diabetestalk.net

What Kind Of Insulin Can Be Used In An Insulin Pump

2016 Insulin Pump Comparisons

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 >>

The Use Of Insulin Pumps In Youth With Type 1 Diabetes

The Use Of Insulin Pumps In Youth With Type 1 Diabetes

Go to: Introduction Insulin pump (continuous subcutaneous insulin infusion [CSII]) therapy became more widely accepted for youth with type 1 diabetes (T1D) in the mid-1990s after the availability of the rapid-acting insulin, insulin lispro. Previously, pediatric diabetologists were cautious about pump use in children, particularly as a result of the threefold increase in severe hypoglycemia reported among intensively treated patients in the Diabetes Control and Complications Trial.1 Of these, two-thirds used an insulin pump at some time, and all used regular insulin. With advances in insulin development and in pump features, however, the fear of severe hypoglycemia associated with intensive diabetes management has diminished. It is impossible in this short article to describe all aspects of insulin pump care in youth (here defined as children 5–18 years of age) with diabetes. A more complete description, including our program for starting an insulin pump, is provided elsewhere.2 A consensus statement on insulin pump therapy in the pediatric age group may be helpful to healthcare providers.3 Table 1 lists some advantages and disadvantages of insulin pump use in children. Although insulin pump use is becoming more and more popular among families having a youth with T1D, it is not for everyone. In order for pump therapy to succeed, the youth as well as the parents must want the pump. Diabetes nurse-educators listed 12 other important factors to determine who should start pump therapy.4 They all agreed that doing adequate numbers of blood glucose (BG) tests per day was the most important criterion. Most pediatric centers require this for pump initiation, as this is not only a measure of compliance, but also a necessity for safety. Other criteria for initiation of insulin Continue reading >>

Insulin Pump Therapy In Senior Patients

Insulin Pump Therapy In Senior Patients

It is estimated that about 18.2 million people in the United States have diabetes,1 a number that is expected to grow as the population ages. Diabetes is a progressive disease, with many patients eventually requiring insulin therapy. Searching for improved ways to administer insulin is a worthwhile pursuit, as many people with diabetes balk at the idea of injecting insulin. Although insulin injections are the most conventional method of administering insulin, there are other, less objectionable options. Newer advances such as inhaled insulin, insulin pens, and jet injectors are available for use, although they may not be appropriate for all individuals. Another alternative is an older but constantly advancing technology that attempts to mimic pancreatic insulin release, the insulin pump. Insulin Pumps Purchasing an insulin pump is a major life decision for any individual with diabetes. Insulin pumps help patients gain improved blood glucose control while providing a more flexible lifestyle. An insulin pump is a small device, about the size of a beeper or cell phone, which is generally worn on a patient's waistline. The pump is connected to the body through a catheter and line of tubing, referred to as the "infusion set."Most pumps require an infusion set. Insulin pumps work by delivering a continuous basal insulin dose and administering premeal bolus doses. The basal dose is given throughout a 24-hour period to cover glucose levels overnight and between meals. Depending on the pump, this basal dose can be adjusted in different ways and can have preset programs that allow the basal rate to be easily altered. For example, patients could have one basal program for sleeping, another program for when they exercise, and another for working. The bolus dose is given prior to me Continue reading >>

Type 1 Insulin Pump Therapy

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 Pumps

Insulin Pumps

The Dumbest & Smartest Things A Doctor Ever Told Me With increasing frequency, individuals with type 1 diabetes (and, to a lesser extent, type 2 diabetes) are being placed on insulin pump therapy (also called Continuous Subcutaneous Insulin Infusion or CSII for short). Unlike the usual form of intensified management which generally requires injections of insulin between 4 to 6 times per day and uses a combination of rapid or short-acting insulin as well as intermediate-acting insulin or long acting insulin , pump therapy uses only rapid-acting insulin and gives the insulin in tiny doses (called "basal insulin") around the clock. An insulin pump also allows you to give "boluses" (a few extra units of insulin) when you are about to eat. One advantage of insulin pump therapy (compared to giving yourself multiple daily injections of insulin) is that you will likely achieve better blood glucose control with fewer elevated readings and fewer episodes of hypoglycemia. A huge additional benefit is that the great majority of people with diabetes who go on pump therapy LOVE it and would NEVER go back to conventional injections. The most common comment I hear is: "It's so much more convenient. Iwish I had done this sooner!" Note that I do not hear that it is less work (cuz it ain't less work; if anything it's more work). One potential turn off about being on a pump is that you have to wear it around the clock. Sure, that may sound unpleasant, BUT I must say that these words are seldom spoken by actual pump users; it's pretty well only people that haven't yet tried a pump who voice this concern. So, if you are considering pump therapy I'd suggest you mull over the following (I'll mention only major points): Pumps have to be worn around the clock (with brief exceptions). Pumps are Continue reading >>

