Insulin pump therapy in children and adolescents with type. This option may decrease low and high blood sugar levels. It is not intended to replace visits with your diabetes healthcare team or to provide medical advice. Consider the following pros and cons carefully and discuss them with your doctor. The institute would also like to thank animas canada, disetronic medical systems, and medtronic of. Coming off the pump you need a plan to replace insulin and prevent diabetic ketoacidsosis dka if youre off your pump for longer than 2 hours. Ahepaa hospital, thessaloniki, greece article info abstract keywords. The use of insulin pump therapy was lower in ethnic minorities in all three registries. Introduction to insulin pump therapy the basics of insulin pump therapy balancing glucose and insulin managing pump therapy how to calculate boluses.
Most, but not all of this information also applies to those with type 2 diabetes who are interested in pump therapy. Precise doses of insulin day and night, giving you optimal control thats personalized to your lifestyle. Introduction to insulin pump therapy questionnaire nov 2016 12. Behaviors that may interfere with pump therapy include untreated depression, eating disorders, manipulative behavior, and other psychoses. Insulin pump therapy in type 1 diabetes mellitus scielo. Insulin pumps vary in size and appearance depending on the model, but the basic setup is common to most models. Strategies for optimization of pump therapy now and in the future. The basics of insulin pump therapy medtronic diabetes uk. Continuous subcutaneous insulin infusion csii provides a continuous delivery of rapidacting insulin, which is programmed into a pump to meet individual. Typical devices have a two to three day supply of insulin connected to an infusion set attached. By the end of this online class, you will be able to. Under these circumstances nonspecialist will often discontinue pump therapy in favour of familiar therapies such as variable rate intravenous insulin infusion or. Insulin pump therapy can help you reduce the risk of many longterm complications4, like.
Based on a large body of evidence that supports the reduction in the number of microvascular, macrovascular and neuropathic complications with successful intensive diabetes management, the american diabetes association ada recommends target a1c levels of. Feb 21, 2014 medtronic minimed how does the minimed 640g insulin pump work. Insulin pump therapy, also known as continuous subcutaneous insulin infusion, is no longer seen as experimental and. An illustrated guide o every part of the human body and how it works. No meter remote and pump can each control nearly all pump functions, including delivering a bolus, monitoring pump stats, and confirming alarms and warnings. A clinical overview of insulin pump therapy for the. Advanced insulin pump therapy basics of insulin pump. Bolus infusion of insulin along with a meal is a standard procedure with continuous subcutaneous insulin infusion. Insulin pump therapy resources american association of. This module is for people with type 1 diabetes who are interested in insulin pump therapy. Csii therapy in neonatal diabetes allows easy adaptation of insulin delivery, closely following the current feeding regimen a basal infusion only being needed when using continuous enteral or.
Issues patients and practitioners should consider before transitioning to insulin pump therapy are as follows3. Pump therapy requires more responsibility, new skills and new equipment, often described as learning diabetes all over again continually connected to a device bodyself image continuous wear of the pump, eliciting questions about pump andor diabetes from others, site locations psychological factors. Gain unprecedented control over the way you manage your diabetes. Insulin pump therapy patient bedside logbook alberta health. Current nice guidance in the uk recommends 1520% of the population with type 1.
Insulin therapy adult hypoglycemia insulin analogs. An insulin pump mimics what a normal pancreas would do and is programmed to meet each patients individual needs. This workbook will help you become competent in the use of your pump so you can enjoy and receive the benefits of improved glucose control. Advanced insulin pump therapy basics of insulin pump therapy. An overview of insulin pump therapy verywell health. An insulin pump has advantages in that it allows the wearer to take instantaneous action to help increase or decrease blood glucose levels. Ems treatment of the type 1 diabetic insulin pump user jems. The basics of insulin pump therapy medtronic diabetes. The development of infusion pumps and glucose monitors, including continuous monitoring systems, will lead to intelligent pumps, so that a true. A big advantage of pump use is that you can modify your basal rates to avoid highs and low blood sugars by using a temporary basal. An introduction to insulin pump therapy adam nicholls bm, mrcp and helen partridge bsc, mrcp insulin pump therapy currently seems to be reserved for the few, yet many more type 1 diabetes patients could benefit from this delivery system. Insulin pump therapy isnt for everyone, and guidelines exist to help patients and practitioners determine whether csii is a good treatment option for individuals with either type 1 or insulindependent type 2 diabetes. Insulin pump therapy aiming for better blood glucose.
While insulin pump therapy does allow for more flexibility in your lifestyle and has the potential to even out the wide blood sugar fluctuations that are often experienced when injecting insulin, it may not be the right choice for every person. This is because of the complete lack of insulin in this condition, meaning that calculations of insulin doses can be made with relative certainty, whereas in type 2 diabetes, the factors of some ongoi. Continuous subcutaneous insulin infusion csii pump therapy was introduced to treat patients with type 1 diabetes in the late 1970s 1,2. Insulin pump therapy aiming for better blood glucose control in people with type 1 diabetes the guys and st thomas nhs foundation trust insulin pump service is provided by a multidisciplinary team consisting of doctors, specialist nurses and dietitians. With our pump and sensor system, youre four times more likely to reach your target a1c 4. Review indepth clinical information, latest medical news, and guidelines about insulin therapy, including interpretation of glucose and insulin levels, types of insulin short. Identifying patients for insulin pump therapy nursing times. When compared with multiple daily injections, studies have shown. Insulin pump therapy resulted in sustainable improvement in glycemic control throughout the six years of. Insulin pumps in general practice australian prescriber. Get clear insights into your personal glucose patterns.
