The Closed-Loop System Improved the Control of a Pregnant Patient with Type 1 Diabetes Mellitus

被引：13
作者：
Guzman Gomez, Guillermo E. [1 ]
Viggiano, Julian A. [2 ]
Silva-De las Salas, A. [3 ]
Martinez, Veline [4 ]
Urbano Bonilla, Maria A. [5 ]
机构：
[1] Univ Icesi, Fdn Clin Valle del Lili, Dept Endocrinol, Cali, Colombia
[2] Univ Icesi, Fdn Clin Valle del Lili, PGY3 Internal Med, Cali, Colombia
[3] Univ Icesi, Cali, Colombia
[4] Univ Icesi, Fdn Clin Valle del Lili, Dept Internal Med, Cali, Colombia
[5] Fdn Clin Valle del Lili, Clin Invest Ctr, Cali, Colombia
来源：
CASE REPORTS IN ENDOCRINOLOGY | 2021年 / 2021卷
关键词：
INSULIN DELIVERY; WOMEN; CLASSIFICATION; DIAGNOSIS; OUTCOMES; CSII; PUMP;
D O I：
10.1155/2021/7310176
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
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.</p>
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页数：4
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