A Continuous Glucose Monitoring System (CGMS) - a promising approach for improving metabolic control in persons with type 1 Diabetes mellitus treated by insulin pumps
- Resource Type
- Authors
- Petr Mlčák; Kateřina Trnková; Rudolf Chlup; Jana Fialova
- Source
- Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia. 148(1)
- Subject
- Insulin pump
Adult
Blood Glucose
Male
medicine.medical_specialty
Basal rate
medicine.medical_treatment
Monitoring, Ambulatory
Physical exercise
General Biochemistry, Genetics and Molecular Biology
Insulin Infusion Systems
Internal medicine
Diabetes mellitus
medicine
Humans
Hypoglycemic Agents
Insulin
Type 1 diabetes
business.industry
Middle Aged
medicine.disease
Endocrinology
Diabetes Mellitus, Type 1
Basal (medicine)
Anesthesia
Metabolic control analysis
Female
business
- Language
- ISSN
- 1213-8118
This pilot study deals with the possibilities of a Continuous Glucose Monitoring System (CGMS, Minimed- Medtronic) to optimize insulin substitution. Ten persons with type 1 diabetes mellitus treated by means of an insulin pump entered the study and eight of them completed the protocol. CGMS was introduced for a period of 5 days. The standard dinner (60 g of carbohydrates) and overnight fasting were designed to ensure standard night conditions in all persons in the study while maintaining their usual daily eating routine, physical exercise and assessment of prandial insulin boluses. The only adaptation of basal rates of insulin pump was performed on day 3. Comparison of the mean plasma glucose concentration (0:00-24:00 hrs) between day 2 (before adaptation) and day 4 (following adaptation) was made. An independent comparison of the mean plasma glucose concentration between the night from day 2 till day 3 (22:00-6:00 hrs) and the night from day 4 till day 5 (22:00-6:00 hrs) was performed. The mean plasma glucose investigated by means of CGMS improved in the 24-hour period in 5 out of 8 persons and in the night fasting period (22:00 to 6 hrs) in 6 out of 8 persons. The CGMS is a useful means for assessment of the effectiveness of basal rate and prandial insulin doses in persons with type 1 diabetes treated by means of an insulin pump. However, further studies are necessary to improve the algorithm for insulin substitution.