Bode bw, steed rd, davidson pc 1996 reduction in severe hypoglycaemia with longterm continous subcutaineous insulin infusion in type 1 diabetes. Depending on the activity, the temporary basal can be decreased a lot or a little and for a short period of time or half a day or more. Among these advances are insulin pumps, which are not just for the young and techsavvy. The basics of insulin pump therapy successful diabetes. Because the insulin delivery from insulin pumps can more closely mimic what your body does naturally, you can improve your blood sugar control. Gain historical perspective of insulin pump therapy. Get started watch video using an insulin pump to manage my diabetes has given me the flexibility to live my best life. Continuous subcutaneous insulin infusion csii abcd diabetes. Our team is trained and expert in insulin pump therapy. Discuss insulin pump therapy in different populations. Diabetes research and clinical practice 93s 2011 s109as1 insulin pump therapy in adults triantafillos didangelos, fotios iliadis diabetes division, 1st propeudetic department of internal medicine, medical school, aristotle university of thessaloniki, a. Informationaboutnicetechnologyappraisalguidance151 issuedate. An insulin pump is a small, digital device that continuously delivers rapidacting insulin through a small catheter inserted into the subcutaneous tissue and secured in place on the skin with adhesive.
Insulin pump therapy is rapidly becoming the standard of care for the management of type 1 diabetes. In t r o d u c t i o n t o in s u l i n pu m p th e r a p y the basics of insulin pump therapy balancing glucose and insulin managing pump therapy. An insulin pump is a small electronic device, about the size of a smartphone, that can be easily carried on a belt, inside a pocket, or attached to a bra and so virtually invisible to others. Outpatient 60hour dayandnight glucose control with dualhormone artificial pancreas, singlehormone artificial pancreas, or sensoraugmented pump therapy in adults with type 1 diabetes. July2008 insulinpumptherapy fordiabetes thisleafletisaboutwhencontinuoussubcutaneousinsulininfusion or. Pump is waterproof for up to 12 feet deep for 24 hours, so theres no need to disconnect while swimming or bathing. Studies examining csii therapy, which were excluded from the metaanalysis because of insufficient data e. Insulin pump therapy gives people with diabetes the freedom to enjoy life, despite their chronic condition. Clinical recommendations in the management of the patient.
Hypoglycemia is a critical obstacle to the care of patients with type 1 diabetes. Insulin pump therapy patient education part 1 youtube. About this guide this guide is intended to provide school nurses and other school personnel with basic information about diabetes, and specific information about insulin pump therapy. Insulin pump therapy is a safe, simple way to achieve better glucose control. Although initial education for insulin pump therapy focuses on the basics of pump operation, the class provides more indepth education about sickday management, infusion site problems, and additional keys to pump success. A thorough, wellillustrated manual covering system types, details of pumps, pump accessories, prerequisites the medical team, the patient for pump therapy, specific applications, pump uses in specific settings including children, vacation, and pregnancy, motivation. In fact, in 2016, the american diabetes association ada revised their standards in medical care to recommend patients 65 and older continue to use their insulin. Despite significant investment and support by the commonwealth government, private health insurers, and hospitals and health services the provision, use and support of insulin pump therapy in australia lacks integration and there are many disconnects and problems for people with type 1 diabetes. The insulin pump diabetes educators with our insulin pump program are certified diabetes educators by the american association of diabetes educators and certified insulin pump educators for animas one touch ping, medtronic minimed and omnipod. When compared with multiple daily injections, studies have shown improved bg control in.
Presenting insulin pump therapy to your patients it is our suggestion that you introduce the possibility of using an insulin pump to all of your patients who require insulin therapy. Also, insulin pump therapy does not reduce the need for bg testing, which must continue to be done several times a day. An introduction to insulin pump therapy prescriber. Well explain the different types of pumps you can get, the pros and cons of this technology, and how to get an insulin pump on the nhs. Welcome to the insulin pump therapy learning module. Insulin pump therapy program birmingham, alabama al. As ethnic minority background and low socioeconomic status ses are often interrelated, it is possible that this relationship resulted from low ses rather than racialethnic factors.
Introduction to insulin pump therapy questionnairenov10,2016. Thismaterialmaybefreely reproducedforeducationalandnotforprofitpurposes. Insulin pump therapy is an increasingly popular option for treatment of diabetes, but can be a complex topic for both educators and people with diabetes. You can also reduce low glucose episodes by up to 84 percent and lower the risk of longterm complications. Insulin pump therapy diabetes pump therapy medtronic.