Long-acting Insulin Analogs Versus Insulin Pump Therapy For The Treatment Of Type 1 And Type 2 Diabetes

Long-acting Insulin Analogs Versus Insulin Pump Therapy For The Treatment Of Type 1 And Type 2 Diabetes

Insulin pump therapy (continuous subcutaneous insulin infusion [CSII]) is now an established form of intensive insulin treatment. It is pertinent to ask, however, if multiple daily injection (MDI) regimens based on new long-acting insulin analogs such as glargine and detemir have now replaced the need for CSII. In type 1 diabetes, CSII reduces the frequency of severe hypoglycemia compared with isophane-based MDIs, but the rate of severe hypoglycemia is usually similar on glargine- or detemir-based MDIs compared with isophane-based MDIs. CSII reduces A1C and glycemic variability compared with isophane-based MDIs; but glargine and detemir do not improve A1C or variability in many patients, particularly those who are prone to hypoglycemia. Head-to-head comparisons of CSII with MDI based on glargine indicate lower A1C, fructosamine, or glucose levels on CSII. It can be concluded that long-acting insulin analogs have not yet replaced the need for insulin pump therapy in type 1 diabetes, and CSII is the best current therapeutic option for some type 1 diabetic subjects. In type 2 diabetes, CSII and MDI produce similar glycemic control, although there is little study of MDI based on long-acting analogs compared with pumps. It is possible that CSII will be beneficial in selected patient groups with type 2 diabetes, but this requires further study. For many decades, it has been accepted that poor glycemic control in insulin injection–treated diabetes is mainly due to the inadequacies of insulin pharmacology (1,2). Regular (short-acting) insulin is absorbed too slowly from the subcutaneous site to control postprandial hyperglycemia, and the delayed absorption then results in late hypoglycemia. Both of these problems have now been much improved by the introduction of more quickly Continue reading >>

Insulin Pump 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 >>

Insulin Pump

Insulin Pump

An insulin pump is a medical device used for the administration of insulin in the treatment of diabetes mellitus, also known as continuous subcutaneous insulin infusion therapy. The device configuration may vary depending on design. A traditional pump includes: the pump (including controls, processing module, and batteries) a disposable reservoir for insulin (inside the pump) a disposable infusion set, including a cannula for subcutaneous insertion (under the skin) and a tubing system to interface the insulin reservoir to the cannula. Other configurations are possible. For instance, more recent models may include disposable or semi-disposable designs for the pumping mechanism and may eliminate tubing from the infusion set. An insulin pump is an alternative to multiple daily injections of insulin by insulin syringes or an insulin pen and allows for intensive insulin therapy when used in conjunction with blood glucose monitoring and carb counting. Medical uses[edit] Advantages[edit] Users report better quality of life (QOL) compared to using other devices for administering insulin. The improvement in QOL is reported in type 1 and insulin-requiring type 2 diabetes subjects on pumps.[1] The use of rapid-acting insulin for basal needs offers relative freedom from a structured meal and exercise regime previously needed to control blood sugar with slow-acting insulin.[citation needed] Programmable basal rates allow for scheduled insulin deliveries of varying amounts at different times of the day. This is especially useful in controlling events such as the dawn phenomenon resulting in less low blood sugar during the night.[2] Many users feel that bolusing insulin from a pump is more convenient and discreet than injection.[2][3] Insulin pumps make it possible to deliver more pre Continue reading >>

