Early use of hybrid closed-loop following total pancreaticoduodenectomy.
| dc.rights.license | open | en_US |
| dc.contributor.author | LARROUMET, Alice | |
| hal.structure.identifier | BoRdeaux Institute in onCology [Inserm U1312 - BRIC] | |
| dc.contributor.author | MARICHEZ, Arthur | |
| dc.contributor.author | CAMOIN, Marion | |
| dc.contributor.author | BAILLET-BLANCO, Laurence | |
| dc.contributor.author | ADAM, Jean-Philippe | |
| hal.structure.identifier | BoRdeaux Institute in onCology [Inserm U1312 - BRIC] | |
| dc.contributor.author | LAURENT, Christophe | |
| dc.contributor.author | RIGALLEAU, Vincent
IDREF: 069788146 | |
| hal.structure.identifier | Biologie des maladies cardiovasculaires = Biology of Cardiovascular Diseases | |
| dc.contributor.author | MOHAMMEDI, Kamel | |
| hal.structure.identifier | BoRdeaux Institute in onCology [Inserm U1312 - BRIC] | |
| dc.contributor.author | CHICHE, Laurence | |
| dc.date.accessioned | 2025-03-04T13:29:38Z | |
| dc.date.available | 2025-03-04T13:29:38Z | |
| dc.date.issued | 2025-03-01 | |
| dc.identifier.issn | 1878-1780 | en_US |
| dc.identifier.uri | https://oskar-bordeaux.fr/handle/20.500.12278/205346 | |
| dc.description.abstractEn | Diabetes secondary to total pancreaticoduodenectomy (TP) is challenging to manage due to high glycemic variability and risk of hypoglycemia, in a frail population. We report the case of four patients with no prior diabetes who underwent TP. Three of four patients needed artificial nutritional support. Hybrid closed-loop (HCL) insulin therapy was initiated within 12 weeks of surgery. After 90 days of HCL treatment, continuous glucose measurement showed a 70.4 ± 11.8 % time in range (versus 43 ± 6.5 % before HCL); 0.2 ± 0.2 % time below range (versus 0.6 ± 0.5 % before HCL); 23.8 ± 9.1 % time above range 180-250 mg/dl (versus 22.9 ± 6.1 % before HCL); 4.2 ± 2.5 % time above range > 250 mg/dl (versus 33.8 ± 3.9 % before HCL). The glucose management indicator improved from 8.5 ± 0.6 % to 6.9 ± 0.6 %. There was no severe hypoglycemia or need for unplanned medical attention. Early post-operative use of HCL allowed our patients to achieve safely optimal glycemic control after TP. | |
| dc.language.iso | EN | en_US |
| dc.subject.en | Humans | |
| dc.subject.en | Pancreaticoduodenectomy | |
| dc.subject.en | Male | |
| dc.subject.en | Female | |
| dc.subject.en | Aged | |
| dc.subject.en | Middle Aged | |
| dc.subject.en | Insulin | |
| dc.subject.en | Blood Glucose | |
| dc.subject.en | Hypoglycemic Agents | |
| dc.subject.en | Insulin Infusion Systems | |
| dc.subject.en | Glycemic Control | |
| dc.title.en | Early use of hybrid closed-loop following total pancreaticoduodenectomy. | |
| dc.title.alternative | Diabetes Metab | en_US |
| dc.type | Article de revue | en_US |
| dc.identifier.doi | 10.1016/j.diabet.2025.101619 | en_US |
| dc.subject.hal | Sciences du Vivant [q-bio]/Médecine humaine et pathologie | en_US |
| dc.identifier.pubmed | 39904482 | en_US |
| bordeaux.journal | Diabetes & Metabolism | en_US |
| bordeaux.page | 101619 | en_US |
| bordeaux.volume | 51 | en_US |
| bordeaux.hal.laboratories | Biologie des maladies cardiovasculaires (BMC) - UMR 1034 | en_US |
| bordeaux.issue | 2 | en_US |
| bordeaux.institution | Université de Bordeaux | en_US |
| bordeaux.institution | INSERM | en_US |
| bordeaux.peerReviewed | oui | en_US |
| bordeaux.inpress | non | en_US |
| bordeaux.import.source | pubmed | |
| hal.identifier | hal-04976114 | |
| hal.version | 1 | |
| hal.date.transferred | 2025-03-04T13:29:40Z | |
| hal.popular | non | en_US |
| hal.audience | Internationale | en_US |
| hal.export | true | |
| workflow.import.source | pubmed | |
| dc.rights.cc | Pas de Licence CC | en_US |
| bordeaux.COinS | ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Diabetes%20&%20Metabolism&rft.date=2025-03-01&rft.volume=51&rft.issue=2&rft.spage=101619&rft.epage=101619&rft.eissn=1878-1780&rft.issn=1878-1780&rft.au=LARROUMET,%20Alice&MARICHEZ,%20Arthur&CAMOIN,%20Marion&BAILLET-BLANCO,%20Laurence&ADAM,%20Jean-Philippe&rft.genre=article |
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