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WHAT ARE THE OPTIMAL SETTINGS IN TYPE 1 DIABETES PATIENTS USING CONVENTIONAL INSULIN PUMP?

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Abstract

Aim: To describe Continuous Subcutaneous Insulin Infusion (CSII) settings in Type 1 Diabetes (T1D) patients with optimal glucose control. Methods: The study enrolled ninety-three CSII patients with T1D (age 12-25 years) that visited our center from January to December 2016. Patient characteristics were collected through the electronic medical record system and CSII characteristics were obtained from 8 weeks reports prior to Hba1c, generated by Carelink Therapy Management Software (Medtronic, Northridge, USA). Results: Patients were grouped according age: 12-18 years and 19-25 years. More than 70% of patients achieved HbA1c <7.5% (<58 mmol/mol). Significant difference in basal insulin was found between two age groups. Patients aged 12-18 years had five basal segments, less basal rate in early morning (03-07h) and slight decrease of afternoon basal rate (13-19h), comparing with patients aged 19-25 years with four basal segments, more basal rate in early morning (03-07h) and no decrease of afternoon basal rate (13-19h). Conclusion: Bolus wizard settings, frequent bolusing, multiple basal segments, and close follow up can be determinants for better control in T1D patients. Simple CSII settings as a tool, derived from our data may help clinicians to fine tune T1D patients and achieve optimal glucose control.

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© Copyright 2020 Morressier GmbH.
All rights reserved.