- An insulin pump is a substitute for multiple daily injections
Insulin pumps are used to continuously deliver insulin to a person with type 1 diabetes.
- Its most important feature is the continuous delivery of insulin to the blood throughout the day according to blood glucose levels without the need for continuous measurement of the level of sugar and without resorting to stinging several times
The importance of an insulin pump:
- Accurate delivery of very small doses beneficial to infants and children It has also been observed that children who use the pump reduce the incidence of ketosis and diabetic coma by up to 90%.
- Contribute to reducing the incidence of long-term complications such as peripheral neuropathy, inflammatory vasculitis that causes diabetic foot and visual impairment. In the insulin pump, we replace slow-acting insulin to meet basic needs with continuous infusion of fast-acting insulin.
- Using rapid-acting insulin to meet basic needs provides the relative freedom from the structured meal and exercise regimen that was previously necessary to control blood sugar with slow-acting insulin.
- Programmable basal rates allow for scheduled insulin delivery in different amounts at different times of the day. This is particularly useful in controlling events such as the dawn phenomenon that causes blood sugar to drop during the night.
- Many users feel that taking insulin from a pump is more convenient and discreet than injections.
- Insulin pumps also make it possible to deliver more precise amounts of insulin than can be injected with a syringe. This supports tighter control of blood sugar and glycated hemoglobin (HGBA1C) levels, reducing the chance of long-term complications associated with diabetes.
- This is expected to result in long-term cost savings compared to multiple daily injections.
- Modern “smart” pumps contain a “processor” that calculates the amount of insulin you need taking into account the expected carbohydrate intake, blood sugar level and active insulin.
- Insulin pumps can provide an accurate record of insulin use through their history lists. On many insulin pumps, this log can be uploaded to a computer and graphed to analyze trends.
- Neuropathy is a troublesome complication of diabetes that is resistant to usual treatment. There are reports of alleviation or complete disappearance of neuropathic pain using insulin pumps.
- Several studies have shown that patients who use an insulin pump enjoy more freedom to eat meals and have good sexual health, as chronic high sugar negatively affects sexual health.. The pump adjusts sugar levels, allowing side effects to fade in the long run.
- Insulin pumps, cartridges, and infusion devices can be much more expensive than the syringes used to inject insulin with many insulin pumps costing more than $12,000. Another disadvantage of using it is the need to monitor the battery, which continues to work for a continuous month without the need for charging.
- The device has an indicator for the battery and an indicator for the insulin tank.
The user of the insulin pump can influence the profile of the fast-acting insulin by shaping the dose. Users can experiment with dosage forms to determine which is best for any particular food, which means they can improve their glycemic control by adapting the dosage form to their needs.
- An insulin pump delivers one type of fast-acting insulin in two ways:
- A dose injected to cover food eaten or to correct a high blood sugar level.
- A basal dose that is continuously injected at an adjustable basal rate to deliver the required insulin between meals and at night.
- Users reported better quality of life compared to using other devices to administer insulin with improvement reported in type 1 and type 2 diabetes requiring insulin therapy.
There are two types of fixed doses for the pump user:
- The first is the basic dose that is given to the patient before eating in order to evade the sudden rise in sugar after eating high-sugar meals.
- The second is the extended dose is a slow infusion of insulin that spreads over time. By pumping in a ‘square wave’ fashion, the dose avoids a high initial dose of insulin that may enter the blood and cause blood sugar to drop before digestion can facilitate the entry of sugar into the blood. An extended dose also extends the effect of insulin far beyond that of insulin alone. An extended dose is appropriate when covering high-fat meals with protein such as steak, which will raise your blood sugar for several hours after the start of your dose. The extended dose is also beneficial for those with slow digestion.
- Since the pump user is responsible for manually initiating the dose, this provides an opportunity for the user to pre-dose to improve the insulin pump’s ability to prevent hyperglycemia after eating.
- A pre-meal dose is just a dose of insulin given before it is actually necessary to cover the carbohydrates ingested.
Determine the base rate:
- Basal insulin requirements vary for different individuals and time of day. The basal rate for a certain period of time is determined by fasting with periodic assessment of the blood glucose level. No food or insulin dose should be taken for 4 hours before or during the evaluation period. If the blood glucose level changes significantly during the evaluation, the basal rate can be adjusted to increase or decrease insulin delivery to keep the blood glucose level approximately constant.
- For example to determine the basic requirements of the morning an individual should skip breakfast. Upon waking, they will test their blood glucose level periodically until lunch. Changes in blood glucose are offset by adjustments to the morning basal rate and the process is repeated over several days, altering the fasting period until a 24-hour basal profile is formed which keeps blood glucose levels relatively constant once the basal rate of insulin need is matched basic fasting.
- The pump user will then gain the flexibility to skip or postpone meals such as sleeping in late on the weekend or working overtime on weekdays.
- The pump user should be instructed by a diabetes care professional about setting the base rate before starting pump therapy.
- Because basal insulin is supplied as a rapid-acting insulin, basal insulin can be increased or decreased immediately as needed at a temporary basal rate.
Examples when this is helpful include:
- As a passenger during a long car trip, when more insulin is needed due to inactivity.
- While driving on a long trip, to reduce the risk of hypoglycemia, a lower basal rate can be programmed temporarily.
- During and after spontaneous exercise or sporting activities, when the body needs less insulin.
- During illness or stress, when baseline demand increases due to insulin resistance.
- When blood ketones are present, when additional insulin is needed.
When you are on a long fast (such as Ramadan or Lent) when the basic requirements are lower.
- During menstruation, when additional basal insulin is needed.
- To find out how to use the insulin pump, the opinions of diabetes professors, and the opinions of insulin pump specialists, through the following links.
- This is one of the most trusted websites in the world from which you can get the most modern American insulin pump device in the world.