Comparison Of Current Insulin Pumps
*Please note that the Diabetes Mall does not sell or promote any particular pump. 3.9 oz/110 g (w/batteries, full cartridge) black, plastic leather cases available in multiple colors in 10% increments from 0% to 250%, and 15 min to 24 hr; Adjustable from 0% - 500% for up to 50 hours with Accu-Chek config software % or u/hr (1-12 hrs, in 30 min increments) 10% increments from 0% to 200% and up to 12 hours From 0% to 250% of current basal (in increments of 1%), 6 temporary basal rates. Duration 15 minutes to 72 hours. Increments of 1 minute. Yes, Carb units, snack size, I:C ratio, bG target, IS factor, meal rise, insulin offset time, insulin acting time Yes, manual carb, BG direct from BD meter or manual entry units or carbs: standard, extended, combination units or carbs, normal, extended, combination AA x 1 Alkaline, Lithium or Rechargeable, 1AA Lithium - 80 days Up to 1,000 diary records with date and time, BG test results, meal time (events), carbs, health event, bolus type and bolus amount. Displays BG average and standard deviation for 7, 14, 30, 60 or 90 days, Displays BG trends for last 8hrs, 24hrs, 48 hrs or 7 days Downloads to Accu-Chek 360 Diabetes Management System or Accu-Chek Smart Pix device reader. Continue reading >>
Type 1 Insulin Pump Therapy
Insulin pump therapy can improve your blood sugar control. Insulin pumps more closely mimic what your body does naturally, so you can enjoy a more flexible lifestyle. Insulin pump therapy is an increasingly popular method of insulin replacement therapy. Because the insulin delivery from insulin pumps can more closely mimic what your body does naturally, you can improve your blood sugar control. With that control comes a more flexible lifestyle. Remember, though, that the pumps still require a lot of input from users. If you are wondering whether you should use a pump or are already on a pump, this section explains: Advanced programming features: How to get the most out of the pump and use all the options Ketones and insulin pumps: Why to watch for ketones and what to do if you have them Self-assessment Quiz Self assessment quizzes are available for topics covered in this website. To find out how much you have learned about Insulin Pumps, take our self assessment quiz when you have completed this section. The quiz is multiple choice. Please choose the single best answer to each question. At the end of the quiz, your score will display. If your score is over 70% correct, you are doing very well. If your score is less than 70%, you can return to this section and review the information. Continue reading >>
- Insulin Pump Therapy for Kids
- Comparative Effectiveness and Costs of Insulin Pump Therapy for Diabetes
- Relative effectiveness of insulin pump treatment over multiple daily injections and structured education during flexible intensive insulin treatment for type 1 diabetes: cluster randomised trial (REPOSE)
Insulin Pumps
Not Just for Type 1 An estimated 350,000 people in the United States use insulin pumps today, and about 30,000 of those are believed to have Type 2 diabetes. Surprised? Type 2 diabetes is a progressive disease that causes many people who have it to eventually need to use insulin to control their blood glucose levels. Although many people still think insulin pumps are only for treatment of Type 1 diabetes, they can also be useful for some people with Type 2 diabetes. According to Charles H. Raine III, MD, a diabetologist in Orangeburg, South Carolina, who himself has Type 2 diabetes and uses an insulin pump, the criteria for a good pump candidate are the same, no matter what type of diabetes a person has. In general, a good pump candidate has uncontrolled blood glucose, but also has a desire to try for better control of his diabetes, is willing to measure and document food intake and blood glucose levels, and is physically, emotionally, and cognitively able to manage a pump (or has a caregiver who is). Another important characteristic is a willingness to keep appointments with members of his diabetes care team. Insulin pumps are cell-phone-size devices used to deliver preprogrammed and user-adjusted doses of insulin. Depending on the brand and model, they hold between 180 and 315 units of insulin. Most people use rapid-acting insulin — options include insulin lispro (brand name Humalog), insulin aspart (NovoLog), and insulin glulisine (Apidra) — in their pumps, with a few using Regular. Instead of using an intermediate- or long-acting insulin as a background — or basal — insulin, a user simulates the pancreas’s steady release of insulin by programming the pump to automatically give small amounts of the rapid-acting or Regular insulin around the clock, based on Continue reading >>
