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

页码：279 / 282

页数：4

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