Hawkes C P, Murphy N P
Ir Med J. 2014 Apr;107(4):102-4.
The aim of this study was to describe the services provided for children with type 1 diabetes in the Republic of Ireland, and to identify a baseline from which services and outcomes might be improved. Lead clinicians in 17 of the 19 centres providing paediatric type 1 diabetes care responded to requests for information from 2012 regarding demographics, patient numbers, diagnostics, outpatient management, multidisciplinary team resources, comorbidity screening, transition policy, clinical guidelines, and use of insulin pumps. The total number of patients attending these centres was 2518. Eight centres initiate insulin pump therapy. Insulin pump usage ranged from 0 to 42% of patients attending each centre. Self reported clinic mean haemoglobin A1c ranged from 8.2 to 9.4% (66.1 to 79.2 mmol/mol). Variation existed in guideline availability, frequency of clinic appointments, age of transition and insulin types used. We recommend a national approach to standardising and improving care for these patients.
本研究的目的是描述爱尔兰共和国为1型糖尿病儿童提供的服务，并确定一个可据此改进服务和结果的基线。在提供儿科1型糖尿病护理的19个中心中，有17个中心的首席临床医生回应了2012年关于人口统计学、患者数量、诊断、门诊管理、多学科团队资源、合并症筛查、过渡政策、临床指南以及胰岛素泵使用情况的信息请求。这些中心的患者总数为2518人。八个中心开始采用胰岛素泵治疗。每个中心使用胰岛素泵的患者比例从0%到42%不等。自我报告的诊所平均糖化血红蛋白范围为8.2%至9.4%（66.1至79.2 mmol/mol）。在指南可用性、门诊预约频率、过渡年龄和使用的胰岛素类型方面存在差异。我们建议采用全国性方法来规范和改善对这些患者的护理。
