Vnitr Lek 2024, 70(7):469-473 | DOI: 10.36290/vnl.2024.091

Cutting-edge technology in medicine: preparation for colonoscopy in a patient with type 1 diabetes mellitus treated with a hybrid closed-loop insulin pump-continuous glucose monitor - case report and framework recommendations

Adina Večeřová1, Monika Neščáková1, Martin Wasserbauer1, Jana Urbanová2, Jan Král1, Lucie Šestáková1, František Škopek1, Juraj Michalec1, Jan Brož1
1 Interní klinika 2. LF UK a FN Motol, Praha
2 Interní klinika 3. LF UK a FNKV, Praha

Colonoscopy is a key method for preventing, diagnosing, and treating colon diseases. The colonoscopic examination includes preparing the colon before the procedure, which involves emptying the bowel with orally administered lavage agents and the associated temporary change in diet. This preparation can lead to glycemic fluctuations and the risk of hypoglycemia in patients with diabetes mellitus. This case report describes the case of a patient with type 1 diabetes mellitus treated with a hybrid closed-loop system who used 5 grams of sucrose sachets during colonoscopic preparation to replenish energy and stabilize glucose based on continuous glucose monitoring data. Glycemia during preparation kept within recommended values 3.9-10.0 mmol/l.

Keywords: colonoscopy, type 1 diabetes, hypoglycemia, hybrid closed-loop system.

Accepted: October 24, 2024; Published: November 14, 2024  Show citation

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Večeřová A, Neščáková M, Wasserbauer M, Urbanová J, Král J, Šestáková L, et al.. Cutting-edge technology in medicine: preparation for colonoscopy in a patient with type 1 diabetes mellitus treated with a hybrid closed-loop insulin pump-continuous glucose monitor - case report and framework recommendations. Vnitr Lek. 2024;70(7):469-473. doi: 10.36290/vnl.2024.091.
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