Closed-Loop Insulin Delivery May Help Prevent Metabolic Complications During Bariatric Surgery in Patients with Type 1 Diabetes: A Case Report.
- Resource Type
- Article
- Authors
- Cornu, Erika; Gaulier, Camille; Juttet, Pauline; Beauvy, Julie; Mezzarobba, Vincent; Proust, Anne-Laure; Le Berre, Jean-Philippe; Paepegaey, Anne-Cécile
- Source
- Diabetes Technology & Therapeutics. Apr2024, Vol. 26 Issue 4, p279-282. 4p.
- Subject
- *TYPE 1 diabetes
*BARIATRIC surgery
*GASTRIC bypass
*INSULIN pumps
*INSULIN
*MORBID obesity
*GLYCEMIC control
*DIABETIC acidosis
- Language
- ISSN
- 1520-9156
Introduction: Obesity in patients with type 1 diabetes (T1D) may worsen their prognosis. Bariatric surgery in these patients can be associated with complications such as diabetic ketoacidosis and severe hypoglycemic episodes. Closed-loop insulin delivery could be a solution to avoid them. Case Report: A 45-year-old woman with T1D and obesity (body mass index of 38.4 kg/m2) was included in our preoperative course of bariatric surgery. Three months before surgery, a closed-loop insulin delivery was instituted due to one prior severe hypoglycemia. Patient did not have immediate or late postoperative hypoglycemia despite consuming a weak amount of carbohydrate. Three months after surgery glycemic control was on target with 86% of time in range 70–180 mg/dL and no time below 70 mg/dL. Conclusion: This case report shows that the use of a closed-loop insulin delivery made it possible to perform bariatric surgery in complete safety for our patient. [ABSTRACT FROM AUTHOR]