Insulin Pump Therapy
Insulin pump therapy can give you the better control you want for your lifestyle.1, 2 Technology for Joy & Jake What Is Insulin Pump Therapy? An insulin pump is a small device about the size of a small cell phone that is worn externally and can be discreetly clipped to your belt, slipped into a pocket, or hidden under your clothes. It delivers precise doses of rapid-acting insulin to closely match your body’s needs: Basal Rate: Small amounts of insulin delivered continuously (24/7) for normal functions of the body (not including food). The programmed rate is determined by your healthcare professional. Bolus Dose: Additional insulin you can deliver “on demand” to match the food you are going to eat or to correct a high blood sugar. Insulin pumps have bolus calculators that help you calculate your bolus amount based on settings that are determined by your healthcare professional. Buttons to program your insulin LCD screen to show what you are programming Battery compartment to hold 1 AAA alkaline battery Reservoir compartment that holds insulin A plastic cartridge that holds the insulin that is locked into the insulin pump. It comes with a transfer guard (blue piece at the top that is removed before inserting the reservoir into the pump) that assists with pulling the insulin from a vial into the reservoir. A reservoir can hold up to 300 units of insulin and is changed every two to three days. An infusion set includes a thin tube that goes from the reservoir to the infusion site on your body. The cannula is inserted with a small needle that is removed after it is in place. It goes into sites (areas) on your body similar to where you give insulin injections. The infusion set is changed every two to three days. An infusion set is placed into the insertion device and wi Continue reading >>
- Insulin Pump Therapy for Kids
- Comparative Effectiveness and Costs of Insulin Pump Therapy for Diabetes
- Relative effectiveness of insulin pump treatment over multiple daily injections and structured education during flexible intensive insulin treatment for type 1 diabetes: cluster randomised trial (REPOSE)
New Diabetes Tech On The Horizon: What’s Coming By Mid-2017 In The Us?
By Lynn Kennedy, Ava Runge, and Adam Brown What Abbott, Dexcom, LifeScan, Medtronic, Tandem, and others are bringing to make diabetes easier and less burdensome Want more news just like this? We’re living in the most exciting time ever in diabetes technology, and a slew of soon-to-launch products are going to subtract hassle from living with diabetes – fewer injections and fingersticks, less math, less data overload, less pain, and less worry. Equally important, most emerging technology shows excellent potential to improve glucose outcomes that matter, among them hypoglycemia, time-in-range, hyperglycemia, and A1c. Curious what’s coming? Read on for a summary of the insulin delivery and glucose monitoring devices expected to launch in the US by mid-2017 or earlier, based on the most recent company timelines (listed chronologically). This list is not fully comprehensive, but does cover the major device launches expected. A more detailed description of each device follows further below. New Insulin Delivery Devices Tandem’s t:slim X2 Insulin Pump – October-December 2016. The latest Tandem pump will add a new Bluetooth radio and enable software updates to add future Dexcom G5 connectivity and automated insulin delivery algorithms. Medtronic MiniMed Pro Infusion Set with BD FlowSmart technology – around late 2016. The long-awaited infusion set has several key improvements, most notably a new catheter that allows insulin to flow out of two holes (less occlusions). LifeScan’s OneTouch Via – early 2017. The bolus-only, super slim wearable device holds 200 units of insulin and can be worn for three days. Squeezing two buttons (including through clothes) – will discreetly deliver a two-unit bolus. Medtronic’s MiniMed 670G/Enlite 3 Hybrid Closed Loop – by Ap Continue reading >>
Using An Insulin Pump
