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 in | Case reports in endocrinology Vol. 2021; pp. 7310176 - 4 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
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United States
Hindawi
2021
Hindawi Limited Wiley |
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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. |
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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 – name: 2 PGY3 Internal Medicine Resident, Fundación Clínica Valle del Lili, Universidad Icesi, Cali, Colombia – name: 4 Fundación Clínica Valle del Lili, Department of Internal Medicine, Universidad Icesi, Cali, Colombia – 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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Cites_doi | 10.4103/2230-8210.183472 10.1080/0144361031000156500 10.1515/jpem.2000.13.4.343 10.2337/dc09-1848 10.1002/dmrr.3248 10.3109/14767058.2012.670409 10.2337/dc20-s014 10.1089/dia.2011.0081 10.1002/oby.22859 10.1016/S0140-6736(17)32400-5 10.1089/dia.2015.0345 10.1177/193229681300700623 10.1016/j.diabet.2011.02.002 10.1016/j.ogc.2017.02.002 10.1177/1932296816668876 10.1136/bmj.d1855 10.1056/nejmoa1602494 10.2337/db11-1445 10.1002/14651858.cd005542.pub3 10.1172/jci200524531 10.1155/2020/1581726 10.1080/09513590802531062 10.2337/dc07-1066 10.2337/dc07-1967 10.1097/00003081-200003000-00009 10.1177/193229681200600517 10.1089/dia.2016.0421 |
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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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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 |
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