John C. Pickup is at the Division of Diabetes and Nutritional Sciences, King's College London Faculty of Life Sciences and Medicine, Guy's Hospital, London SE1 1UK, UK.
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A recent randomized controlled trial has shown that patients with type 1 diabetes mellitus who are treated with multiple daily insulin injections and continuous glucose monitoring (CGM) enjoy a further improvement in glycaemic control when switched to insulin pump therapy with CGM. However, some increase in biochemical hypoglycaemia was evident with pump treatment.Refers to Beck, R. W. et al. Effect of initiating use of an insulin pump in adults with type 1 diabetes using multiple daily insulin injections and continuous glucose monitoring (DIAMOND): a multicentre, randomised controlled trial. Lancet Diabetes Endocrinol.http://dx.doi.org/10.1016/S2213-8587(17)30217-6 (2017)