Comparison of the insulin pump and multiple daily insulin injections in intensive therapy for type 1 diabetes
Cote B, St-Hilaire C
Record ID 32005000093
English, French
Authors' objectives:
This report examines the safety, efficacy and cost-effectiveness of the insulin pump compared to multiple daily insulin injections for the treatment of type 1 diabetes, a chronic, incurable disease whose onset generally occurs at an early age.
Authors' recommendations:
According to the scientific literature, the insulin pump is effective and does not involve greater risks than the comparator therapy, multiple injections with Neutral Protamine Hagedorn (NPH), if precautions are taken. However, the efficacy gain is clearly more pronounced for patients - both adults and children - who meet specific clinical and psychosocial criteria. Study data indicate that the pump's efficacy is comparable to that of multiple injections with glargine for all adult diabetic patients. Since the pump is very expensive, and since insulin glargine should soon be available in Quebec, there is less interest in pump therapy for adult diabetics. Nonetheless, for some adult patients who may not be able to achieve adequate glycemic control via multiple injections with glargine, the pump could prove to be an efficient option. For children, insulin glargine seems to be less promising than for adults.
Authors' methods:
Review
Details
Project Status:
Completed
URL for project:
http://www.aetmis.gouv.qc.ca/
Year Published:
2004
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Canada
MeSH Terms
- Costs and Cost Analysis
- Diabetes Mellitus, Type 1
- Infusion Pumps, Implantable
- Insulin
- Insulin Infusion Systems
Contact
Organisation Name:
Agence d'évaluation des technologies et des modes d'intervention en santé
Contact Address:
2021, avenue Union, Bureau 10.083,Montreal, Quebec H3A S29, Canada.Tel: +1 514 873 2563; Fax: +1 514 873 1369
Contact Name:
demande@inesss.qc.ca
Contact Email:
demande@inesss.qc.ca
Copyright:
Agence d'Evaluation des Technologies et des Modes d'Intervention en Sante (AETMIS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.