Attainment of Metabolic Goals in the Integrated UK Islet Transplant Program With Locally Isolated and Transported Preparations

A M Brooks, N Walker, A Aldibbiat, S Hughes, G Jones, J de Havilland, P Choudhary, G C Huang, N Parrott, N W McGowan, J Casey, L Mumford, P Barker, K Burling, R Hovorka, M Walker, R M Smith, S Forbes, M K Rutter, S AmielM J Rosenthal, P Johnson, J A Shaw

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    Abstract

    The objective was to determine whether metabolic goals have been achieved with locally isolated and transported preparations over the first 3 years of the UK's nationally funded integrated islet transplant program. Twenty islet recipients with C-peptide negative type 1 diabetes and recurrent severe hypoglycemia consented to the study, including standardized meal tolerance tests. Participants received a total of 35 infusions (seven recipients: single graft; 11 recipients: two grafts: two recipients: three grafts). Graft function was maintained in 80% at [median (interquartile range)] 24 (13.5-36) months postfirst transplant. Severe hypoglycemia was reduced from 20 (7-50) episodes/patient-year pretransplant to 0.3 (0-1.6) episodes/patient-year posttransplant (p <0.001). Resolution of impaired hypoglycemia awareness was confirmed [pretransplant: Gold score 6 (5-7); 24 (13.5-36) months: 3 (1.5-4.5); p <0.03]. Target HbA1c of
    Original languageEnglish
    JournalAm J Transplant
    DOIs
    Publication statusPublished - 2013

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