Clinical Case Study

Reduction of hypoglycemia and improved glycemic control using continuous glucose monitoring in combination with an insulin pump

Professor Eric Renard MD, PhD, Lapeyronie University Hospital, Montpellier, and the Department of Endocrinology, Diabetes and Nutrition, University of Montpellier, France

Diabetic Hypoglycemia June 2010, Volume 3, Issue 1: page 12-13

Abstract
In a 56 year old female with late-onset type 1 diabetes, frequent nocturnal hypoglycemia and fasting hyperglycemia was managed with continuous glucose monitoring and an insulin pump. Despite some resistance from the patient, persistently elevated HbA1c (8% or higher) obliged the patient to accept continuous glucose monitoring, which resulted in stable HbA1c of 7%. Issues surrounding blood glucose variability, patient education on self-management and the use of insulin pumps are discussed.

Keywords: hypoglycemia, type 1 diabetes, continuous glucose monitoring, insulin pump