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Re: [IPm] (Fwd) [peds-endo] insulin pump in pre-transplant patient



At 08:46 AM 11/26/2001 -0800, you wrote:
>Please respond directly to Dr. Miller, he is not an ip-medpro list
>email @ redacted
>------- Forwarded Message Follows -------
>To:            "'email @ redacted'" <email @ redacted>
>From:          "Miller, Bradley S., M.D., Ph.D." <email @ redacted>
>Date:          Mon, 26 Nov 2001 08:57:58 -0600
>Reply-to:      email @ redacted
>Subject:       [peds-endo] insulin pump in pre-transplant patient
>We have an 18 yo young man with a long history of Type I Diabetes
>Mellitus with the recent development of a dilated cardiomyopathy
>(presumed secondary to viral myocarditis).  During the past few
>months, he has had a significant dawn phenomenon which continues
>despite trying BID ultralente, hs NPH and hs glargine.  We have
>discussed the use of an insulin pump in this young man. I would like
>to ask this forum for experience with insulin pumps related to the
>  1.  Anticoagulated patients (coumadin) and the formation of site
>  2.  Infection rate of insulin pump sites in normal and
>immunosuppressed patients
>  3.  The use of insulin pumps in immunosuppressed patients (s/p solid
>organ transplant, bone marrow transplant, chemotherapy, etc.)
>  4.  Affects of these adverse events on transplant status
>Thanks for your input,
>Bradley S. Miller, M.D., Ph.D.
>Fellow, Pediatric Endocrinology
>Mayo Clinic
>Rochester, MN  55905
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