrics, State University of New York, Stony Brook, NY 11794-8111, USA.
Pediatrics. 2010 May;125(5):e1246-8. doi: 10.1542/peds.2009-1830. Epub 2010 Apr 12.
Unexplained hypoglycemia in a pediatric diabetic patient can perplex even the savviest health care providers and lead to an extensive medical workup. We present here the cases of 2 children with type 1 diabetes mellitus treated with insulin pumps who were hospitalized for episodes of hypoglycemia. Review of their insulin pumps revealed normal basal and bolus insulin delivery. However, subsequent review of the priming history in the pump revealed that both children were receiving additional insulin under the manual-prime function, which is not included in the daily totals and, therefore, was initially unnoticed. Ultimately, both children confessed to surreptitiously using this priming function to self-administer extra insulin. It is important that health care professionals who are caring for diabetic patients be aware of this possibility.
在儿科糖尿病患者中，不明原因的低血糖可使即使是最精明的医疗保健提供者也感到困惑，并导致广泛的医学检查。我们在此介绍了 2 例使用胰岛素泵治疗 1 型糖尿病的儿童患者，他们因低血糖发作而住院。对他们的胰岛素泵进行审查后发现，基础和推注胰岛素的输送均正常。但是，对泵中的预充功能的进一步审查显示，这两个孩子都在通过手动预充功能接受额外的胰岛素，而这并未包含在日常总量中，因此最初并未被注意到。最终，两个孩子都承认偷偷使用此预充功能来自我注射额外的胰岛素。照顾糖尿病患者的医疗保健专业人员了解这种可能性很重要。