NovoLog® has been proven safe and effective for use in insulin pumps in children ages 2 and older with type 1 diabetes and adults with type 1 and type 2 diabetes. Many people with type 1 diabetes use an insulin pump. What is an insulin pump? An insulin pump is a small, programmable, battery-operated device that delivers a steady, measured amount of insulin under your skin. You and your diabetes care team can program your insulin pump to deliver NovoLog® in constant “basal” doses throughout the day and “bolus” doses at mealtime. Insulin pumps may be helpful for people with diabetes who have more than one insulin injection per day, including some people with type 2 diabetes. Pumps provide continuous insulin delivery in small doses, similar to the way the pancreas naturally releases basal insulin. You push a button to release mealtime doses of insulin to cover food. They allow people with diabetes to take their insulin automatically, wherever they happen to be. Benefits of NovoLog® in an insulin pump NovoLog® is a fast-acting insulin that can be used for up to 6 days in a pump before it needs to be changed. The table below shows how often to change NovoLog® in a pump. Please be sure to check the instructions that came with your pump. Pump component Time frame before changing NovoLog® in reservoir Up to 6 days Infusion set and infusion set insertion site Up to 3 days NovoLog® in the pump should be discarded after exposure to temperatures that exceed 98.6ºF. Low rate of clogs in an insulin pump In a clinical study, NovoLog® was found to have a low rate of clogs when used in pumps. That's good news if you are already using, or thinking about using, an insulin pump. NovoLog® remains heat stable in pumps at normal body temperature (up to 98.6°F). This makes N Continue reading >>
- Relative effectiveness of insulin pump treatment over multiple daily injections and structured education during flexible intensive insulin treatment for type 1 diabetes: cluster randomised trial (REPOSE)
- Insulin Pump Therapy for Kids
- Comparative Effectiveness and Costs of Insulin Pump Therapy for Diabetes
Insulin Pumps
Tweet Insulin pumps are portable devices attached to the body that continuously deliver amounts of rapid or short acting insulin via a catheter placed under the skin. They are seen as a better alternative to insulin injections as they reduce the need for multiple insulin jabs per day and give the user increased ability to control blood glucose levels. Around 1 in 1,000 people with diabetes wears an insulin pump. What is an insulin pump? An insulin pump is a small device (a little larger than a pack of cards) that delivers insulin into the layer of fat that sits just below the skin (subcutaneous tissue). Because the insulin pump stays connected to the body, it allows the wearer to modify the amount of insulin they take within the press of a few buttons at any time of the day or to program in a higher or lower rate of insulin delivery to occur at a chosen time, which can be when sleeping. An insulin pump consists of the main pump unit which holds an insulin reservoir which typically holds between 176 and 300 units of insulin. The reservoir is attached to a long, thin piece of tubing with a needle or cannula at one end. The tubing and the bit at the end are called the infusion set. Insulin pump therapy is also referred to as continuous subcutaneous insulin infusion therapy. How common are pumps? The UK Insulin pump audit of 2013 showed that: Around 6% of adults with type 1 diabetes use an insulin pump. Around 19% of children with type 1 diabetes use an insulin pump pump. Insulin pump therapy is offered to people with type 2 diabetes on a case-by-case basis, when a diabetes consultant with expertise in pump therapy believes strongly that it is the only appropriate treatment for a specific patient. Current research suggests that there is a small proportion of people with typ Continue reading >>
2018 New Insulin Pump Comparisons And Reviews
Insulin pumps are NOT commodities. There are differences between systems (some subtle, some obvious) that make certain pumps better options for certain individuals. It is astounding that so many people are given little to no choice when it comes to selecting an insulin pump. Given that pump warranties last longer than the average marriage, it makes sense to invest some time in comparing the various devices before making a selection. Every member of our clinical team has personal and professional experience with every make and model of insulin pump. We are not employed by any pump company, and we are not easily pressured (although really good chocolate has been known to sway our opinion a bit), so we can offer you fair and impartial information/insight. Please use our pump comparisons to help make an educated decision. We have listed the positive and negative features that are unique to each pump. Features that are common to all pumps, such as allowing for multiple basal patterns, are not included. At the end of the day, the choice is yours. If you would like some expert input, feel free to contact our office and schedule some time to meet or speak with one of our clinicians. And for assistance applying your pump to achieve the best possible glucose management, please reach out. Continue reading >>
