By: Barbara Bradley
So, you aren’t pleased with yourblood glucose control.
What to do?
Insulin pump therapy could be the choice to helpyou achieve near-normal blood glucose levels
Subcutaneous insulin delivery with an insulinpump can closely mimic physiological insulindelivery. Basal insulin can be programmedat variable rates to meet varying energy andhormonal needs. Continuous delivery in smallerincrements offers improved insulin absorptioncompared to large injected deposits of insulinwith subcutaneous injections.
Who is a candidate forinsulin pump therapy?
People with type 1 or type 2 can make use ofinsulin pump therapy.
Medical indications for this therapy include,but are not limited to:
- Dawn Phenomenon
- Hypoglycemia unawareness
- Delayed gastric emptying or gastroparesis
- Wide excursions in blood glucose controldespite adherence to recommended mealplans, activity and medication adjustments
- Exercise-induced hypoglycemia
- Nocturnal hypoglycemia
- Insulin sensitivity: dosing can beprogrammed as low as 0.025 onsome pumps
- Growth spurts of children and adolescents
- Variable lifestyles with changing work,activity, sleep and meal schedules
- People who travel frequently
- Shift workers
Who can be a successful pump user?
People who have:
- Motivation and willingness to learn theskills and take on the responsibilities ofintensive management. This is also applicableto parents or other caregivers.
- Emotional maturity, not related to anindividual’s age. Parents are capableof managing a child’s pump until the childgradually is able to take responsibility for self-management. Parents and other caregiverscan be competent in pump management.
- Mastery of carbohydrate counting.
- Dexterity to operate a pump.
- Ability and willingness to perform and recordfrequent blood glucose evaluations.
- Adequate financial resources.
Pump Resources Are Everywhere
Pump manufacturers can provide assistancewith obtaining insurance approvals and training.Education and management takes time. Qualifieddiabetes educators and certified pump trainersare available to assist your practice and yourpatients. These resources can be accessedthrough diabetes training centers, independentdiabetes education contractors and severaldiabetes supply businesses.
Empower your patients with a tool that willthem take charge of their diabetes, their healthand their quality of life.