The Closed-Loop System Improved the Control of a Pregnant Patient with Type 1 Diabetes Mellitus

Objective. Closed-loop insulin systems represent a technological advance in diabetes management but have rarely been studied in pregnancy. We report a case of a patient with type 1 diabetes mellitus who was previously a user of the Paradigm VEO pump and then migrated to Medtronic 670G. Research Desi...

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Published inCase reports in endocrinology Vol. 2021; pp. 7310176 - 4
Main Authors Guzmán Gómez, Guillermo E., Viggiano, Julian A., Silva-De Las Salas, A., Martínez, Veline, Urbano Bonilla, María A.
Format Journal Article
LanguageEnglish
Published United States Hindawi 2021
Hindawi Limited
Wiley
Subjects
Anxiety
Case Report
Case reports
Closed loop systems
Control algorithms
Gestational diabetes
Glucose monitoring
Hyperglycemia
Hypoglycemia
Insulin
Obstetrics
Patients
Pregnancy
Womens health
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Abstract Objective. Closed-loop insulin systems represent a technological advance in diabetes management but have rarely been studied in pregnancy. We report a case of a patient with type 1 diabetes mellitus who was previously a user of the Paradigm VEO pump and then migrated to Medtronic 670G. Research Design and Methods. We reviewed the case of a G1P0 patient with type 1 diabetes, treated with the Medtronic 670G system during pregnancy; a comparison with current literature was done. Results. The patient achieved improved glycemic control as measured by time spent in different ranges as follows: <70 mg/dL, 8–4% and 70–180 mg/dL, 83–94%. Secondary outcomes included reduction of stress, anxiety, fear of hypoglycemia, and the psychological burden related to the disease. There were no obstetric or neonatal complications. Conclusion. The Medtronic 670G closed-loop system was used safely in a pregnant woman; nevertheless, further research is needed to validate this system in this patient population.
AbstractList Objective. Closed-loop insulin systems represent a technological advance in diabetes management but have rarely been studied in pregnancy. We report a case of a patient with type 1 diabetes mellitus who was previously a user of the Paradigm VEO pump and then migrated to Medtronic 670G. Research Design and Methods. We reviewed the case of a G1P0 patient with type 1 diabetes, treated with the Medtronic 670G system during pregnancy; a comparison with current literature was done. Results. The patient achieved improved glycemic control as measured by time spent in different ranges as follows: <70 mg/dL, 8–4% and 70–180 mg/dL, 83–94%. Secondary outcomes included reduction of stress, anxiety, fear of hypoglycemia, and the psychological burden related to the disease. There were no obstetric or neonatal complications. Conclusion. The Medtronic 670G closed-loop system was used safely in a pregnant woman; nevertheless, further research is needed to validate this system in this patient population.
Closed-loop insulin systems represent a technological advance in diabetes management but have rarely been studied in pregnancy. We report a case of a patient with type 1 diabetes mellitus who was previously a user of the Paradigm VEO pump and then migrated to Medtronic 670G. . We reviewed the case of a G1P0 patient with type 1 diabetes, treated with the Medtronic 670G system during pregnancy; a comparison with current literature was done. The patient achieved improved glycemic control as measured by time spent in different ranges as follows: <70 mg/dL, 8-4% and 70-180 mg/dL, 83-94%. Secondary outcomes included reduction of stress, anxiety, fear of hypoglycemia, and the psychological burden related to the disease. There were no obstetric or neonatal complications. The Medtronic 670G closed-loop system was used safely in a pregnant woman; nevertheless, further research is needed to validate this system in this patient population.
Author Guzmán Gómez, Guillermo E.
Silva-De Las Salas, A.
Urbano Bonilla, María A.
Viggiano, Julian A.
Martínez, Veline
AuthorAffiliation 1 Fundación Clínica Valle del Lili, Department of Endocrinology, Universidad Icesi, Cali, Colombia
2 PGY3 Internal Medicine Resident, Fundación Clínica Valle del Lili, Universidad Icesi, Cali, Colombia
5 Fundación Clínica Valle del Lili, Clinical Investigations Center, Cali, Colombia
4 Fundación Clínica Valle del Lili, Department of Internal Medicine, Universidad Icesi, Cali, Colombia
3 Universidad Icesi, Cali, Colombia
AuthorAffiliation_xml – name: 3 Universidad Icesi, Cali, Colombia
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– name: 5 Fundación Clínica Valle del Lili, Clinical Investigations Center, Cali, Colombia
– name: 1 Fundación Clínica Valle del Lili, Department of Endocrinology, Universidad Icesi, Cali, Colombia
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CitedBy_id crossref_primary_10_1007_s41745_022_00348_3
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crossref_primary_10_1089_dia_2023_0267
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Copyright Copyright © 2021 Guillermo E. Guzmán Gómez et al.
Copyright © 2021 Guillermo E. Guzmán Gómez et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0
Copyright © 2021 Guillermo E. Guzmán Gómez et al. 2021
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– notice: Copyright © 2021 Guillermo E. Guzmán Gómez et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0
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Snippet Objective. Closed-loop insulin systems represent a technological advance in diabetes management but have rarely been studied in pregnancy. We report a case of...
Closed-loop insulin systems represent a technological advance in diabetes management but have rarely been studied in pregnancy. We report a case of a patient...
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SubjectTerms Anxiety
Case Report
Case reports
Closed loop systems
Control algorithms
Gestational diabetes
Glucose monitoring
Hyperglycemia
Hypoglycemia
Insulin
Obstetrics
Patients
Pregnancy
Womens health
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Title The Closed-Loop System Improved the Control of a Pregnant Patient with Type 1 Diabetes Mellitus
URI https://dx.doi.org/10.1155/2021/7310176
https://www.ncbi.nlm.nih.gov/pubmed/34594581
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https://pubmed.ncbi.nlm.nih.gov/PMC8478568
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Volume 2021
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