| Title | A pilot trial of pramlintide home usage in adolescents with type 1 diabetes. | | Author(s) | Kishiyama CM, Burdick PL, Cobry EC, Gage VL, Messer LH, McFann K, Chase HP | | Institution | Barbara Davis Center M20, Mail Stop A140, 1775 Aurora Ct, PO Box 6511, Aurora, CO 80045. peter.chase@ucdenver.edu. | | Source | Pediatrics 2009 Nov; 124(5):1344-7. | | Abstract | OBJECTIVE: The objective of this study was to evaluate the safety and efficacy of home pramlintide use in adolescents with type 1 diabetes.
PATIENTS AND METHODS: This was a randomized, 28-day pilot trial of pramlintide (maximum dose: 30 mug per meal) in 10 adolescents aged 13 to 17 years. End points included changes in hemoglobin A1c (HbA1c) values, body weight, and postprandial peak blood glucose levels and area under the curve on continuous glucose monitoring.
RESULTS: Changes in HbA1c values, body weight, and total insulin dose declined in the treatment group compared with the control group (bootstrapped, P </= .02 for each). The treatment group also demonstrated lower average dinner area under the curve (P = .02) and lower maximum breakfast (P = .03) and dinner (P = .02) postprandial blood glucose values.
CONCLUSIONS: Pramlintide can help some adolescents to decrease postprandial hyperglycemia, HbA1c values, body weight, and insulin dosages. Additional large-scale trials should now be considered. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 19858155 |
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