Perioperative maintenance of hybrid closed loop insulin pump systems in youth with type 1 diabetes mellitus: A case series

Paediatr Anaesth. 2023 Oct;33(10):862-867. doi: 10.1111/pan.14732. Epub 2023 Jul 25.

Abstract

Current guidelines support the use of continuous glucose monitoring devices and insulin pumps in minor surgical procedures for pediatric patients with type 1 diabetes mellitus. However, there are few reported cases of using hybrid closed loop technology in the perioperative period. This retrospective case series presents seven pediatric patients with type 1 diabetes who underwent eight surgical procedures with maintenance of hybrid closed loop systems. This paper also provides considerations for future use of hybrid closed loop systems perioperatively.

Keywords: continuous glucose monitors; insulin infusion systems; perioperative medicine; type 1 diabetes mellitus.

MeSH terms

  • Adolescent
  • Blood Glucose
  • Blood Glucose Self-Monitoring
  • Child
  • Diabetes Mellitus, Type 1* / drug therapy
  • Diabetes Mellitus, Type 1* / surgery
  • Humans
  • Insulin / therapeutic use
  • Insulin Infusion Systems
  • Retrospective Studies

Substances

  • Blood Glucose
  • Insulin