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An unusual use of personal insulin pump by a patient with type 1 diabetes on a ketogenic diet — a case report
Affiliations- Department of Internal Medicine, Diabetology and Nephrology, Medical University of Silesia, Zabrze, Poland
- Department of Internal Medicine and Diabetology, Prof. Stanisław Szyszko Independent Public Clinical Hospital No 1, Medical University of Silesia, Katowice, Poland
- Student’s Scientific Association by the Department of Internal Medicine, Diabetology and Nephrology, Medical University of Silesia, Zabrze, Poland
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Abstract
In this case report we present a 28-year-old woman with type 1 diabetes mellitus on a ketogenic diet for 5 months, using a personal insulin pump in an unusual way. The patient was admitted to the Department of Internal Medicine and Diabetology due to vomiting and diarrhea that had lasted for several days. On a daily basis, she used personal insulin pump for only several hours a day (a 5-hour basal rate of 0.6 units/hour of fast-acting insulin) in order to avoid dawn phenomenon, without any prandial insulin, and she used continuous glucose monitoring for 24 hours a day for glycemia control. Additionally she was taking 30 units of long acting insulin analog before sleep. The patient was unwilling to change her treatment method and she was discharged from the hospital against medical advice. Due to the increase in popularity of ketogenic diet, there is a need for large studies assessing its safety and efficacy. Moreover, our case draws attention to the fact that patients can use modern technologies, which are developed to improve the glycemic control, in unconventional ways.
Abstract
In this case report we present a 28-year-old woman with type 1 diabetes mellitus on a ketogenic diet for 5 months, using a personal insulin pump in an unusual way. The patient was admitted to the Department of Internal Medicine and Diabetology due to vomiting and diarrhea that had lasted for several days. On a daily basis, she used personal insulin pump for only several hours a day (a 5-hour basal rate of 0.6 units/hour of fast-acting insulin) in order to avoid dawn phenomenon, without any prandial insulin, and she used continuous glucose monitoring for 24 hours a day for glycemia control. Additionally she was taking 30 units of long acting insulin analog before sleep. The patient was unwilling to change her treatment method and she was discharged from the hospital against medical advice. Due to the increase in popularity of ketogenic diet, there is a need for large studies assessing its safety and efficacy. Moreover, our case draws attention to the fact that patients can use modern technologies, which are developed to improve the glycemic control, in unconventional ways.
Keywords
diabetes mellitus type 1; ketogenic diet; personal insulin pump; insulin; continuous glucose monitoring
About this articleTitle
An unusual use of personal insulin pump by a patient with type 1 diabetes on a ketogenic diet — a case report
Journal
Issue
Article type
Case report
Pages
223-226
Published online
2019-09-19
Page views
872
Article views/downloads
851
DOI
10.5603/DK.2019.0017
Bibliographic record
CD 2019;8(4):223-226.
Keywords
diabetes mellitus type 1
ketogenic diet
personal insulin pump
insulin
continuous glucose monitoring
Authors
Hanna Kwiendacz
Magdalena Domek
Katarzyna Nabrdalik
Anna Maj-Podsiadło
Magdalena Marcisz
Karolina Drożdż
Janusz Gumprecht
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