Intentional Large Insulin Overdose Captured on a Continuous Glucose Monitor
| Autor: | Marcus Martineau, Ahmed El-Laboudi, Alison Sanders, Shivani Misra, Nick Oliver, Paramjeet Deol |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Type 1 diabetes endocrine system diseases Diabetic ketoacidosis business.industry Endocrinology Diabetes and Metabolism Insulin medicine.medical_treatment Biomedical Engineering nutritional and metabolic diseases Bioengineering Hypoglycemia Drug overdose medicine.disease Endocrinology Diabetes management Blood Glucose Self-Monitoring Internal medicine Internal Medicine Medicine Letters to the Editor business Intensive care medicine Glycemic |
| Zdroj: | Journal of Diabetes Science and Technology. 9:929-931 |
| ISSN: | 1932-2968 |
| DOI: | 10.1177/1932296815579691 |
| Popis: | Continuous glucose monitoring (CGM) technology has emerged as an important diabetes management tool. Use of CGM with real-time glucose data can improve glycemic control with reduction in HbA1c and reduced time spent in hypoglycemia in both children and adults with type 1 diabetes. The magnitude of clinical benefit is related to duration of use.1 Despite the advantages of CGM, it has not been widely integrated into routine management of type 1 diabetes. T1D exchange data demonstrates that CGM technology is being used by only 6.5% of people with type 1 diabetes in United States and that among individuals who have used CGM, two-thirds stopped using it.2 One of the major challenges facing widespread adoption of CGM technology is reduced accuracy and reliability of CGM systems, with a subsequent negative impact on adherence and effectiveness.3 We present a case of deliberate insulin overdose in a person with type 1 diabetes wearing blinded CGM, highlighting the issue of accuracy of existing CGM systems in the hypoglycemic range. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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