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Automated insulin delivery use in a woman living with type 1 diabetes on peritoneal dialysis: a case report
Antonia-Therese Kietaibl1,2, Marcus Säemann3,4, Stefan Scherr3
1Department of 5th Internal Medicine with Endocrinology, Rheumatology and Acute Geriatrics, Clinic Ottakring, Montleartstraße 37, Vienna 1160, Austria.
Abstract:
Automated insulin delivery (AID) is the gold standard of treatment for type 1 diabetes mellitus (T1DM). However, little data on the use in people on peritoneal dialysis (PD) exist. To share real-world experience on the use of AID (Medtronic MiniMed 780G SmartGuard and Guardian 4 continuous glucose monitoring system) in a woman living with type 1 diabetes on PD, we report the implementation despite the complex setting of type 1 diabetes with multiple diabetes-associated complications, PD, visual impairment, and a complete language barrier. Glycemic control 14 days before the start of AID on multiple daily injections and 9 months after the conversion is presented. AID might be a safe and promising therapeutic option for individuals with T1DM and end-stage kidney disease requiring PD. Further research is needed to demonstrate both safety and efficacy in this special population, and assessment of patient-reported outcome measures.
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