J Korean Diabetes.  2014 Mar;15(1):1-6. 10.4093/jkd.2014.15.1.1.

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

• Jin SM
• Kim JH

• KMID: 1703374
• DOI: http://doi.org/10.4093/jkd.2014.15.1.1

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.

Keyword

Diabetes mellitus type 1; Glycemic variability; Continuous glucose monitoring

MeSH Terms

Adult*
Blood Glucose
Education
Glucose
Humans
Incidence
Insulin
Korea
National Health Programs
Registries
Blood Glucose
Glucose
Insulin

Figure

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

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  Fig. 2. Age and gender distribution of type 1 diabetes patients registered for reimbursement of blood glucose test strips.

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  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.

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  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.

Reference

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