Journal of the Japan Diabetes Society
Online ISSN : 1881-588X
Print ISSN : 0021-437X
ISSN-L : 0021-437X
Case Reports
A Case of Type-1 Diabetes Mellitus Treated with CSII in Which the CGM was very Useful for Adjusting the Insulin Infusion Rate
Akira MatsutaniToru TakahashiKatsuhiro HataoYoshitaka NakamoriKouzou Tagami
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2012 Volume 55 Issue 11 Pages 880-885

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Abstract
A 31-year old woman with type-1 diabetes mellitus was referred to the hospital because of poor blood glucose control. She had been treated with multiple daily insulin injections but her glycohemoglobin was 8.7 % (NGSP value) . She agreed to undergo continuous subcutaneous insulin infusion (CSII) therapy and was admitted to the ward. Continuous glucose monitoring (CGM) was performed using a CGMS Gold® (Medtronic Minimed, USA) which assayed blood glucose at 5 time-points (before and after breakfast and dinner, and at bed time) , in order to adjust the insulin infusion rate for CSII. There was a remarkable improvement in the blood glucose level and fewer hypoglycemic episodes after instituting CSII therapy. CGM was therefore found to be very useful for the adjustment of CSII.
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© 2012 Japan Diabetes Society
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