Are Insulin Pumps Expensive

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Comparison Of A Multiple Daily Insulin Injection Regimen (basal Once-daily Glargine Plus Mealtime Lispro) And Continuous Subcutaneous Insulin Infusion (lispro) In Type 1 Diabetes

OBJECTIVE Insulin pump therapy (continuous subcutaneous insulin infusion [CSII]) and multiple daily injections (MDIs) with insulin glargine as basal insulin and mealtime insulin lispro have not been prospectively compared in people naïve to either regimen in a multicenter study. We aimed to help close that deficiency. RESEARCH DESIGN AND METHODS People with type 1 diabetes on NPH-based insulin therapy were randomized to CSII or glargine-based MDI (both otherwise using lispro) and followed for 24 weeks in an equivalence design. Fifty people were correctly randomized, and 43 completed the study. RESULTS Total insulin requirement (mean ± SD) at end point was 36.2 ± 11.5 units/day on CSII and 42.6 ± 15.5 units/day on MDI. Mean A1C fell similarly in the two groups (CSII −0.7 ± 0.7%; MDI −0.6 ± 0.8%) with a baseline-adjusted difference of −0.1% (95% CI −0.5 to 0.3). Similarly, fasting blood glucose and other preprandial, postprandial, and nighttime self-monitored plasma glucose levels did not differ between the regimens, nor did measures of plasma glucose variability. On CSII, 1,152 hypoglycemia events were recorded by 23 of 28 participants (82%) and 1,022 in the MDI group Continue reading >>

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Popular Questions

  1. ChiGuy

    Insulin Pump Cost and ongoing expenses?

    My endo has been recommending I go on an insulin pump and I told him I would consider in the near future once I find better control first thru MDI. I started researching the different pump options and I am a shocked on the cost of a pump and ongoing expense of infusion sets. I realize everyone has different insurance coverage to offset these expenses, but it appears a lot more than I anticipated. I have BCBS Gold PPO plan that appears will require I first meet my deductible and then pay 20% for in network supplied pump. I am finding pumps range from $6,000-12,000. It also appears that the infusion sets will run another $120-170/month. Not sure what portion of infusion sets will be covered? My insurance co-pays on test strips and pen needles make coverage non-existent. It is much cheaper for me to use Relion meter and test strips purchased solely at my expense then it is to buy branded meter & test strips. Same thing with needles, cheaper online then what my co-pay is. Do most of you shop out infusion sets online and pay for this completely out of pocket or does insurance pick up big portion of this? I also seem a lot of the pumps work with specific meters which would also add to monthly expense.

  2. CalgaryDiabetic

    Can you move to Canada and become a resident for health care purposes ? Bring a warm parka. Yes capital and operating costs are staggering. Will be pumping soon instead of MDI. Read my post re lantus, this is why MDI not that practical for me lantus is useless or harmful in my case.

  3. PeterPumper

    I can only speak of my experience, but it may be typical.
    Yes, the initial pump was covered as a "durable medical device", and subject to deductible and then copay. But the year I first went on the pump I had already met my deductible. In fact, I'd also met my annual out-of-pocket max, so the pump cost me Zero.
    My insurer (and most) also cover infusion sets and reservoirs as DME rather than prescriptions (even though scripts are required), so again, annual deductibles, co-pays (in my case 20%), and annual out-of-pocket maxes apply.
    Does using a pump cost more than needles and vials? Yes. But I make an effort to make the most of the insurance plans and such.
    I've never sourced the infusion sets anywhere other than the manufacturer site, and I don't think there's the same 3rd party market for them as there is for test strips, since they are script-only DME.
    As far as meters, you can use any meter. Using one that "links" to your pump offers convenience, but is not mandatory. But also keep in mind that once you buy the pump and supplies, you've surely met your annual deductible, and in some cases your out-of-pocket max, and that sometimes means getting test strips through insurance ends up cheaper if not free.

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