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Provision of continuous subcutaneous insulin infusion to type 1 diabetes 'frequent flyers'
Lisa A Amato1, Romana Kalolo1, William Yu1
1Macarthur Diabetes Service, Campbelltown Hospital, Sydney, New South Wales, Australia.
Abstract:
A 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.
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