• Laura Mihaela Trandafir, Stefana Maria Moisa, Mihaela Victoria Vlaiculescu, Lacramioara Ionela Butnariu, Laura Otilia Boca, ConstantinMaria Magdalena LeonMMLFaculty of Medicine, University of Medicine and Pharmacy "Grigore T Popa", 700115 Iasi, Romania.Clinical Rehabilitation Hospital, 700661 Iasi, Romania., Paula Madalina Lupu, Crischentian Brinza, Oana Raluca Temneanu, and Alexandru Burlacu.
• Pediatrics Department, University of Medicine and Pharmacy "Grigore T. Popa", 700115 Iasi, Romania.
• Medicina (Kaunas). 2022 Nov 18; 58 (11).

AbstractObjective: we aimed to highlight the state of the art in terms of pediatric population adherence to insulin pumps. This study intends to underline the significance of identifying and minimizing, to the greatest extent feasible, the factors that adversely affect the juvenile population's adherence to insulin pump therapy. Materials and methods: articles from PubMed, Embase, and Science Direct databases were evaluated using the following search terms: adherence, pump insulin therapy, children, pediatric population, and type 1 diabetes, in combination with several synonyms such as compliance, treatment adherence, pump adherence, patient dropouts, and treatment refusal. Results: A better glycemic control is connected to a better adherence to diabetes management. We identify, enumerate, and discuss a number of variables which make it difficult to follow an insulin pump therapy regimen. Several key factors might improve adherence to insulin pump therapy: efficient communication between care provider and patients (including home-based video-visits), continuous diabetes education, family support and parental involvement, as well as informational, practical assistance, and emotional support from the society. Conclusions: every cause and obstacle that prevents young patients from adhering to insulin pumps optimally is an opportunity for intervention to improve glycemic control and, as a result, their quality of life.

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