Closed-Loop Insulin Delivery May Help Prevent Metabolic Complications During Bariatric Surgery in Patients with Type 1 Diabetes: A Case Report

被引：0
作者：
Cornu, Erika [1 ]
Gaulier, Camille [2 ]
Juttet, Pauline [1 ]
Beauvy, Julie [1 ]
Mezzarobba, Vincent [1 ]
Proust, Anne-Laure [2 ]
Le Berre, Jean-Philippe [1 ]
Paepegaey, Anne-Cecile [1 ,3 ]
机构：
[1] Medipole, Dept Endocrinol, Lyon Villeurbanne, Villeurbanne, France
[2] Medipole, Dept Endocrinol Surg, Lyon Villeurbanne, Villeurbanne, France
[3] Meipole Lyon Villeurbanne, Dept Endocrinol, 158 Ave Leon Blum, F-69100 Villeurbanne, France
来源：
DIABETES TECHNOLOGY & THERAPEUTICS | 2024年 / 26卷 / 04期
关键词：
Closed-loop system; Closed-loop insulin delivery; Bariatric surgery; Type; 1; diabetes; Case report; OBESE-PATIENTS;
D O I：
10.1089/dia.2023.0551
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Introduction: Obesity in patients with type 1 diabetes (T1D) may worsen their prognosis. Bariatric surgery in these patients can be associated with complications such as diabetic ketoacidosis and severe hypoglycemic episodes. Closed-loop insulin delivery could be a solution to avoid them.Case Report: A 45-year-old woman with T1D and obesity (body mass index of 38.4 kg/m2) was included in our preoperative course of bariatric surgery. Three months before surgery, a closed-loop insulin delivery was instituted due to one prior severe hypoglycemia. Patient did not have immediate or late postoperative hypoglycemia despite consuming a weak amount of carbohydrate. Three months after surgery glycemic control was on target with 86% of time in range 70-180 mg/dL and no time below 70 mg/dL.Conclusion: This case report shows that the use of a closed-loop insulin delivery made it possible to perform bariatric surgery in complete safety for our patient.
引用
收藏
页码：279 / 282
页数：4
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