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European Journal of Pediatrics

, Volume 170, Issue 7, pp 891–898 | Cite as

Overweight, obesity and features of metabolic syndrome in children with diabetes treated with insulin pump therapy

  • Włodzimierz ŁuczyńskiEmail author
  • Agnieszka Szypowska
  • Barbara Głowińska-Olszewska
  • Artur Bossowski
Original Paper

Abstract

There has been no specific evaluation of atherogenic risk factors in children with type 1 diabetes mellitus (T1DM) treated with continuous subcutaneous insulin infusion (CSII). We, therefore, studied the prevalence of overweight/obesity and metabolic syndrome among these patients. Five hundred children with T1DM treated with CSII and multiple daily insulin (MDI) regimen were included in the study. Anthropometric data/physical examination, data concerning diabetes, and a lipid profile were assessed in this group, and compared with respect to treatment method (CSII vs. MDI). Almost one-third (30.2%) of the children were overweight/obese. The body mass index (BMI) values at the time of the present evaluation were significantly higher in comparison with the BMI values 3–6 months after the diagnosis. Dyslipidemia was recognized in 51.6%, hypertension in 4.8%, and the metabolic syndrome in 3.2%. of the subjects. The overweight/obese children differed from their normal-weight counterparts with respect to metabolic control, the incidence of hypertension, dyslipidemia, and metabolic syndrome. The girls showed higher prevalence of overweight/obesity and higher BMI values compared to the boys. The children treated with CSII had the same prevalence of overweight/obesity, but a lower incidence of dyslipidemia, and a better metabolic control compared to the children treated with MDI regimen. Our study shows a high prevalence of overweight/obesity and dyslipidemia in children with T1DM including those treated with an insulin pump.

Keywords

Overweight Obesity Diabetes Children Pump therapy 

Abbreviations

BMI

body mass index

CSII

continuous subcutaneous insulin infusion

CVD

cardiovascular diseases

DM

diabetes mellitus

FMDI

flexible multiple daily insulin regimen

IDF

International Diabetes Federation

MDI

multiple daily insulin regimen

MS

metabolic syndrome

T1DM

type 1 diabetes mellitus

Notes

Conflict of interest

None.

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Włodzimierz Łuczyński
    • 1
    Email author
  • Agnieszka Szypowska
    • 2
  • Barbara Głowińska-Olszewska
    • 1
  • Artur Bossowski
    • 1
  1. 1.Department of Pediatrics, Endocrinology, Diabetology with Cardiology DivisionMedical University of BiałystokBiałystokPoland
  2. 2.Department of PediatricsMedical University of WarsawWarsawPoland

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