MMPAD Milan Meeting Report

21 European Roadshow - Milan, 29 June 2018 MEETING REPORT Reflection Fig. 4. Proposed treatment algorithm for patients with T1D and hypoglycaemia problems L. Piemonti, Diabetes Research Institute Evaluate the underlying causes and status in relation to therapeutic targets Proceed with therapy if not at target (No SH in the last 3-6 months AND HbA1c <8% and Clarke Score <4) Instructions for MDI with SMBG Re-evaluate every 3-6 months Specific instructions for hypoglycaemia CSII with SMBG MDI con RT-CGM SAP without LGS SAP with LGS Very frequent contacts (weekly for 3-4 months) Islet transplant Pancreas Transplant Consider the FIRST line or or and/ or or Evidence level I-II Consider the SECOND line Consider the THIRD line Consider the FOURTH line Evidence level III-IV