Lack of major impact of implementation of the Advanced Hybrid Closed Loop System in technologically-naïve patients with Type 1 Diabetes mellitus on their food choices or weight - a one year follow-up.

IF 1.3 4区 医学 Q4 ENVIRONMENTAL SCIENCES
Sabina Krzyżowska, Bartłomiej Matejko, Katarzyna Cyranka, Anna Juza, Beata Kieć-Wilk, Tomasz Klupa
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引用次数: 0

Abstract

Introduction and objective: The purpose of this follow-up study on the implementation of advanced closed-loop hybrid insulin pumps in people with type 1 diabetes was to assess the impact of introducing this advanced technology on quantitative and qualitative parameters of diet.

Material and methods: 18 patients (8 women and 10 men, mean age 40.9 years) patients using the CE-marked MiniMed 780G AHCL system who completed 1 year of follow-up were included into the study. The research tool was the KomPAN questionnaire with several own questions added, asked in three study periods, concerning the number of meals consumed, general and night snacking, carbohydrate counting, frequency of consumption of various groups of products that affect postprandial glycaemia.

Results: Although the mean body weight of the examined group did not increase significantly (from 75.1 kg at the beginning to 75,9 kg at the end), five various individual scenarios of weight change were observed. The eating habits has not changed, but patients began to consume less products containing simple sugars, e.g. fruit preserves, milk chocolate or fish in sauces (p<0.05). No statistically significant correlation was found between the change in body weight at the end of the study and the average amount of carbohydrates entered into the pump from the entire 12 months (p = 0.460).

Conclusions: The implementation of AHCL system in technology naïve patients, despite offering more freedom of food choices due to better glycaemic control, did not have a significant impact on patients' dietary patterns, also did not result in weight gain. This is important since AHCL system offers more freedom of food choices due to better glycaemic control. However, the longer follow up and the study based on larger population is required to finally address the issue of the impact of AHCL on body mass.

在技术幼稚的1型糖尿病患者中实施先进的混合闭环系统对他们的食物选择或体重没有重大影响——一年的随访。
引言和目的:这项关于在1型糖尿病患者中实施先进闭环混合型胰岛素泵的后续研究的目的是评估引入这项先进技术对饮食定量和定性参数的影响。材料和方法:18名患者(8名女性和10名男性,平均年龄40.9岁)使用CE标记的MiniMed 780G AHCL系统,完成1年随访的患者被纳入研究。研究工具是KomPAN问卷,在三个研究期内添加了几个自己的问题,涉及用餐次数、一般和夜间零食、碳水化合物计数、影响餐后血糖的各类产品的消费频率。结果:尽管受试组的平均体重没有显著增加(从开始时的75.1公斤增加到结束时的75.9公斤),但观察到了五种不同的体重变化情况。饮食习惯没有改变,但患者开始减少食用含有单糖的产品,如水果蜜饯,牛奶巧克力或酱汁鱼(结论:AHCL系统在技术幼稚的患者中的实施,尽管由于更好的血糖控制而提供了更多的食物选择自由,但对患者的饮食模式没有显著影响,也没有导致体重增加。这一点很重要,因为AHCL系统由于更好的血压控制而提供更多的食物自由。然而需要基于更大人群的研究来最终解决AHCL对体重的影响问题。
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来源期刊
Annals of Agricultural and Environmental Medicine
Annals of Agricultural and Environmental Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.00
自引率
5.90%
发文量
58
审稿时长
4-8 weeks
期刊介绍: All papers within the scope indicated by the following sections of the journal may be submitted: Biological agents posing occupational risk in agriculture, forestry, food industry and wood industry and diseases caused by these agents (zoonoses, allergic and immunotoxic diseases). Health effects of chemical pollutants in agricultural areas , including occupational and non-occupational effects of agricultural chemicals (pesticides, fertilizers) and effects of industrial disposal (heavy metals, sulphur, etc.) contaminating the atmosphere, soil and water. Exposure to physical hazards associated with the use of machinery in agriculture and forestry: noise, vibration, dust. Prevention of occupational diseases in agriculture, forestry, food industry and wood industry. Work-related accidents and injuries in agriculture, forestry, food industry and wood industry: incidence, causes, social aspects and prevention. State of the health of rural communities depending on various factors: social factors, accessibility of medical care, etc.
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