Medtronic Kids
...and Teenagers

What about pumps for toddlers and young  children?

Many recent studies have shown that pumps are both safe and effective for toddlers and young children, so long as the parents are highly motivated.1-6

All of these studies showed an improvement in HbA1c and reduced severe hypoglycaemia by up to 53 percent as well as increased confidence and independence by parents in caring for their child's diabetes.1-6

Pumps have been used for many years for teenagers, however it has only been in recent years that pumps have been considered a choice of treatment for toddlers and young children.

Why?

Because they can address many of the particular problems that parents of toddlers and young children with diabetes experience:

  • frequent hypoglycaemia, particularly at night
  • unpredictable food intake
  • unpredictable physical activity
  • require very low doses of insulin
  • have frequent viral illnesses
  • the inability of the child to convey symptoms of hypoglycaemia to parents

How does the Medtronic Paradigm 
              pump help?

  • gives the ability to program a food bolus dose which can be evenly delivered over a period of time (e.g. 1 hour) and that can be cancelled if the child does not eat all of the food during this time
  • is able to deliver repeated small bolus doses in accordance with their eating habits
  • delivers insulin in increments as low as 0.05u and each dose is precisely measured
  • allows different basal patterns to cope with days of extra activity where not as much insulin is required or to cope with days of inactivity or sickness where more insulin is required
  • gives the constant even delivery of insulin and the use of only short acting insulin helps to reduce the risk of hypoglycaemia
  • Medtronic Bolus Wizard helps to take the guesswork out of calculating the right bolus dose or correction dose to bring the blood glucose back within tight control to minimise the risk of developing complications

Why is the Medtronic Paradigm pump safe 
              for toddlers and young children?

  • a child block feature that disables the buttons so that no insulin can be accidentally programmed
  • a remote control to enable a bolus dose of insulin to be given without using the buttons on the pump, so that the child cannot learn how to deliver a bolus to himself
  • the Paradigm pump is small so that it can be easily worn in a very small backpack or in a colourful small soft pouch on a belt or in a pocket away from little fingers. Children learn very quickly not to interfere with the pump.
  • the Paradigm pump performs 1 million safety checks a day giving parents peace of mind

Is pump therapy painful for children?

  • Medtronic is the only company to have a range of infusion sets to suit all ages, even for babies just weeks old
  • the soft Teflon cannula of the Medtronic Silhouette and Quick-set infusion set allows children to play and do normal "kid stuff" without being bothered by the cannula
  • Medtronic have automatic inserters to quickly and painlessly insert the cannula

The answer to the specific needs of toddlers and young children:
Medtronic Paradigm® REAL-Time System

References:
1) Ahern JAH, Boland EA, Douane R, Ahern JJ, Rose P, Vincent M, Tamborlane WV.
HbA1c levels Insulin Pump Therapy in Paediatrics:A therapeutic alternative to safely lower across all age groups. Paediatric Diabetes 2002:3:10-15
2)

Litton J, Rice A, Friedman N, Oden J, Lee MM, Freemark M. Insulin Pump Therapy in Toddlers and Preschool Children with Type 1 Diabetes Mellitus. Journal of Paediatrics 2002:141:490-495

3) Plotnick LP, Clark LM, Brancati FL, Erlinger T. Safety and Effectiveness of Insulin Pump Therapy in Children and Adolescents with Type 1 Diabetes. Diabetes Care 2003:26:1142-1146
4) DiMeglio LA, Pottorf TM, Boyd SR, France L, Fineberg N, Eugster EA. A Randomized Controlled Study of Pump Therapy in Diabetic Preschoolers. Journal of Paediatrics 2004:145:380-384
5) Weinzimer SA, Ahern JH, Doyle EA, Vincent MR, Dziura J, Steffen AT, Tamborlane WV. Persistence of Benefits of Continuous Subcutaneous Insulin Infusion in Very Young Children with Type 1 Diabetes: A Follow-up Report Paediatrics 2004:114:1601-1605
6) McMahon SK, Airey FL, Marangou DA, McElwee KJ, Carne CL, Clarey AJ, Davis EA, Jones TW. Insulin Pump Therapy in Children and Adolescents: Improvements in Key Parameters of Diabetes Management Including Quality of Life. Diabetic Medicine 2005:22:92-96
7) Haynes A, Bower C, Bulsara MK, Jones TW, Davis EA. Continued Increase in the Incidence of Childhood Type 1 Diabetes in a Population-based Australian Sample. Diabetologia 47: 866-870, 2004.