Commercialized Hybrid Closed-Loop System (Minimed Medtronic 670G) Results During Pregnancy

التفاصيل البيبلوغرافية
العنوان: Commercialized Hybrid Closed-Loop System (Minimed Medtronic 670G) Results During Pregnancy
المؤلفون: Jesús Moreno-Fernández, José Alberto García-Seco
المصدر: AACE Clinical Case Reports, Vol 7, Iss 3, Pp 177-179 (2021)
AACE Clinical Case Reports
بيانات النشر: Elsevier, 2021.
سنة النشر: 2021
مصطلحات موضوعية: TIR, time in range, TUR, time under range, Endocrinology, Diabetes and Metabolism, MM670G, Medtronic MiniMed 670G, HCL, hybrid closed-loop, Case Report, 030209 endocrinology & metabolism, Diseases of the endocrine glands. Clinical endocrinology, 03 medical and health sciences, Hba1c level, chemistry.chemical_compound, Endocrinology, 0302 clinical medicine, Unplanned pregnancy, RT-CGM, real-time continuous glucose monitoring, Medicine, Glycated haemoglobin, Glycemic, Type 1 diabetes, Pregnancy, closed-loop, business.industry, T1DM, type 1 diabetes mellitus, General Medicine, medicine.disease, RC648-665, chemistry, 030220 oncology & carcinogenesis, Anesthesia, Glycated hemoglobin, pregnancy, HbA1c, glycated hemoglobin, business, Closed loop, type 1 diabetes mellitus
الوصف: Objective: Hybrid closed-loop (HCL) devices can achieve tight glycemic control but are rarely used in pregnancy, which remains an off-label indication. We present a case of a pregnant patient with type 1 diabetes mellitus (T1DM) who used the Medtronic MiniMed 670G HCL system. Methods: MiniMed 670G includes an advanced automode option (HCL therapy), which our patient used from the first trimester to the end of the pregnancy. Results: An unplanned pregnancy was detected in the T1DM patient, with a glycated hemoglobin level of 8.7 mmol/L (7.1%). The patient started sensor-augmented pump therapy at week 13. Subsequently, she entered automode (HCL) at week 16. The time in range (3.7-7.8 mmol/mol, 63-140 mg/dL) increased from 46.8% to 51.3% after HCL initiation. The glycated hemoglobin level remained close to 48 mmol/mol (6.5%) until the end of the pregnancy. Furthermore, the time under range (
اللغة: English
تدمد: 2376-0605
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6feabb2e5f5e16ee0552a8fc7782826eTest
http://www.sciencedirect.com/science/article/pii/S2376060521000080Test
حقوق: OPEN
رقم الانضمام: edsair.doi.dedup.....6feabb2e5f5e16ee0552a8fc7782826e
قاعدة البيانات: OpenAIRE