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

Jin,  Sang Man; Kim,  Jae Hyeon

doi:2014.15.1.1

J Korean Diabetes > Volume 15(1); 2014 > Article

Opinion

The Journal of Korean Diabetes 2014;15(1):1-6.
DOI: https://doi.org/10.4093/jkd.2014.15.1.1 Published online March 31, 2014.

성인 제1형 당뇨병 환자 관리 실태와 개선 방향

진상만, 김재현

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. jaehyeonkim26@gmail.com

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.

Key Words: Diabetes mellitus type 1, Glycemic variability, Continuous glucose monitoring