- Relative effectiveness of insulin pump treatment over multiple daily injections and structured education during flexible intensive insulin treatment for type 1 diabetes: cluster randomised trial (REPOSE)
- Comparative Effectiveness and Costs of Insulin Pump Therapy for Diabetes
- Insulin Pump for Diabetes: Its Advantages and Disadvantages
Insulin Pumps
Insulin pumps are an increasingly common treatment for type 1 diabetes. They can improve glucose control in people with type 1 diabetes but do not suit everyone. An insulin pump delivers insulin every few minutes in tiny amounts, 24 hours a day. It is usually about the size of a deck of cards, but can be much smaller. The insulin flows through a cannula which sits in the subcutaneous tissue (where you inject) and is changed by the pump user every few days. Basal (background) insulin is programmed to meet the pump user’s needs. The bolus insulin is delivered at the touch of a button to cover food or bring down a high blood glucose level. Only rapid-acting insulin is needed and provides all your insulin requirements. Insulin pumps reduce the need for multiple injections and give the user the ability to make smaller, more accurate adjustments to insulin delivery. Note: insulin pumps do not measure blood glucose levels, but some pumps can read the signal from a separate glucose sensor. What sort of insulin pumps are there? There are a number of different types of insulin pump and accessories. They vary in aspects such as weight; units of adjustment; whether they have tubing or not and battery life. A ‘tethered’ pump uses a fine tube to connect the pump to the cannula; the pump is worn in a pocket or clipped to a belt. A patch pump or micro pump has no tubing or a very short tube, and the pump is usually stuck on to the skin. The following suppliers currently offer pumps in the UK: Animas Advanced Therapeutics Cellnovo Medtronic Roche OmniPod A good document for comparison can be downloaded here. Type 1 Technology guide We have produced a family-friendly guide to type 1 diabetes technology, which highlights recommendations from NICE on treatments and technology for chi Continue reading >>
Insulin Pump Rundown
Choosing an insulin pump doesn’t have to be an overwhelming process. Should you go with a more traditional pump where you can monitor your insulin levels directly? Are you looking for a model that works with a BGM monitor and allows you to administer insulin via a remote? Maybe you need a pump that offers integration with a CGM system. What about size? Color? To use tubes or not to use tubes? Presenting the options so you can find out what pump best fits your lifestyle is our goal. So, with several models on the market, let us help you sort through the choices by taking a look at what’s available and breaking down the various features of each. We’ve separated the pumps into four categories: pumps that incorporate or work with a Blood Glucose Monitor (BGM) and offer Continuous Glucose Monitoring (CGM), pumps with just CGM capability, pumps with just a BGM, and standalone pumps that don’t work with a BGM or offer CGM. Hybrid Closed-Loop System The 670 G system is the newest member to the Medtronic pump family and the first hybrid closed-loop system. In other ways, it is a like a “basal modulator” where you have to still bolus but it predicts your basal rate. Every 5 minutes, the auto-mode option (hybrid closed-loop) automatically adjusts basal insulin delivery based on your sugar levels to keep you range. It is excellent at catching lows because it stops your insulin dosage 30 minutes before you reach your pre-selected low limits, then it will automatically restart insulin when your levels recover. Possible concerns: excessive alerts and extended menu that needs clearing. Only approved for ages 14+ because it has a total daily dose requirement of at least 8 units a day. Feeling of loss of control of management with closed-loop system. Pumps with BGM and CGM ca Continue reading >>
- Relative effectiveness of insulin pump treatment over multiple daily injections and structured education during flexible intensive insulin treatment for type 1 diabetes: cluster randomised trial (REPOSE)
- Insulin Pump Therapy for Kids
- Comparative Effectiveness and Costs of Insulin Pump Therapy for Diabetes
Insulin Pump Comparison: Which Pump Is Right For You?
