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- Title
THE MANAGEMENT OF TYPE 1 DIABETES WITH THE PREDECESSOR OF THE ARTIFICIAL PANCREAS: MEDTRONIC 640G INSULIN PUMP.
- Authors
Leascenco, Noemi-Loredana; Gorga, Simona; Muntean, Irina
- Abstract
Background: Type 1 diabetes is an autoimmune disease which leads to pancreatic B-cells distruction and loss of insulin production function. Despite active research there is no cure, although the technological evolution has improved significally the quality of life for insulin-dependent patients. Objective: The aim of this case presentation is to describe the use of the newest available technology in diabetes: the predecessor of the artificial pancreas, an insulin pump augumented wth a continuous glucose monitor. Materials and methods: We present the case of a 2 years old female patient, diagnosed at the age of 9 months and who is currently using the Medtronic640G insulin pump with Smartguard, a software that can predict hypoglcemic events 30 minutes prior to them appearing and can stop insulin delivery in order to avoid it until the blood sugar is back to a safe values range (70-180mg/dl). The normal values accepted by specialists are>70% time in range,<5% belowrange, <25% overrange with a CV <36%. Results: The use of Medtronic640g has eased the management of diabetes for an infant, by reducing significally hypoglycemia and nighttime carbohydrates intake. It confronts glycemic rises from Growth Hormone secretion during the first half of the night (reversed Down phenomenom) and Down phenomenom during morning cortisol secretion. The current data has shown an A1c=6.2%, (73.6%time in range, 13.3%overrange, 13.1%belowrange, CV=46.85%). The time belowrange is still high, but further modification of hourly basal rate is predicted to lower it. Conclusions: Continuous treatment of an infant with a chronic disease is very difficult, but this new insulin pump has shown a major improvement in managing diabetes and in everyday life of the patient and the parents.
- Subjects
TYPE 1 diabetes; INSULIN pumps; ARTIFICIAL pancreases; SOMATOTROPIN; BLOOD sugar; DISEASES in youths; ACROMEGALY
- Publication
Acta Medica Marisiensis, 2019, Vol 65, p43
- ISSN
2068-3324
- Publication type
Article