Management through pregnancy of a patient with an implantable programmable insulin infusion pump

✍ Scribed by Gallacher, SJ ;Maccuish, AC ;Lunan, C B ;Paterson, KR

• Publisher: John Wiley and Sons
• Year: 1994
• Tongue: English
• Weight: 419 KB
• Volume: 11
• Category: Article
• ISSN: 1357-8170
• DOI: 10.1002/pdi.1960110505

✦ Synopsis

Abstract

A 31 year old woman with a 26 year history of Type 1 diabetes mellitus and reslstance to subcutaneous insulin who used a programmable implantable insulin infusion pump for intravenous insulin delivery became pregnant. This report describes our experience of management of this patient through her pregnancy. The pregnancy was complicated by, first, failure of the power supply of the insulin Infusion pump in the second trimester and, second, the later development of pregnancy‐induced hypertension and proteinurla. Throughout this pregnancy, glycaemic control was good with glycated haemoglobin ranging from 7.0−9.0% (non‐diabetic reference range 4.9−7.6%). A normal female infant was subsequently delivered by Caesarean section at 34 weeks' gestation.

This report illustrates the fact that, with a well‐motivated patient, glycaemic control through pregnancy may be optimised using an implantable programmable insulin infusion pump.