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Injections with structured diabetes education are as good as pumps, trial shows

BMJ 2017; 357 doi: (Published 03 April 2017) Cite this as: BMJ 2017;357:j1667
  1. Susan Mayor
  1. London

Adults with type 1 diabetes who use multiple daily injections of insulin achieved similar reductions in HbA1c and severe hypoglycaemia as those using insulin pumps when both groups were given intensive training in self management, a randomised UK trial has shown.1

Many patients with type 1 diabetes who are treated with multiple daily insulin injections currently struggle to achieve glycaemic targets and can develop serious complications. Continuous subcutaneous insulin pumps deliver fast acting insulin in response to blood glucose levels, but they are more expensive than treatment with daily injections.

Insulin pump use is approved in the UK for type 1 diabetes patients with HbA1c levels over 8.5% …

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