::: 소아내분비 질환 전문의 필성장클리닉 입니다. :::

게시자

이메일

제 목

홈페이지

내 용

>Dr. Oh--
> 
>Please pardon me for contacting you. I found your email address online looking 
for 
>pediatric endocrinologists in Korea. 
> 
>I am a pediatric endocrinologist in the US. Today, I admitted a 10 year old Korean 
>girl to our children's hospital with a new diagnosis of Type 1 diabetes and diabetic 
>ketoacidosis. She is visiting in the US with her mother for the next 6 months. Her 
>mother is very intelligent and is a visiting scholar at my University. 
> 
>I would like to ask you about the usual management strategies for children with 
>Type I diabetes in Korea. I would like to prescribe and educate the family about an 
>insulin treatment plan which will transition easily when they return to Korea. The 
>patient's mother was also concerned that the care be similar.
> 
>In my practice, children do self-glucose monitoring 4-6 times daily. We typically 
>prescribe insulin glargine or insulin detemir to provide basal insulin. Children also 
>take lispro or asparte at each meal (3 times daily). The rapid acting insulin 
analogs 
>are adjusted at each meal according to the number of grams of carbohydrates 
>consumed and the pre-meal glucose level. Is this comparable to the usual 
practice 
>in your country? I also use NPH or insulin pump therapy in some patients, but this 
>is less common.
> 
>If you have any specific advice or experience related to unique aspects of 
diabetes 
>care in your country, I would appreciate it. Thank you for your time and 
>consideration. 
> 
>Your colleague,
>OOO OOOO, MD
>Instructor of Pediatrics
>Emory University School of Medicine
>Division of Endocrinology and Metabolism
>Aflac Cancer Center

Hello

Thank you for your email...

Yes, your practice is comparable to the usual practice in Korea.

But, I prefer the method using the preparation of mixed pen type (7:3 or 7.5:2.5) with 
Lispro PRN...

Have a good day !

비밀번호