{"id":9641,"date":"2026-01-23T09:27:47","date_gmt":"2026-01-23T09:27:47","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=9641"},"modified":"2026-01-23T09:27:47","modified_gmt":"2026-01-23T09:27:47","slug":"motivational-techniques-combined-with-unconventional-medications-and-technology-improving-care-in-a-disengaged-patient-with-type-1-diabetes-a-case-study-of-a-success-story-2024","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2026\/01\/23\/motivational-techniques-combined-with-unconventional-medications-and-technology-improving-care-in-a-disengaged-patient-with-type-1-diabetes-a-case-study-of-a-success-story-2024\/","title":{"rendered":"Motivational techniques combined with unconventional medications and technology improving care in a disengaged patient with type 1 diabetes: A case study of a success story (2024)"},"content":{"rendered":"\n<p><strong>Type of publication:<\/strong><\/p>\n\n\n\n<p>Conference abstract<\/p>\n\n\n\n<p><strong>Author(s):<\/strong><\/p>\n\n\n\n<p>*Jones A.M.; *Basavaraju N.; *Moulik P.<\/p>\n\n\n\n<p><strong>Citation:<\/strong><\/p>\n\n\n\n<p>Diabetic Medicine. Conference: Diabetes UK Professional Conference 2024. London . 41(Supplement 1) (no pagination), 2024. Date of Publication: 01 Apr 2024.<\/p>\n\n\n\n<p><strong>Abstract:<\/strong><\/p>\n\n\n\n<p>A 42-year-old lady with complex diabetes was diagnosed age 19 years. She went on an insulin pump (Medtronic Minimed), Hba1c was 56 mmol\/mol which crept up to 72 mmol\/mol. She developed hypertension, nephropathy and laser treated retinopathy. Starting Freestyle Libre with Medtronic640 improved Hba1c down to 52 mmol\/mol. Her social and financial circumstances, including being a single mum, deteriorated leading to diabetes distress and burnout. Healthcare and diabetes management became a burden. Ambulatory glucose profile (AGP) showed time in range (TIR) 28%, high (H) 23%, very high (VH) 42% and Hba1c71 mmol\/mol. Counselling and motivational interviewing with regular support was provided. She had stopped all medications and insisted on a pump break. Hba1c increased to 118 mmol\/mol, TIR14%, H5%, VH81%, mean glucose (MG) 23.3 mmol\/L. She wanted to restart the pump and it was felt on previous pump therapy she had safer glucose levels and no ketoacidosis. AGP improved with TIR29%, H18%, VH52%, MG15.4 mmol\/L in 2 weeks. After 3 months, TIR was 33%, H20% VH42%, Hba1c76 mmol\/mol. Weight was increasing with associated diabulimia. Dulaglutide was started after counselling. TIR51%, H16%, VH9%, level 1 hypoglycaemia11%, level 2 hypoglycaemia13%. She started HCL (Medtronic 780G with Guardian G4) and Hba1c was 45 mmol\/mol, TIR66%, H18%, VH15%, level 1 hypoglycaemia1%, level 2 hypoglycaemia0%. Her weight has come down from 99 to 82 kg with BMI 31.4 kg\/m<sup>2<\/sup>. Renal function has improved (eGFR 33 to 42 mL\/min). Quality of life (QOL) assessments show great improvement. This case highlights a life plan is as important as a health plan. A motivational and supportive approach, advanced technologies and some off-license medication reduced diabetes burden and improved patient engagement.<\/p>\n\n\n\n<p><strong>DOI:&nbsp;<\/strong>10.1111\/dme.15296<\/p>\n\n\n\n<p><a href=\"https:\/\/libkey.io\/libraries\/1791\/articles\/612692063\/full-text-file\">Link to full-text<\/a> [no password required]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication: Conference abstract Author(s): *Jones A.M.; *Basavaraju N.; *Moulik P. Citation: Diabetic Medicine. Conference: Diabetes UK Professional Conference 2024. London . 41(Supplement 1) (no pagination), 2024. Date of Publication: 01 Apr 2024. Abstract: A 42-year-old lady with complex<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2026\/01\/23\/motivational-techniques-combined-with-unconventional-medications-and-technology-improving-care-in-a-disengaged-patient-with-type-1-diabetes-a-case-study-of-a-success-story-2024\/\">Read more <span class=\"screen-reader-text\">Motivational techniques combined with unconventional medications and technology improving care in a disengaged patient with type 1 diabetes: A case study of a success story (2024)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[1050,989],"class_list":["post-9641","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-1050","tag-endocrinology-and-diabetes"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/9641","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=9641"}],"version-history":[{"count":1,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/9641\/revisions"}],"predecessor-version":[{"id":9642,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/9641\/revisions\/9642"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=9641"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=9641"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=9641"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}