Department of Paediatrics, Diabetology, Endocrinology and Nephrology, Medical University of Lodz, Poland.
Department of Paediatrics, Institute of Medical Sciences, University of Opole, Poland.
Pediatr Endocrinol Diabetes Metab. 2024;30(3):132-147. doi: 10.5114/pedm.2024.144041.
Currently, hybrid closed loop (HCL) systems represent the most advantageous therapeutic option for people with diabetes requiring intensive insulin therapy. They make it possible to achieve optimal metabolic control of the disease in any age group while improving the quality of life of children and adolescents with diabetes and their families. Therefore, we present recommendations for the use of HCL systems in children and adolescents focusing on systems currently available in Poland. These systems should be the first choice in terms of method of insulin therapy in the paediatric population. They can be implemented at any stage of diabetes management. These recommendations are based on scientific evidence and experts' experience. They include principles for the initiation, optimisation, and ongoing management of HCL therapy, as well as the required HCL-related education.
目前，混合闭环 (HCL) 系统是需要强化胰岛素治疗的糖尿病患者最有利的治疗选择。它们使在任何年龄组都能实现疾病的最佳代谢控制，同时提高糖尿病儿童和青少年及其家庭的生活质量。因此，我们提出了在儿童和青少年中使用 HCL 系统的建议，重点介绍了目前在波兰可用的系统。这些系统应该是儿科人群胰岛素治疗方法的首选。它们可以在糖尿病管理的任何阶段实施。这些建议基于科学证据和专家经验。它们包括启动、优化和持续管理 HCL 治疗的原则，以及所需的 HCL 相关教育。
