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닉네임	PHIL SOO OH, MD	이메일
제 목	[Re] management of diabetes in children
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 !
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