scholarly journals Polyglandular Dysfunction in Patients With Type 1 Diabetes: Recurrent Hypoglycemia Is an Alarming Symptom: TABLE 1.

2016 ◽  
Vol 34 (2) ◽  
pp. 113-114
Author(s):  
Aasem Saif
Diabetes ◽  
2016 ◽  
Vol 65 (10) ◽  
pp. 3151-3160 ◽  
Author(s):  
Alison D. McNeilly ◽  
Jennifer R. Gallagher ◽  
Albena T. Dinkova-Kostova ◽  
John D. Hayes ◽  
John Sharkey ◽  
...  

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 370-P
Author(s):  
YOUNG WOO PARK ◽  
DINESH DEELCHAND ◽  
ANJALI KUMAR ◽  
AMIR MOHEET ◽  
YUAN ZHANG ◽  
...  

2017 ◽  
Vol 13 (02) ◽  
pp. 75 ◽  
Author(s):  
Gagan Priya ◽  
Sanjay Kalra ◽  
Vishal Bhambri ◽  
◽  
◽  
...  

There is an unmet need for adjunctive non-insulin-based therapies in type 1 diabetes (T1D). Weight gain, recurrent hypoglycemia and suboptimal glycemic control remain significant challenges. Sodium-glucose co-transporter-2 (SGLT2) inhibitors and dual inhibitors of sodium-glucose co-transporter-1 (SGLT1) and SGLT2 may have a potential role as an add-on therapy to insulin. The benefits include improved glycemic control, weight reduction, and reduced insulin dose requirement. However, the risk of diabetic ketoacidosis with SGLT2 inhibitors is significant and the diagnosis may be delayed due to absence of significant hyperglycemia. At present, SGLT2 inhibitors are not approved for use in T1D, and the risks should be discussed at length with the patient. We propose strategies to minimize the risk of diabetic ketoacidosis associated with off-label use of SGLT2 inhibitors in T1D.


ABOUTOPEN ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. 55-70
Author(s):  
Katherine Esposito ◽  
Andrea Mario Bolla ◽  
Francesco Costantino ◽  
Maurizio Delvecchio ◽  
Chiara Molinari ◽  
...  

Although it represents a valid alternative for patients with type 1 diabetes (T1DM) with insufficient glycemic control and/or with recurrent hypoglycemia, insulin pump therapy (Continuous Subcutaneous Insulin Infusion, CSII) in Italy is nowadays still relatively uncommon. The following review aims to investigate the barriers that limit the transition to CSII and the reasons behind the widespread cases of drop-out, particularly evident in younger patients. Among the interventions that could contribute to the solution of the problem, catheter-less insulin pumps (or patch-pumps) will be described: a tool potentially able to reduce, if not eliminate, some of the main obstacles encountered by patients. In particular, a new opportunity has become available today thanks to the evolution of the generation of catheter-less insulin pumps represented by Accu-Chek® Solo (Roche Diabetes Care GmbH), therefore three clinical cases of patients with T1DM undergoing therapy with the Accu-Chek® Solo insulin pump will be presented and discussed herein.


2013 ◽  
Vol 10 (2) ◽  
pp. 38-41
Author(s):  
A A Larina ◽  
E A Troshina

Primary adrenal insufficiency is a rare disorder but it is more common in patients with type 1 diabetes mellitus (T1DM) or autoimmune thyroid diseases than in the general population. T1DM may precede the development of adrenocortical insufficiency. Addison’s disease can influence the glycemic control in patients with T1DM worsening glucose metabolism. It causes the decrease of gluconeogenesis, reduction in total insulin requirement and rather often «unexplained» recurrent hypoglycemia. Glucocorticoid replacement therapy in patients with primary adrenal insufficiency and T1DM increases the insulin requirement. The article presents the development of primary adrenal insufficiency in a patient with type 1 DM and autoimmune hypothyroidism, accompanied with incidents of recurrent hypoglycemia.


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