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Internal medicine journal · Sep 2023
Provision of continuous subcutaneous insulin infusion to type 1 diabetes 'frequent flyers'.
- Lisa A Amato, Romana Kalolo, William Yu, and David Simmons.
- Macarthur Diabetes Service, Campbelltown Hospital, Sydney, New South Wales, Australia.
- Intern Med J. 2023 Sep 1; 53 (9): 170617111706-1711.
AbstractA few people with type 1 diabetes undergo multiple hospital admissions for acute glycaemic events. We report on a series of five such 'frequent flyers' who were provided with continuous subcutaneous insulin infusion (CSII) therapy. Mean HbA1c decreased from 9.7 ± 2.5% (83 ± 27 mmol/mol) to 7.9 ± 0.4% (63 ± 4.7 mmol/mol) after 2-4 months. Frequency of admissions for acute glycaemic events reduced in three but increased in two patients within 6 months. Total insulin dose and body mass index decreased in some patients and satisfaction was anecdotally higher. Some, but not all, 'frequent flyers' benefited from a trial of CSII.© 2023 The Authors. Internal Medicine Journal published by John Wiley & Sons Australia, Ltd on behalf of Royal Australasian College of Physicians.
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