Management of Adults with Type 1 Diabetes: Current Status and Suggestions

Sang-Man Jin; Jae Hyeon Kim

doi:10.4093/jkd.2014.15.1.1

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Jin and Kim: Management of Adults with Type 1 Diabetes: Current Status and Suggestions

Opinion

J Korean Diabetes 2014;15(1):1-5.

Published online: 10 January 2014

DOI: https://doi.org/10.4093/jkd.2014.15.1.1

Management of Adults with Type 1 Diabetes: Current Status and Suggestions

Sang-Man Jin, Jae Hyeon Kim

Division of Endocrinology and Metabolism, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Because of the low incidence of type 1 diabetes in Korea, some Korean patients with type 1 diabetes are still being treated like type 2 diabetes patients. In 2011, the national health insurance launched a reimbursement program for the use of blood glucose test strips in type 1 diabetes. The initiation of the reimbursement program could provide an opportunity to assess the national status of type 1 diabetes management. In this context, we will discuss the lessons from the studies involving major national type 1 diabetes registries and the results of recent studies on multiple daily injection of insulin, continuous glucose monitoring, continuous subcutaneous insulin infusion, use of sensor-augmented insulin pumps, and the structure education program for patients with type 1 diabetes.

Keywords: Diabetes mellitus type 1, Glycemic variability, Continuous glucose monitoring

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Fig. 1.

Regional distribution of type 1 diabetes patients registered for reimbursement of blood glucose test strips.

Fig. 2.

Age and gender distribution of type 1 diabetes patients registered for reimbursement of blood glucose test strips.

Fig. 3.

Daily frequency of self-monitoring of blood glucose in the patients of five university hospitals in Seoul. We compared the mean daily frequency of self-monitoring of blood glucose per day (SMBG No/day) in the patients of five university hospitals (A to E) in Seoul.

Fig. 4.

Proportion of the type of insulin therapy in the patients of five university hospitals in Seoul. We compared the proportion of the type of insulin therapy in the patients of five university hospitals (A to E) in Seoul. Pump, insulin pump; basal-bolus, multiple daily injections.

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