A LITTLE BIT ABOUT ME
Dear friends, welcome to advice4diabetes.com. By creating this web site I was inspired by my friends and my family who believe me, support and encourage in my journey. Without my friends, it will be impossible to create this website.
“Man is what he believes”
If you interesting find more about me, please follow me by clicking on icons below.
BUILT BY EUGENE KAGANOVICH
Insulin pump therapy
The incidence of diabetes is reaching alarming numbers all over the world. The patients who require insulin injection for controlling diabetes have two options. Either multiple injections by insulin pen/syringe or by using the insulin pump. According to comprehensive and well-
Treatments for Type I diabetes is only insulin replacement. Many patients make the transition from multiple injections to the insulin pump. The first insulin pump was introduced in 1978, and it became more widely available in the late 90. Estimated number of home users in the US in 2010 were 500,000 people.
The insulin pump is available only by prescription and can be used with Type I, Type II, and gestational diabetes. It does not mean it can suit everyone. Your primary care physician will refer you to the endocrinologist and certified diabetes educator (CDE) to discuss benefits and drawbacks of the insulin pump. The insulin pump is an expensive medical device with the high price tag. The market is more than 4 Billion for the year 2013. The private health insurance covers pump under durable medical equipment policy. Coverage can run from 80 to 100%.
The insulin pump is a mechanical device, which mimic pancreas gland for insulin delivery. Insulin pump uses only rapid-
The major companies on the market for insulin pumps are:
• Minimed (Medtronic -
• Tandem Diabetes Care (has two models t: slim and t: flex first touchscreen insulin pump)
• Johnson & Johnson (has two models Animas Ping and Animas Vibe with integrated Dexcom G4 platinum sensor)
• Roche Diagnostic with Accu-
• Omnipod wireless insulin pump from Insulet Corporation.
Every insulin pump is going through FDA approval. The insulin pump runs many safety checks in the background. Development of the insulin pump takes years, company as Tandem Diabetes Care used human factor research for the development of their insulin pump. Their pump is #1 for easy and simple use with touch screen.
The benefits of insulin pump:
One the essential benefit is to bring your A1C below 7%.
• Are very sensitive and resistant to insulin.
• Live alone
• Prevent long-
• Intensive exercise
• Insulin stacking.
▪ Poor glycemic control
▪ Frequent or severe hypoglycemia and hypoglycemia unawareness
▪ Nighttime hypoglycemia
▪ Post meal hyperglycemia
▪ Dawn phenomenon
▪ Variable work schedule
▪ Intensive exercise
▪ Managing gastroparesis
▪ Managing celiac disease by using extended/combo bolus
The most dangerous side effect is diabetic ketoacidosis (DKA) when blood sugar is reaching extremely high numbers and hypoglycemia when the blood sugar drops below 70. A new era of technological development opens the door to malicious hacking of wirelessly controlled insulin pumps.
▪ Attached to the pump 24/7
▪ Weight gain
▪ Site Infection
▪ Psychological body image barriers
How to choose an insulin pump?
The first step is to decide if you are willing to learn new technology. Agree on checking your blood sugar 4-
1. Speed of bolus delivery
2. Interval of time for basal rate delivery
3. Durability, watertight or waterproof
4. User interface (touch screen or by using buttons)
5. How long company in the business. The insulin pump industry is expanding rapidly. You are as a patient have to choose not only right insulin pump but also a company with the strong financial background. The companies such as Disetronic (H-
6. Software to upload data from the pump to analyze your settings
7. Do you prefer to have integrated CGMS or not?
8. How much you will pay for upgrade version for the future model
9. Alert, alarms, check with FDA website if the pump was recalled for malfunction.
Don't make the wrong choice, private health insurance covers insulin pump once in four years. Many patients are going to YouTube (open box) video review, where they can see what is included with the pump and how to use it. Social media channels are overloaded with tons of information. Make sure that is credible resources.
Discuss your concerns, questions with your medical team. Meet with the sales person and educator who are representing the company. I am sure they will be happy to show insulin pump and answer all your questions. Some companies will allow you to try their pump before purchasing.
My experience with insulin pump goes back to early 90s. My first insulin pump from Disetronic Inc. manufactured H-
I was on the insulin pump for over 20 years. The insulin pump gave me the choice to be free from the multiple injections, go to the College, and continue to work full time in the intensive care unit as a registered nurse.
Responsibility to manage your diabetes must come from you. Take a charge of diabetes become a captain of your journey to better health.