Clinical usefulness of artificial endocrine pancreas "Biostator" in management of unstable diabetics.

概要

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The diurnal blood glucose profiles of 15 unstable diabetics were continuously monitored by the artificial endocrine pancreas (AEP, Biostator®). Then, feed-back control (FC) with the AEP was performed on each subject for 24-32 hr. Based on the data obtained from FC, the patients received an intensified conventional insulin therapy (ICIT) consisting of two daily mixed injections, 45-60 min prior to meals. There was a negative correation between the MAGE and the sum of serum CPR in a 50g OGTT, before FC. The M-value, MBG and MAGE decreased significantly during FC and remained lower one month later, compared with those values obtained before FC. The ICIT caused a noticeable decrease in HbA1 levels one to four months after FC. The ICIT was characterized by an increase in the proportion of short-acting insulin in the daily insulin dosage to 40.3±11.5%. The proportion of daily insulin dosage to body weight also increased to 0.73±0.17U/kg. These results suggest that the AEP, Biostatr®, could be useful in the clinical management of unstable diabetics by providing a more precise estimate of patients insulin requirements, especially those of short-acting insulin, leading to a better long-term control of blood glucose.
東北ジャーナル刊行会の論文