Persistent Hypoglycemia in Diabetes Type 1 Patient with Medtronic 780 G Insulin Pump: A Case Report.

Horm Res Paediatr

Department of Pediatric Endocrinology, AZ Delta, Roeselare, Belgium.

Published: July 2024

AI Article Synopsis

  • The article emphasizes the need for holistic care in managing diabetes, illustrated through the case of a 10-year-old girl experiencing severe hypoglycemia.
  • Despite using an automated insulin delivery system, the patient suffered from recurrent hypoglycemia, leading to hospitalization for treatment and investigation.
  • Ultimately, it was revealed that the patient had intentionally manipulated her insulin pump, causing her severe condition, which was confirmed through camera monitoring.

Article Abstract

Introduction: In this article, the importance of holistic care is highlighted trough the case of a 10-year-old female with diabetes type 1 presenting with recurrent severe hypoglycemia.

Case Presentation: A 10-year-old female, with type 1 diabetes mellitus for 2 years, was hospitalized because of persistent hypoglycemia. At time of presentation, the patient was getting her insulin through an automated insulin delivery device. She came to the emergency room because of severe hypoglycemia despite adequate administration of glucagon intranasal and oral sugar solutions. The patient was hospitalized to resolve the hypoglycemia and to investigate the cause of the persistent hypoglycemia. Extensive further investigation was performed without result.

Conclusion: After several conversations with psychologists, the patient admitted having manipulated the insulin pump resulting in auto-induced persistent and recurrent life-threatening hypoglycemia. Through camera monitoring, the team was able to confirm the manipulation.

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Source
http://dx.doi.org/10.1159/000539486DOI Listing

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