Nationalinstituteforhealthandclinicalexcellence,2008. The program is intended for healthcare professionals who have some experience with insulin pump therapy, but are interested in. Here, professor pickup discusses the advantages and disadvantages of csii over mdi and describes nices recommendations on its usage. A costeffectiveness analysis of sensoraugmented insulin pump therapy and automated insulin suspension versus standard pump therapy for hypoglycemic unaware patients with type 1 diabetes. This leaflet is about when continuous subcutaneous insulin infusion or insulin pump therapy should be used to treat people with diabetes mellitus in the nhs in. This handout will describe the next steps for using insulin pump therapy. Bode, md, face an internationally known speaker and author on insulin pump therapy and continuous glucose monitoring, dr. Carling minimed 670g system customer what is insulin pump therapy. Bode, a graduate of emory university school of medicine, is in private practice with. Guidelines for the safe management of insulin pump therapy in.
Talk to your health care provider about which pump is right for you. Let them know that there are two different methods of taking insulin. Check off the ones that you and your family are prepared to accept and manage. The medtronic pump therapy expert program is designed to update healthcare professionals on the most current scientific and technical information regarding insulin pump therapy and related products. Cho counting, premeal bolus dose calculations, and hypo and hyperglycemia management are essential for pump use. Is the patient a candidate for insulin pump therapy. Type 1 insulin pump therapy diabetes education online. Start here if your pump fails, call the 1800 number on the back of your pump for a replacement. Diabetes obesity nutrition strategic clinical network. Use of insulin pump therapy in children and adolescents with. Insulin pump therapy is an increasingly popular method of insulin replacement therapy. Insulin pump therapy a guide for managing your insulin pump this guide is to support you in managing your pump and to supplement the education you receive from your diabetes education program. The introduction to insulin pump therapy training is available in three formats.
You and your diabetes team will work together to help you reach your blood sugar goals. W ith new technology available to aid patients, diabetes management in the 21st century is moving beyond metformin. Most insurance companies cover insulin pump therapy with variable outofpocket expenses. This study showed that over a 3month period the use of sensoraugmented insulin pump therapy with the thresholdsuspend feature reduced nocturnal hypoglycemia, without increasing. Pump your way to better health john gancarzalex giannakoschris reyesstephanie steichen slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Insulin pump therapy, also known as continuous subcutaneous insulin infusion csii, involves wearing a device insulin pump which provides a steady stream of insulin into your body. This study aims to evaluate the effectiveness of pump therapy and its impact on metabolic control among patients from our institution. Pump therapy requires motivation, regular blood glucose checking, the ability to learn pump technology and the willingness to keep in regular contact with your. Until then, care of individuals with type 1 diabetes was crude, involving one or two daily injections of nph and regular insulin of animal origin that was not purified, adjusting insulin doses based on urinary. Insulin pump therapy for type 1 diabetes i acknowledgements the institute of health economics is grateful to the expert advisory committee coordinated by alberta health and wellness for provision of information and comments on the draft report.
Insulin pumps are small in size, battery operated, and give you a constant drip of insulin. Scroll down to read the article or download a printfriendly pdf including any tables and figures. Surrounding this topic, we have developed an online course that provides a deep dive into insulin pump therapy, and a set of practical tools and standardized guidelines to help empower. How to use this workbook we believe that with plenty of information and support youll soon feel confident about your minimed pump therapy thats the most important thing. Sensoraugmented pump therapy with an automated insulin suspension or low glucose suspension function allows insulin delivery to be ceased automatically for up to 2 hours when sensor glucose falls below a preset threshold. Starting insulin pump therapy takes a lot of time and effort. Pumps vary in how much insulin they hold, whether or not the pump has a touch screen or is waterproof, and have a variety of advanced features as well as safety features. The device is attached to your body via a thin tube called an infusion set, through which insulin is delivered.
Insulin pump criteria an external insulin infusion pump is a programmable, batterypowered mechanical syringereservoir device controlled by a microcomputer to deliver a continuous subcutaneous insulin infusion csii into the body. Insulin pump therapy getting started with your insulin pump e insulin pump is a device that gives insulin to the body at a steady rate. As an emt, running calls for a type 1 diabetic patient whos unresponsive is common. Even patients beginning injection therapy may be a candidate for a pump. The value of an improved lifestyle, increased flexibility and optimal diabetes control is obvious from the impact the insulin pump has made in the twentyfive years since its inception. You are four times more likely to consistently achieve your target 4x hba1c on insulin pump therapy than with injections. Arnold kadish developed the first insulin pump, which was the size of a marine backpack. Diabetes and the use of insulin pumps endocrinology advisor. Medtronic diabetes europe, middle east, africa 196,547 views. May 14, 2014 to assist with class attendance, patients received a reminder call 1 day before class. Insulin pump therapy offers multiple clinical benefits over multiple daily injection therapy. This workbook plays a key role in getting you there. Since its introduction in the 1970s insulin pump therapy is being used increasingly in the management of type 1 diabetes, with current estimates of between 20 to 30% of people in north america with type 1 diabetes being pump users, 1,2 and this number is increasing rapidly in the uk.
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