With the announcement of Animas Vibe’s FDA approval in the United States and last week’s first shipments of Asante’s new MySnap reaching customers who designed the company’s first customizable pumps (myself included), it’s the perfect time for an insulin pump comparison. Which pump should you be using in 2015? I’ve been using an insulin pump since the year 2000 and in those 14 years, have used 10 different pump models from five different pump companies. I consider myself a discerning and skeptical customer. When I approach a pump, I want its rep to be able to explain features beyond the company’s marketing talking points. Yes, it’s tubeless, but how’s the user interface? Okay, so site changes are quick, but what advanced pumping features does it include? Integrated CGM, but what’s it like to press the buttons and program a bolus? I want to know how fast it scrolls, how large a pack mule I’ll need for the supplies, and where they’ve buried the IOB. Each of the six companies listed below is working hard to provide people with diabetes with innovative devices for pumping insulin. Which you prefer depends on which features matter to you; one man’s pro is another man’s con. We are incredibly fortunate to have choices when shopping for a device we’ll depend on for the next four to five years. I encourage you to explore the offerings below. Insulin Pump Comparison: Animas Vibe Features: Reservoir size: 200u IPX rating: Fully watertight IPX8, company calls it “waterproof” up to 12 feet for 24 hours Integrated with Dexcom G4 Platinum CGM (on screen) Bright body color choices High-contrast color screen Infusion Sets: Accepts any luer lock infusion set Accepts all fast-acting U-100 insulins Meter: use with any meter Software: Uploads to Diasend Po Continue reading >>
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- Relative effectiveness of insulin pump treatment over multiple daily injections and structured education during flexible intensive insulin treatment for type 1 diabetes: cluster randomised trial (REPOSE)
Insulin Pump Types
Closed loop insulin pumps are still being researched Insulin pumps come in a variety of forms. Tethered and patch pumps are the options currently available on the NHS or to buy privately. At the moment, a new breed of extra intelligent insulin pumps (closed loop insulin pumps) are being tested under supervised conditions for research and could start to become available if the trials are successful. Tethered insulin pumps are those that have a length of flexible tubing between the pump itself and the cannula (the short, thin tube which goes through the skin). The pump itself, which usually feature controls, is free to be tucked into pockets or carried in pump pouches which can be worn under or outside of clothing. Some tethered pumps may also have controls on a separate handset which may also double up as a blood glucose monitor . Commonly available examples of tethered pumps include: A patch pump is where the pump is attached to the surface of the skin. To allow the pump to be as small as possible, the controls for the pump are located on remote control. The remote control may also serve as a blood glucose meter. One of the benefits of a patch pump is that theres no tubing to catch on handles and other such objects but you may still need to be wary of where your pump is to prevent knocking or dislodging the pump. Currently, the mylife OmniPod is the only patch pump approved for use in the UK. An implanted insulin pump is a pump which remains inside the body at all times. An implanted insulin pump is able to deliver insulin into the peritoneal cavity which has a rich supply of blood vessels and can therefore absorb insulin very efficiently. Users of implanted insulin pumps have reported an improved sense of well being but there are a number practical disadvantages inclu Continue reading >>
Insulin Pump Therapy For Type 2 Diabetes
The Simple Truth About Insulin Pump Therapy You have type 2 diabetes, but diabetes shouldn’t rule your life. You want to manage your sugar levels well, but with shots, you must deal with frequent challenges to keep your sugar levels under control. You wish there was an easier way to manage insulin dosing without compromising your health. You’re not alone. MiniMed insulin pump therapy helps you achieve better control by providing convenient insulin delivery that’s easy for you to manage. Only MiniMed insulin pump therapy is clinically proven to reduce A1C better than multiple daily shots for people with type 2 diabetes.4 Studies have shown that A1C reduction can significantly reduce the occurrence of long-term complications.5, 6 With MiniMed insulin pump therapy, you can worry less about your risk for long-term complications, such as: You are a candidate for MiniMed insulin pump therapy if: You are taking three or more insulin injections per day. You may be taking additional medications for your diabetes management, beyond just insulin. Your healthcare provider informed you that your A1C is elevated and your diabetes is not well controlled. You find it challenging to follow your prescribed insulin regimen for diabetes management. What is a pump and how does it work? The MiniMed insulin pump is an external device about the size of a cell phone that you can easily carry on a belt, place inside a pocket or wear under your clothes. The pump contains insulin and delivers it in a continuous and precise flow through a thin, flexible tube called an infusion set. The end of this tube sits comfortably under the skin and is replaced every two to three days. Basal rate You can program your insulin pump to continuously deliver tiny and precise amounts of insulin 24 hours a day. Continue reading >>
