Video

New adventures of an old device: Clinic delivers cortisol via the insulin pump


 

REPORTING FROM AACE 2019

– The venerable insulin pump is being repurposed: A Detroit-area endocrinology team reports successfully using insulin pumps to deliver hydrocortisone to patients with adrenal insufficiency who have fared poorly on oral medications.

Vidyard Video

“We’ve seen amazing results,” said endocrinologist Opada Alzohaili, MD, MBA, of Wayne State University, Detroit, coauthor of a study released at the annual scientific and clinical congress of the American Association of Clinical Endocrinologists.

Dr. Alzohaili said he and his colleagues developed the approach to manage patients who are “so sick that they go to the hospital 10-12 times a year.” Oral medication just did not control their disorder.

“Most of the time, we end up way overdosing them [on oral medication] just to prevent them from going to the hospital in adrenal crisis,” he said in an interview.

Pages

Recommended Reading

Primary hPTH often goes unnoticed
MDedge Endocrinology
Thyroid markers linked to risk of gestational diabetes
MDedge Endocrinology
Endocrine Society updates guidelines for congenital adrenal hyperplasia
MDedge Endocrinology
Initial screening not enough to catch all cases of preterm congenital hypothyroidism
MDedge Endocrinology
Low-normal thyroid function tied to advanced fibrosis
MDedge Endocrinology
Subclinical hypothyroidism boosts immediate risk of heart failure
MDedge Endocrinology
No birth rate gains from levothyroxine in pregnancy
MDedge Endocrinology
ATA risk stratification for DTC performs well in real-world cohort
MDedge Endocrinology
Anxiety, not depression, commonly afflicts euthyroid patients with thyroid disease
MDedge Endocrinology
Use of levoketoconazole improved several clinical features of Cushing’s disease
MDedge Endocrinology