Subject: SAP
Subject: PLGS
Subject: TIR
Year: 2023
Type: Proceeding article
Title: REACHING CONTINUOUS GLUCOSE MONITORING TARGETS WITH SENSOR-AUGMENTED PUMP: A CASE REPORT
Author: M. Zivkovic Hristova
Author: C. Volkanovska Ilijevska
Author: S. Jovanovska Mishevska
Abstract: Background and Aims Sensor-augmented pumps with predictive low-glucose suspend (SAP with PLGS) can be a good therapy option in countries where hybrid closed loop systems are not available. We present a case of a 25 year old patient with history of uncontrolled diabetes achieving CGM targets using SAP with PLGS (Medtronic Minimed 640G, Guardian Sensor 3). Methods Female patient diagnosed with type 1 diabetes at the age of 8, had a history of uncontrolled diabetes with MDI therapy. Despite optimizing parameters of flexible MDI her A1C during the last 6 years has been between 9.0-9.7%. Intermittent use of professional CGM confirmed high glucose variation and high average sensor glucose. Before initiating SAP her TDD was 54 units (0.8 u/kg), ICR 6 grams/U, ISF 2.0 mmol/L/U and glucose target 6.5mmol/l. After 5 days of 2 hours education SAP was initiated. CGM analysis was performed regularly on day 1, 3, 7 the first week of initiation and every 2 weeks thereafter using Medtronic CarelinkTM System Software. Fine tuning of settings was made during the online visits according to CGM parameters and weight reduction leading to TDD of 32U (0.6U/kg). In person visits were performed the 1st and 3rd month. Results After 90 consecutive days of sensor wear we achieved the following CGM metrics: 78% Time In Range, 3+1 % Time Below Range, 16+2 % Time Above Range, Average Sensor Glucose 7.8 mmol/l, Glucose Management Indicator of 6.7% and Coefficient of Variation 32%. Conclusions SAP with PLGS can be a helpful tool to achieving good glycemic control in selected patients.
Publisher: Mary Ann Liebert, Inc
Relation: DIABETES TECHNOLOGY & THERAPEUTICS
Identifier: oai:repository.ukim.mk:20.500.12188/27618
Identifier: http://hdl.handle.net/20.500.12188/27618Identifier: 10.1089/dia.2023.2525.abstracts
