Ве молиме користете го овој идентификатор да го цитирате или поврзете овој запис:
http://hdl.handle.net/20.500.12188/27618
Наслов: | REACHING CONTINUOUS GLUCOSE MONITORING TARGETS WITH SENSOR-AUGMENTED PUMP: A CASE REPORT | Authors: | M. Zivkovic Hristova C. Volkanovska Ilijevska S. Jovanovska Mishevska |
Keywords: | SAP PLGS TIR |
Issue Date: | фев-2023 | Publisher: | Mary Ann Liebert, Inc | Journal: | DIABETES TECHNOLOGY & THERAPEUTICS | Conference: | ATTD Advanced Technologies & Treatments for Diabetes Conference 22‐25 February 2023 I Berlin & Online | Abstract: | Background and Aims Sensor-augmented pumps with predictive low-glucose suspend (SAP with PLGS) can be a good therapy option in countries where hybrid closed loop systems are not available. We present a case of a 25 year old patient with history of uncontrolled diabetes achieving CGM targets using SAP with PLGS (Medtronic Minimed 640G, Guardian Sensor 3). Methods Female patient diagnosed with type 1 diabetes at the age of 8, had a history of uncontrolled diabetes with MDI therapy. Despite optimizing parameters of flexible MDI her A1C during the last 6 years has been between 9.0-9.7%. Intermittent use of professional CGM confirmed high glucose variation and high average sensor glucose. Before initiating SAP her TDD was 54 units (0.8 u/kg), ICR 6 grams/U, ISF 2.0 mmol/L/U and glucose target 6.5mmol/l. After 5 days of 2 hours education SAP was initiated. CGM analysis was performed regularly on day 1, 3, 7 the first week of initiation and every 2 weeks thereafter using Medtronic CarelinkTM System Software. Fine tuning of settings was made during the online visits according to CGM parameters and weight reduction leading to TDD of 32U (0.6U/kg). In person visits were performed the 1st and 3rd month. Results After 90 consecutive days of sensor wear we achieved the following CGM metrics: 78% Time In Range, 3+1 % Time Below Range, 16+2 % Time Above Range, Average Sensor Glucose 7.8 mmol/l, Glucose Management Indicator of 6.7% and Coefficient of Variation 32%. Conclusions SAP with PLGS can be a helpful tool to achieving good glycemic control in selected patients. | URI: | http://hdl.handle.net/20.500.12188/27618 | DOI: | 10.1089/dia.2023.2525.abstracts |
Appears in Collections: | Faculty of Medicine: Conference papers |
Files in This Item:
File | Опис | Size | Format | |
---|---|---|---|---|
ATTD2023 (2).png | 57.02 kB | image/png | View/Open | |
ATTD2023.png | 92.96 kB | image/png | View/Open |
Page view(s)
71
checked on 20.5.2024
Download(s)
18
checked on 20.5.2024
Google ScholarTM
Проверете
Altmetric
Записите во DSpace се заштитени со авторски права, со сите права задржани, освен ако не е поинаку наведено.