Islet transplantation is considered research in the US.

This could be pancreas transplantation or transplantation of insulin making cells called islet.

In certain people with type one diabetes transplantation can be undertaken. Clearly, hemoglobin A1C testing to evaluate adequacy of treatment is not enough. In addition, percentage of time spent with glucose below 70 should be less than four percent and greater than 250 should be less than five percent. This percentage should be 70% or higher daily. The percentage of time that is spent daily with glucose between 70 and 180 milligram per deciliter is the main measurement of appropriate treatment. Testing using a glucose meter is not enough because glucose measurements in people with type one diabetes, vary from normal to low and normal to high very rapidly in the course of a day, a continuous glucose monitor is needed to assess whether treatment is effective and also to determine how to improve treatment.Ĭurrent guidelines recommend use of a continuous glucose monitor. The patient still has to enter information about the amount of carbohydrate he or she eats at mealtimes to provide the meal time related insulin. This system includes a continuous glucose monitor, insulin pump, and a computer algorithm that continually adjusts insulin responding to the continuous glucose monitoring signal. The best current treatment for type one diabetes is an automated insulin delivery system.

I'm an endocrinologist at Mayo Clinic and I'm here to answer some of the important questions you may have about type one diabetes.

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