Persistent Hypoglycemia in Diabetes Type 1 Patient with Medtronic 780 G Insulin Pump: A Case Report.

IF 2.6 3区医学 Q3 ENDOCRINOLOGY & METABOLISM

Hormone Research in Paediatrics Pub Date : 2024-07-04 DOI:10.1159/000539486

Maïté Verkest, Karl Logghe, Marlies Van Loocke

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引用次数: 0

Abstract

Introduction: In this article, the importance of holistic care is highlighted trough the case of a 10-year-old female with diabetes type 1 presenting with recurrent severe hypoglycemia.

Case presentation: A 10-year-old female, with type 1 diabetes mellitus for 2 years, was hospitalized because of persistent hypoglycemia. At time of presentation, the patient was getting her insulin through an automated insulin delivery device. She came to the emergency room because of severe hypoglycemia despite adequate administration of glucagon intranasal and oral sugar solutions. The patient was hospitalized to resolve the hypoglycemia and to investigate the cause of the persistent hypoglycemia. Extensive further investigation was performed without result.

Conclusion: After several conversations with psychologists, the patient admitted having manipulated the insulin pump resulting in auto-induced persistent and recurrent life-threatening hypoglycemia. Through camera monitoring, the team was able to confirm the manipulation.

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使用美敦力 780 G 胰岛素泵的 1 型糖尿病患者持续低血糖：病例报告。

导读：本文通过一名 10 岁女性 1 型糖尿病患者反复出现严重低血糖的病例，强调了整体护理的重要性。病例介绍：一名 10 岁女性 1 型糖尿病患者因持续低血糖住院两年。就诊时，患者正通过胰岛素自动给药装置（AID）注射胰岛素。由于严重的低血糖症，她来到了急诊室，尽管已充分使用了胰高血糖素鼻内注射液和口服糖溶液。患者住院治疗，以解决低血糖问题，并调查持续低血糖的原因。结论：在与心理学家多次交谈后，患者承认自己操纵了胰岛素泵，导致自动诱发了持续和反复的危及生命的低血糖症。通过摄像头监控，医疗小组证实了这一操作。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hormone Research in Paediatrics ENDOCRINOLOGY & METABOLISM-PEDIATRICS

CiteScore

4.90

自引率

6.20%

发文量

审稿时长

4-8 weeks

期刊介绍： The mission of ''Hormone Research in Paediatrics'' is to improve the care of children with endocrine disorders by promoting basic and clinical knowledge. The journal facilitates the dissemination of information through original papers, mini reviews, clinical guidelines and papers on novel insights from clinical practice. Periodic editorials from outstanding paediatric endocrinologists address the main published novelties by critically reviewing the major strengths and weaknesses of the studies.