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Bombas de infusión de insulina en pacientes diabéticos [Insulin infusion pumps for diabetic patients] |
Mengarelli C, Pichon-Riviere A, Rey-Ares L, Augustovski F, García Martí S, Alcaraz A, Bardach A, Ciapponi A, López A |
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Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Mengarelli C, Pichon-Riviere A, Rey-Ares L, Augustovski F, García Martí S, Alcaraz A, Bardach A, Ciapponi A, López A. Bombas de infusión de insulina en pacientes diabéticos. [Insulin infusion pumps for diabetic patients] Buenos Aires: Institute for Clinical Effectiveness and Health Policy (IECS). Informe de Respuesta Rapida No. 424. 2015 Authors' objectives To assess the available evidence on the efficacy, safety and coverage related aspects regarding the use of IP in patients with diabetes. Authors' conclusions In general, moderate quality evidence could not demonstrate that the use of insulin pumps may improve glucose control or reduce hypoglycemia episodes compared with multiple dose treatments in patients with type I or II diabetes mellitus in children, adults and pregnant women. When comparing the different types of pumps, some studies showed that those wiht have glucose monitoring sensors improve glycosylated hemoglobin control, but the number of hypoglycemia episodes do not decrease.
The automatic discontinuation pumps might reduce severe and nocturnal hypoglycemia episodes.
In spite of the fact the evidence could not clarify the clinical relevance of their use; insulin pumps are usually recommended by CPGs and covered by health sponsors for specific diabetic patients with difficulties in achieving an adequate control. Choosing the type of pump would depend on the kind of problem the patient has (poor glucose and glycosylated hemoglobin control and/or severe hypoglycemia episodes).
Indexing Status Subject indexing assigned by CRD MeSH Diabetes Mellitus; Humans; Insulin; Insulin Infusion Systems Language Published Spanish Country of organisation Argentina English summary An English language summary is available. Address for correspondence Institute for Clinical Effectiveness and Health Policy, Viamonte 2146 - 3 Piso, C1056ABH Ciudad de Buenos Aires, Argentina Tel: +54 11 49 66 00 82 Fax:+54 11 49 53 40 58 Email: info@iecs.org.ar AccessionNumber 32015001154 Date abstract record published 12/11/2015 |
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