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...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2021-01-01
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| Series: | Case Reports in Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2021/7310176 |
| _version_ | 1798031590058622976 |
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| author | Guillermo E. Guzmán Gómez Julian A. Viggiano A. Silva-De Las Salas Veline Martínez María A. Urbano Bonilla |
| author_facet | Guillermo E. Guzmán Gómez Julian A. Viggiano A. Silva-De Las Salas Veline Martínez María A. Urbano Bonilla |
| author_sort | Guillermo E. Guzmán Gómez |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-11T20:00:09Z |
| format | Article |
| id | doaj.art-365650aeb67f4ae5938f661a0268b3c0 |
| institution | Directory Open Access Journal |
| issn | 2090-6501 2090-651X |
| language | English |
| last_indexed | 2024-04-11T20:00:09Z |
| publishDate | 2021-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Case Reports in Endocrinology |
| spelling | doaj.art-365650aeb67f4ae5938f661a0268b3c02022-12-22T04:05:40ZengHindawi LimitedCase Reports in Endocrinology2090-65012090-651X2021-01-01202110.1155/2021/73101767310176The Closed-Loop System Improved the Control of a Pregnant Patient with Type 1 Diabetes MellitusGuillermo E. Guzmán Gómez0Julian A. Viggiano1A. Silva-De Las Salas2Veline Martínez3María A. Urbano Bonilla4Fundación Clínica Valle del Lili, Department of Endocrinology, Universidad Icesi, Cali, ColombiaPGY3 Internal Medicine Resident, Fundación Clínica Valle del Lili, Universidad Icesi, Cali, ColombiaUniversidad Icesi, Cali, ColombiaFundación Clínica Valle del Lili, Department of Internal Medicine, Universidad Icesi, Cali, ColombiaFundación Clínica Valle del Lili, Clinical Investigations Center, Cali, ColombiaObjective. 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.http://dx.doi.org/10.1155/2021/7310176 |
| spellingShingle | Guillermo E. Guzmán Gómez Julian A. Viggiano A. Silva-De Las Salas Veline Martínez María A. Urbano Bonilla The Closed-Loop System Improved the Control of a Pregnant Patient with Type 1 Diabetes Mellitus Case Reports in Endocrinology |
| title | The Closed-Loop System Improved the Control of a Pregnant Patient with Type 1 Diabetes Mellitus |
| title_full | The Closed-Loop System Improved the Control of a Pregnant Patient with Type 1 Diabetes Mellitus |
| title_fullStr | The Closed-Loop System Improved the Control of a Pregnant Patient with Type 1 Diabetes Mellitus |
| title_full_unstemmed | The Closed-Loop System Improved the Control of a Pregnant Patient with Type 1 Diabetes Mellitus |
| title_short | The Closed-Loop System Improved the Control of a Pregnant Patient with Type 1 Diabetes Mellitus |
| title_sort | closed loop system improved the control of a pregnant patient with type 1 diabetes mellitus |
| url | http://dx.doi.org/10.1155/2021/7310176 |
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