Background: Intensive insulin therapy by continuous subcutaneous infusion with real-time continuous glucose monitoring is a good treatment option for patients with type 1 diabetes mellitus. The introduction of the advanced closed-loop hybrid system represents a new era in the treatment of type 1 diabetes.
Purpose: To report one of the first successful training sessions with the new Minimed 780G system in a patient with poor metabolic control who had previously used technology.
Case presentation: We present the case of a 59-year-old patient with type 1 diabetes, treated with Mini MedÔ 640G, with a history of poor metabolic control and frequent hypoglycemia, who changed to the Mini MedÔ 780G system. The patient's history records were collected from the training carried out in the endocrinology service of the San Ignacio University Hospital in Bogotá, through the Medtronic CareLinkÔ software, and from the usual follow-ups in the outpatient clinic. At the end of training with the new technology, the patient's time in range improved markedly, without presenting severe hypoglycemia or hyperglycemia.
Discussion and conclusion: The Mini MedÔ 780G system in people with type 1 diabetes, who have not achieved adequate metabolic control with previous technologies, can be an effective and safe tool to improve glycemic control.
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