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Home Use of an Artificial Beta Cell in Type 1 Diabetes
Ist Teil von
The New England journal of medicine, 2015-11, Vol.373 (22), p.2129-2140
Ort / Verlag
United States: Massachusetts Medical Society
Erscheinungsjahr
2015
Quelle
MEDLINE
Beschreibungen/Notizen
In two randomized trials conducted under home conditions, investigators compared closed-loop insulin delivery with sensor-augmented pump therapy in adults and in children and adolescents for 12 weeks. The closed-loop approach improved glucose control and reduced hypoglycemia.
Intensive insulin therapy is the standard of care for type 1 diabetes but is limited by the risk of hypoglycemia,
1
which leads to failure in achieving treatment goals for most patients in all age groups.
2
,
3
Among patients with type 1 diabetes, hypoglycemia is common, has a major effect on patients’ quality of life and psychological well-being,
4
and may cause seizures, which is of particular concern during the overnight hours in children and adolescents.
5
New approaches (e.g., continuous glucose monitoring) can improve glycemic control when the patient wears the sensors on a regular basis.
6
,
7
If insulin delivery is linked . . .