Reduced Glycemic Variability and Flexible Graft Function after Islet Transplantation: A Case Report

ABSTRACTTo date, studies of patients with islet transplantation addressing intermittently scanned continuous glucose monitoring (isCGM) profile and the flexibility of the graft islet function under different doses of insulin administration, both of which reflect the real daily life of patients, are quite limited. Here we report a case of 46 ‐year‐old woman who received islet transplantation after kidney transplantation. The patient was followed up over two years after initial islet transplantation. Our results demonstrate that isCGM can be useful for monitoring the reduction of glycemic variability and suggest the appropriate regul ation of insulin secretion from graft islets during mixed‐meal test by using different doses of exogenous insulin administration. Additionally, during the 2‐year observational period, glucagon elevation was detected only at hypoglycemia while the level was within the normal range at normoglycemi a or hyperglycemia.
Source: Journal of Diabetes Investigation - Category: Endocrinology Authors: Tags: CASE REPORT Source Type: research