Type 2 Diabetes And The Insulin Pump

Type 2 Diabetes And The Insulin Pump

If you have type 2 diabetes and take multiple insulin shots, you may want to ask your doctor about the insulin pump. Insulin pumps are small, computerized devices (about the size of a small cell phone) that allow for a continuous flow of a rapid-acting insulin to be released into your body. The pumps have a small, flexible tube (called a catheter) with a fine needle on the end, which is inserted under the skin of your abdomen and taped in place. The devices can be worn on a belt or placed in a pocket. The insulin pump is designed to deliver a continuous amount of insulin, 24 hours a day according to a programmed plan unique to each pump wearer. The user can change the amount of insulin delivered. Between meals and overnights, a small amount of insulin is constantly delivered to keep the blood sugar in the target range. This is called the basal rate. When food is eaten, a bolus dose of insulin can be programmed into the pump. You can measure how much of a bolus you need using calculations based on the grams of carbohydrates consumed. When using an insulin pump, you must monitor your blood glucose level at least four times a day. You set the doses of your insulin and make adjustments to the dose depending on your food intake and exercise program. Some health care providers prefer the insulin pump for diabetes because its slow release of insulin mimics how a normally working pancreas would release insulin. One large study concluded the insulin pump is a safe and valuable treatment option for those with poorly controlled blood sugar. Another advantage of the insulin pump is that it frees you from having to measure insulin into a syringe. Continue reading >>

Types Of Insulin For Diabetes Treatment

Types Of Insulin For Diabetes Treatment

Many forms of insulin treat diabetes. They're grouped by how fast they start to work and how long their effects last. The types of insulin include: Rapid-acting Short-acting Intermediate-acting Long-acting Pre-mixed What Type of Insulin Is Best for My Diabetes? Your doctor will work with you to prescribe the type of insulin that's best for you and your diabetes. Making that choice will depend on many things, including: How you respond to insulin. (How long it takes the body to absorb it and how long it remains active varies from person to person.) Lifestyle choices. The type of food you eat, how much alcohol you drink, or how much exercise you get will all affect how your body uses insulin. Your willingness to give yourself multiple injections per day Your age Your goals for managing your blood sugar Afrezza, a rapid-acting inhaled insulin, is FDA-approved for use before meals for both type 1 and type 2 diabetes. The drug peaks in your blood in about 15-20 minutes and it clears your body in 2-3 hours. It must be used along with long-acting insulin in people with type 1 diabetes. The chart below lists the types of injectable insulin with details about onset (the length of time before insulin reaches the bloodstream and begins to lower blood sugar), peak (the time period when it best lowers blood sugar) and duration (how long insulin continues to work). These three things may vary. The final column offers some insight into the "coverage" provided by the different insulin types in relation to mealtime. Type of Insulin & Brand Names Onset Peak Duration Role in Blood Sugar Management Rapid-Acting Lispro (Humalog) 15-30 min. 30-90 min 3-5 hours Rapid-acting insulin covers insulin needs for meals eaten at the same time as the injection. This type of insulin is often used with Continue reading >>

Insulin Pumps

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 Overview

Insulin Pump Overview

As people with diabetes know, keeping blood sugar levels in a safe range is extremely important. Good blood sugar control not only makes you feel well, but also helps prevent long-term diabetes complications, such as blindness, kidney failure and heart disease. People with type 1 diabetes don’t produce insulin, a hormone that helps the body use sugar (glucose), a key source of energy that comes from carbohydrates. If you have type 1 diabetes you must make up for the lack of insulin with insulin therapy. Meanwhile, people with type 2 diabetes produce insulin, but their bodies don’t use insulin properly, or they don’t produce enough insulin. Diet, exercise and medication can often work to control glucose levels. However, in certain cases, these measures aren’t enough, and insulin therapy is needed to better control blood sugar levels. While insulin can be given by self-injection, people who take multiple daily injections of insulinmay also consider using an insulin pump. An insulin pump provides continuous delivery of short acting insulin all day long. The insulin pump substitutes the need for long acting insulin. A pump also replaces the need for multiple daily injections with a continuous insulin infusion, and also helps to improve your blood sugar levels. How Do Insulin Pumps Work? Insulin pumps are small, computerized devices that mimic the way the human pancreas works by delivering small doses of short acting insulin continuously (basal rate). The device also is used to deliver variable amounts of insulin when a meal is eaten (bolus). The basal insulin rates are usually set up in your pump with your doctor, and you can have one or multiple basal settings programmed in your pump, based on your needs. You program the amount of insulin for your mealtime bolus di Continue reading >>

