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How to Eliminate Carb Counting for Type 1 Pump Users 

Apr 27, 2021
 
Editor: David L. Joffe, BSPharm, CDE, FACA

Author: Brenda Oppong, PharmD Candidate, LECOM School of Pharmacy

Could adding a SGLT-2 inhibitor to a closed-loop automated insulin delivery reduce the need for carbohydrate counting? 

Counting carbs can help people with diabetes manage their blood sugar. The ADA (American Diabetes Association) guidelines recommend 45-65% of an individual's daily calories should come from carbs. Previous trials have been conducted with SGLT inhibitors (SGLTis), showing a reduction in HbA1c, blood pressure, and weight without increasing hypoglycemia. An open-label, crossover trial assessed whether adding empagliflozin, a highly selective SGLTi, to a closed-loop automated insulin delivery could reduce or eliminate the need for carbohydrate counting in type 1 diabetes (T1D)....

 

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