Case study: Using A continuous glucose monitoring system in A patient with diabetes and beta-thalassemia hemoglobinopathy

Abdulla Al-Futaisi, Yasser Wali, Ismail El-Beshlawi, Shaden Al-Riyami, Abdulaziz Almahrezi

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Optimum glycemic control is extremely important in patients with diabetes mellitus to avoid long-term complications. Glycemic control relies mainly on the use of hemoglobin A1c, which unfortunately showed inaccurate results in patients with hemoglinopathies. The authors describe a case of β-thalassemia with poorly controlled diabetes mellitus that has misleading low levels of HbA1c. The use of a continuous glucose monitoring system was useful in documenting her poor glycemic control, with prolonged periods of hyper- and hypoglycemia. Based on these results, her insulin regimen was adjusted and the blood glucose levels were greatly improved throughout and the patient was able to meet her target blood glucose range (72-140 mg/dL 4-7.8 mmol/L) in 70% of the time.

Original languageEnglish
Pages (from-to)515-519
Number of pages5
JournalPediatric Hematology and Oncology
Volume26
Issue number7
DOIs
Publication statusPublished - 2009

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Keywords

  • CGMS
  • Diabetes
  • Thalassemia

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Hematology
  • Oncology

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