- Comparative Effectiveness and Costs of Insulin Pump Therapy for Diabetes
- Insulin Pump Therapy for Kids
- Relative effectiveness of insulin pump treatment over multiple daily injections and structured education during flexible intensive insulin treatment for type 1 diabetes: cluster randomised trial (REPOSE)
2016 Insulin Pump Comparisons
Click to go to comparison page: Tandem t-Slim/t-Flex/t-slim G4Roche Accu-Chek Combo Insulet Insulet OmniPod Medtronic 530G With Enlite Animas Vibe Pump System Features in Common: 24-hour toll-free helpline Internal safety checks Child button lock-out Full Training Included Simplified programming Extended bolus options Temporary basal rate options Programmable reminders Downloadable Low battery warning Low insulin warning User-set active insulin time Tandem t:slim, t:slim G4 & t:flex Unique Advantages Potential Drawbacks Bright, full-color touch screen Modern, high-tech appearance Compact, thin dimensions Rapid numeric entry, fastest bolus entry Cartridges hold 300u (t:slim); 480u (t:flex) Can calculate boluses up to 50 units (60 on t:flex) Site-change reminder w/customizable day & time Graphic on-screen history display Carb counting calculator Temp basal up to 250%, 72 hrs Can set duration of insulin action in 1-minute increments IOB & time remaining displayed on home screen Missed bolus reminders customizable by day of week Alert for high temperatures which may spoil insulin Secondary basal programs linked with secondary bolus calculation parameters Web-based download software Compatible w/leur-lock infusion sets Minimal insulin movement with changes in altitude Small buttons can be difficult to activate; screen goes blank if buttons missed 3x Unlock procedure required to perform any programming No integrated clip (must put in a case that has a clip) Tubing connector looks “medical,” can snag on clothing Basal & bolus settings in same time slots; may take several steps to edit Extra confirmation steps with all programming Weak vibrate mechanism No meter link Manufacturer relatively new in pump industry Requires charging 1-2x/week No formal in-warranty upgrade polic Continue reading >>
- Relative effectiveness of insulin pump treatment over multiple daily injections and structured education during flexible intensive insulin treatment for type 1 diabetes: cluster randomised trial (REPOSE)
- Insulin Pump Therapy for Kids
- Comparative Effectiveness and Costs of Insulin Pump Therapy for Diabetes
Insulin Pump For Diabetes
How does an insulin pump work? The typical insulin pump is attached to a thin plastic tube (an infusion set) that has a soft cannula (or plastic needle) at the end through which insulin passes. This cannula is inserted under the skin, usually on the abdomen. The cannula is changed every two days. The tubing can be disconnected from the pump while showering or swimming. The pump is used for continuous insulin delivery, 24 hours a day. The amount of insulin is programmed and is administered at a constant rate (basal rate). Often, the amount of insulin needed over the course of 24 hours varies depending on factors like exercise, activity level, and sleep. The insulin pump allows the user to program many different basal rates to allow for variation in lifestyle. In addition, the user can program the pump to deliver a bolus (large dose of insulin) during meals to cover the excess demands of carbohydrate ingestion. How common is an insulin pump? Hundreds of thousands of people with diabetes worldwide are using an insulin pump. Although insulin pumps were first used by people with type 1 diabetes, people with type 2 diabetes sometime use them as well. Many children successfully use insulin pumps. Insulin pumps allow for tight blood sugar control and lifestyle flexibility while minimizing the effects of low blood sugar (hypoglycemia). Newer models of the pump have been developed that do not require a tubing, in fact - the insulin delivery device is placed directly on the skin and any adjustments needed for insulin delivery are made through a PDA like device that must be kept within a 6 foot range of the insulin delivery device, and can be worn in a pocket, kept in a purse, or on a tabletop when working. Probably the most exciting innovation in pump technology is the ability to Continue reading >>
- Relative effectiveness of insulin pump treatment over multiple daily injections and structured education during flexible intensive insulin treatment for type 1 diabetes: cluster randomised trial (REPOSE)
- Comparative Effectiveness and Costs of Insulin Pump Therapy for Diabetes
- Insulin Pump for Diabetes: Its Advantages and Disadvantages
