Academic Journal
Hybrid Closed-Loop System Achieves Optimal Perioperative Glycemia in a Boy With Type 1 Diabetes: A Case Report
| العنوان: | Hybrid Closed-Loop System Achieves Optimal Perioperative Glycemia in a Boy With Type 1 Diabetes: A Case Report |
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| المؤلفون: | Dominguez-Riscart, Jesus, Buero-Fernandez, Nuria, Garcia-Zarzuela, Ana, Marmolejo-Franco, Fernando A., Perez-Guerrero, Ana C., Lechuga-Sancho, Alfonso M. |
| المساهمون: | Dominguez-Riscart,J, Buero-Fernandez,N, Garcia-Zarzuela,A, Lechuga-Sancho,AM Servicio de Pediatría, Hospital Universitario Puerta del Mar, Cádiz, Spain. Dominguez-Riscart,J, Lechuga-Sancho,AM Instituto de Investigación e Innovación Biomédica de Cádiz (INiBICA), Hospital Universitario Puerta del Mar, Universidad de Cádiz, Cádiz, Spain. Marmolejo-Franco,FA Servicio de Cirugía Pediátrica, Hospital Universitario Puerta del Mar, Cádiz, Spain, Perez-Guerrero,AC Servicio de Anestesiología y Reanimación, Hospital Universitario Puerta del Mar, Cádiz, Spain. Lechuga-Sancho,AM Departamento Materno Infantil y Radiología, Facultad de Medicina, Universidad de Cádiz, Cádiz, Spain. |
| بيانات النشر: | Frontiers |
| سنة النشر: | 2021 |
| المجموعة: | Sistema Sanitario Público de Andalucía (SSPA): Repositorio |
| مصطلحات موضوعية: | Artificial pancreas, Case report, Children, Diabetes, Glucose control, Hybrid closed loop system, Surgery, Páncreas artificial, Niño, Diabetes mellitus tipo 1, Control glucémico, Cirugía general, Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans, Medical Subject Headings::Check Tags::Male, Medical Subject Headings::Persons::Persons::Age Groups::Child, Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Self Care::Blood Glucose Self-Monitoring, Medical Subject Headings::Diseases::Endocrine System Diseases::Diabetes Mellitus::Diabetes Mellitus, Type 1, Medical Subject Headings::Chemicals and Drugs::Carbohydrates::Monosaccharides::Hexoses::Glucose::Blood Glucose, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Digestive System Surgical Procedures::Appendectomy, Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Motivation::Goals, Medical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Social Sciences::Government::Federal Government::United States Government Agencies::United States Dept. of Health and Human Services::United States Public Health Service::United States Food and Drug Administration, Medical Subject Headings::Phenomena and Processes::Mathematical Concepts::Algorithms, Operative::Perioperative Period, Medical Subject Headings::Chemicals and Drugs::Hormones, Hormone Substitutes |
| الوصف: | The goal in type 1 diabetes (T1D) therapy is to maintain optimal glycemic control under any circumstance. Diabetes technology is in continuous development to achieve this goal. The most advanced Food and Drug Administration- and European Medicines Agency-approved devices are hybrid closed-loop (HCL) systems, which deliver insulin subcutaneously in response to glucose levels according to an automated algorithm. T1D is frequently encountered in the perioperative period. The latest international guidelines for the management of children with diabetes undergoing surgery include specific adjustments to the patient’s insulin therapy, hourly blood glucose monitoring, and intravenous (IV) insulin infusion. However, these guidelines were published while the HCL systems were still marginal. We present a case of a 9-year-old boy with long-standing T1D, under HCL system therapy for the last 9 months, and needing surgery for an appendectomy. We agreed with the family, the surgical team, and the anesthesiologists to continue HCL insulin infusion, without further adjustments, hourly blood glucose checks or IV insulin, while monitoring closely. The HCL system was able to keep glycemia within range for the total duration of the overnight fast, the surgery, and the initial recovery, without any external intervention or correction bolus. This is, to the best of our knowledge, the first reported pediatric case to undergo major surgery using a HCL system, and the results were absolutely satisfactory for the patient, his family, and the medical team. We believe that technology is ripe enough to advocate for a “take your pump to surgery” message, minimizing the impact and our interventions. The medical team may discuss this possibility with the family and patients ; The goal in type 1 diabetes (T1D) therapy is to maintain optimal glycemic control under any circumstance. Diabetes technology is in continuous development to achieve this goal. The most advanced Food and Drug Administration- and European Medicines Agency-approved devices ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf; application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| اللغة: | English |
| تدمد: | 2296-2360 |
| Relation: | https://www.frontiersin.org/articles/10.3389/fped.2021.625390/full; Dominguez-Riscart J, Buero-Fernandez N, Garcia-Zarzuela A, Marmolejo-Franco FA, Perez-Guerrero AC, Lechuga-Sancho AM. Hybrid Closed-Loop System Achieves Optimal Perioperative Glycemia in a Boy With Type 1 Diabetes: A Case Report. Front Pediatr. 2021 Apr 29;9:625390.; http://hdl.handle.net/10668/4267; PMC8116592 |
| DOI: | 10.3389/fped.2021.625390 |
| الاتاحة: | http://hdl.handle.net/10668/4267 https://doi.org/10.3389/fped.2021.625390 |
| Rights: | Atribución 4.0 Internacional ; http://creativecommons.org/licenses/by/4.0/ ; open access |
| رقم الانضمام: | edsbas.90A7C1DB |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 22962360 |
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| DOI: | 10.3389/fped.2021.625390 |