Persistence of long-term insulin independence after islet transplantation and two subsequent pregnancies

Pregnancy increases metabolic demand for insulin and may lead to the exhaustion of intraportally transplanted islets and post-gestational hyperglycemia. To prevent these complications, we implemented preemptive insulin supplementation during two subsequent pregnancies in an insulin-independent islet...

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Main Authors: Sarah Gondek, Mateusz Ogledzinski, William Lin, Kamila Milejczyk, Braden Juengel, Lisa Potter, Piotr J. Bachul, Lindsay Basto, Laurencia Perea, Ling-Jia Wang, Martin Tibudan, Zuzanna Witkowska, Rolf Barth, John Fung, Piotr Witkowski
Format: Article
Language:English
Published: Medical University of Gdańsk 2023-06-01
Series:European Journal of Translational and Clinical Medicine
Subjects:
Online Access:https://ejtcm.gumed.edu.pl/articles/166178.pdf
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author Sarah Gondek
Mateusz Ogledzinski
William Lin
Kamila Milejczyk
Braden Juengel
Lisa Potter
Piotr J. Bachul
Lindsay Basto
Laurencia Perea
Ling-Jia Wang
Martin Tibudan
Zuzanna Witkowska
Rolf Barth
John Fung
Piotr Witkowski
author_facet Sarah Gondek
Mateusz Ogledzinski
William Lin
Kamila Milejczyk
Braden Juengel
Lisa Potter
Piotr J. Bachul
Lindsay Basto
Laurencia Perea
Ling-Jia Wang
Martin Tibudan
Zuzanna Witkowska
Rolf Barth
John Fung
Piotr Witkowski
author_sort Sarah Gondek
collection DOAJ
description Pregnancy increases metabolic demand for insulin and may lead to the exhaustion of intraportally transplanted islets and post-gestational hyperglycemia. To prevent these complications, we implemented preemptive insulin supplementation during two subsequent pregnancies in an insulin-independent islet transplant recipient. This strategy resulted in optimal blood glucose control during the pregnancies, the preservation of the optimal islet graft function and the postpartum maintenance of long-term insulin independence.
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spelling doaj.art-b5636b52b62747e2baa85d819f8073cb2023-08-28T09:03:12ZengMedical University of GdańskEuropean Journal of Translational and Clinical Medicine2657-31482657-31562023-06-0161913166178Persistence of long-term insulin independence after islet transplantation and two subsequent pregnanciesSarah Gondek0https://orcid.org/0000-0003-0771-3217Mateusz Ogledzinski1https://orcid.org/0000-0002-1500-793XWilliam Lin2https://orcid.org/0009-0005-7819-4583Kamila Milejczyk3https://orcid.org/0009-0004-5723-864XBraden Juengel4https://orcid.org/0000-0002-5673-9344Lisa Potter5https://orcid.org/0000-0003-4489-3085Piotr J. Bachul6https://orcid.org/0000-0002-7694-1793Lindsay Basto7https://orcid.org/0000-0003-2168-2269Laurencia Perea8https://orcid.org/0000-0002-5936-8067Ling-Jia Wang9https://orcid.org/0000-0003-4536-8805Martin Tibudan10https://orcid.org/0000-0002-7674-4634Zuzanna Witkowska11https://orcid.org/0000-0002-7703-5717Rolf Barth12https://orcid.org/0000-0002-6770-5473John Fung13https://orcid.org/0000-0002-3038-0441Piotr Witkowski14https://orcid.org/0000-0002-4459-6673The Transplantation Institute, University of Chicago, USAThe Transplantation Institute, University of Chicago, USAThe Transplantation Institute, University of Chicago, USAThe Transplantation Institute, University of Chicago, USAThe Transplantation Institute, University of Chicago, USAThe Transplantation Institute, University of Chicago, USAThe Transplantation Institute, University of Chicago, USAThe Transplantation Institute, University of Chicago, USAThe Transplantation Institute, University of Chicago, USAThe Transplantation Institute, University of Chicago, USAThe Transplantation Institute, University of Chicago, USAThe Transplantation Institute, University of Chicago, USAThe Transplantation Institute, University of Chicago, USAThe Transplantation Institute, University of Chicago, USAThe Transplantation Institute, University of Chicago, USAPregnancy increases metabolic demand for insulin and may lead to the exhaustion of intraportally transplanted islets and post-gestational hyperglycemia. To prevent these complications, we implemented preemptive insulin supplementation during two subsequent pregnancies in an insulin-independent islet transplant recipient. This strategy resulted in optimal blood glucose control during the pregnancies, the preservation of the optimal islet graft function and the postpartum maintenance of long-term insulin independence.https://ejtcm.gumed.edu.pl/articles/166178.pdfpregnancyinsulinislet transplantation
spellingShingle Sarah Gondek
Mateusz Ogledzinski
William Lin
Kamila Milejczyk
Braden Juengel
Lisa Potter
Piotr J. Bachul
Lindsay Basto
Laurencia Perea
Ling-Jia Wang
Martin Tibudan
Zuzanna Witkowska
Rolf Barth
John Fung
Piotr Witkowski
Persistence of long-term insulin independence after islet transplantation and two subsequent pregnancies
European Journal of Translational and Clinical Medicine
pregnancy
insulin
islet transplantation
title Persistence of long-term insulin independence after islet transplantation and two subsequent pregnancies
title_full Persistence of long-term insulin independence after islet transplantation and two subsequent pregnancies
title_fullStr Persistence of long-term insulin independence after islet transplantation and two subsequent pregnancies
title_full_unstemmed Persistence of long-term insulin independence after islet transplantation and two subsequent pregnancies
title_short Persistence of long-term insulin independence after islet transplantation and two subsequent pregnancies
title_sort persistence of long term insulin independence after islet transplantation and two subsequent pregnancies
topic pregnancy
insulin
islet transplantation
url https://ejtcm.gumed.edu.pl/articles/166178.pdf
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