Department of Endocrinology and Nutrition, Hospital de la Santa Creu I Sant Pau, C/Sant Quintí 89, 08042, Barcelona, Spain.
CIBER-BBN, Instituto de Salud Carlos III, Madrid, Spain.
Hormones (Athens). 2023 Sep;22(3):453-456. doi: 10.1007/s42000-023-00451-9. Epub 2023 May 17.
Fear of hypoglycemia and hyperglycemia can lead to inappropriate diabetes self-management and untoward health outcomes. We report two patients, representative of these opposite conditions, who benefited from hybrid closed-loop technology. In the patient with fear of hypoglycemia, time in range improved from 26 to 56% and the patient did not present with severe hypoglycemia. Meanwhile, the patient with hyperglycemia aversiveness had a drastic reduction in time below range, from 19 to 4%. We conclude that hybrid closed-loop technology was an effective tool for improvement of glucose values in two patients with fear of hypoglycemia and hyperglycemia aversiveness, respectively.
对低血糖和高血糖的恐惧可能导致不当的糖尿病自我管理和不良的健康结果。我们报告了两位患者的案例，他们分别代表了这两种相反的情况，并从混合闭环技术中受益。在对低血糖恐惧的患者中，时间达标率从 26%提高到了 56%，且该患者未出现严重低血糖。同时，对高血糖反感的患者，其血糖低于目标范围的时间从 19%大幅减少到了 4%。我们得出结论，混合闭环技术是改善两名患者血糖值的有效工具，其中一名患者对低血糖恐惧，另一名患者对高血糖反感。