Insulin Pump Therapy

Insulin Pump Therapy

With increasing frequency, individuals with type 1 diabetes (and, to a lesser extent, type 2 diabetes) are being placed on insulin pump therapy (also called Continuous Subcutaneous Insulin Infusion or CSII for short). Unlike the usual form of intensified management which generally requires injections of insulin between 4 to 6 times per day and uses a combination of rapid or short-acting insulin as well as intermediate-acting insulin or long acting insulin, pump therapy uses only rapid-acting insulin and gives the insulin in tiny doses (called "basal insulin") around the clock. An insulin pump also allows you to give "boluses" (a few extra units of insulin) when you are about to eat. One advantage of insulin pump therapy (compared to giving yourself multiple daily injections of insulin) is that you will likely achieve better blood glucose control with fewer elevated readings and fewer episodes of hypoglycemia. A huge additional benefit is that the great majority of people with diabetes who go on pump therapy LOVE it and would NEVER go back to conventional injections. The most common comment I hear is: "It's so much more convenient. I wish I had done this sooner!" Note that I do not hear that it is less work (cuz it ain't less work; if anything it's more work). One potential turn off about being on a pump is that you have to wear it around the clock. Sure, that may sound unpleasant, BUT I must say that these words are seldom spoken by actual pump users; it's pretty well only people that haven't yet tried a pump who voice this concern. So, if you are considering pump therapy I'd suggest you mull over the following (I'll mention only major points): The Bad: Pumps have to be worn around the clock (with brief exceptions). Pumps are very expensive (as in thousands of dollars). Continue reading >>

Ask D'mine: Lantus Mimicking An Insulin Pump?

Ask D'mine: Lantus Mimicking An Insulin Pump?

Happy Saturday, and welcome back to our weekly advice column, Ask D'Mine, hosted by veteran type 1, diabetes author and educator Wil Dubois. This week, Wil looks at a fascinating topic: the functionality of long-acting insulin taken multiple times a day versus that of an insulin pump. Once again, you may be surprised by what you read! {Got your own questions? Email us at [email protected]} Thomas, type 1 from Texas, writes: I recently met a T1D who takes a small shot of Lantus before every meal, as well as at bedtime. She says it mimics a pump in some ways, and is an important reason why she has excellent control. Indeed, her BG control readings are enviable, with few peaks and valleys. She also mixes Humolog and Humulin, is on a fairly strict low-carb diet, and does a few other things that clearly contribute to her ability to keep her BG very close to normal. But have you ever heard of anyone else doing this with Lantus? She believes, and I concur, that despite what the manufacturer says, Lantus peaks in 9-10 hours. I told her that even if that were true, I take it twice a day and believe it still mimics the steady drip-drip of a normal pancreas. Her premise seems to be that just taking it throughout the day is even better. I would be interested in your opinion on this. Thanks. [email protected] D'Mine answers: Wow, I've heard of some crazy therapy plans, but this takes the cake -- which your new buddy wouldn't eat, as she's low-carb and all. But, no, I've never heard of anyone doing this, and I actually have a hard time conjuring up a theory as to why her approach might have an advantage over one or two larger Lantus shots per day. First off, I don't really agree with the two of you that Lantus has a peak. And to be clear, Lantus isn't instant. It still has an onset tim Continue reading >>

Everything You Need To Know About Insulin Pumps

Everything You Need To Know About Insulin Pumps

Everyone needs insulin to live. Insulin is a hormone that helps our bodies use and store the food we eat. People with Type 1 Diabetes no longer make insulin and have to give insulin in order to sustain life. People with Type 2 Diabetes don’t use their own insulin well, and over time can have trouble making enough. So, all people with Type 1 diabetes and some people with Type 2 diabetes need insulin. When people give insulin injections, they may take 1-2 injections of a long acting insulin every day and 3+ injections of rapid acting insulin for meals and snacks. The typical person with Type 1 Diabetes could take anywhere from 4-7+ injections a day. Many people currently give insulin through an insulin pen or a syringe. But, there is another option, an insulin pump. An insulin pump delivers rapid acting insulin in two ways. First, the pump is programmed to give you insulin every hour throughout the hour referred to basal insulin. Basal, think “base,” is the insulin your body needs even in the absence of food, it is also referred to as background insulin. This basal rate replaces the long acting injection that you take. Second, is bolus, this is the insulin you take for food or to correct a high blood sugar. If you get basal and bolus confused, think “bowl”, as in you eat out of a bowl, to help you remember bolus is for food. Once you are on a pump, all insulin is delivered through the pump and shots are no longer necessary. Components There are a few things necessary to make a pump work. When a pump is shipped to someone: they will also need to send infusion sets, reservoirs, and possibly batteries, depending on your pump. Let’s talk about each component. Infusion Sets An infusion set is the part that is actually inserted into the body and has tubing that conn Continue reading >>

More in insulin