Insulinoterapia. Más allá de la cetoacidosis - Dra. Joalice Villalobos

Insulin therapy in children and adolescents with type 1 diabetes is based on intensive multiple-dose daily (basal-bolus) regimens or the use of insulin pumps, with the goal of adapting the insulin dose to carbohydrate intake, pre-diabetic glucose levels, and physical activity. Rapid- and long-acting insulin analogs are preferred due to their lower risk of hypoglycemia and greater flexibility. Optimal diabetes control focuses on achieving standardized glucose targets, prioritizing time in range and minimizing hypoglycemic episodes. This is achieved through ongoing patient and family education, which includes calculating the insulin ratios required to metabolize carbohydrates and correct hyperglycemia (carbohydrate-to-insulin ratio and sensitivity factor), as well as proper injection technique. Management is inherently dynamic and personalized, requiring the commitment and constant work of the entire healthcare team, along with the patient and their support network. In this class, Dr. Joalice Villalobos, a pediatric endocrinologist, talks about the practical management of insulin therapy in type 1 diabetes, covering dosage regimens, types of insulin, and the importance of education for personalized glycemic control.