Posts tagged Insulin

Some healthcare providers prefer the insulin pump because its slow release of insulin mimics how the pancreas is functioning normally, the release of insulin would be. Studies differ in the pump to better control blood sugar multiple daily injections. Another advantage of the insulin pump is that it will save you time and measure the insulin with a syringe.

An insulin pump is a medical device continuously delivering insulin under the skin through a catheter. It is usually connected somewhere in the waist area. There is a new generation of insulin pumps, called patch pump. Patch currently pumping only OmniPod available. Patch pumps adhere directly to the skin without the catheter tube. He infuses insulin just under the skin.

Each pump delivers insulin at an hourly rate. For example, the rate of 1.1 units / hour. However, the pump provides different rates at different times of day depending on the need for insulin infusion, the patient (or base) to achieve prices that are programmed into the pump.

given the amount of insulin depends on two things. First, by the amount of carbohydrates in a patient with insulin ratio carb eating, and then by the correction factor, or the ratio between the number of milligrams per deciliter (mg / dl) of sugar in the blood of a patient will be reduced by one unit of insulin .
If a patient eats 60 grams of carbohydrates at meals and insulin-carbohydrate ratio of one unit of insulin to 15 grams of carbohydrates, insulin injecting patients with this meal would be 4 units.

However, if a patient is a correction factor for a unit of 50 points of the blood sugar level, the pump a further injection of 2.5 units of blood sugar of 245 mg / dl to a level required 120 mg / dl.

To an insulin pump, a patient must be able to manage. This knowledge belongs to several levels. First, patients must understand how the catheter through the pump, or installing the latest update pump her stomach. You also need to be able to push the right buttons at the pump to insulin properly manage and adjust the base rate.

Next, the patient must be competent in carbohydrate counting, so that they deliver in a position to doses of insulin with meals. And they must be willing to check their blood sugar at least five fifty-six times a day. This ensures that they recognize and prevent pump failure hyperglycemia and diabetic ketoacidosis (DKA, type 1 patients).

respect patients is important because prolonged exposure to insulin is used in type 1 patients, the pumps and they need to correct the sugar at high or low blood pressure before used clinically observable symptoms.

insulin pump therapy is almost never necessary to maintain life, because insulin can be simply injected under the skin. Most insurers cover insulin pump therapy in situations in which insulin pump therapy significantly improve the level of diabetes care and control of the multiple-dose insulin (MDI) therapy. These include cases where: is not

The blood glucose control in multi-dose insulin therapy with optimal glycosylated hemoglobin (HbA1c>) that the ADA (American Diabetes Association) recommended goal of 7%. An endocrinologist who can help, get to the patient and the pump handle and adjust doses based and correction required, the pump.

The patient has type 1 diabetes. But in many situations of patients with type 2 diabetes benefit from the well pump. Presence of hypoglycemia despite adjustments in insulin doses and carbohydrate counting are using to determine what dose of insulin before meals in patients with MDI therapy.

presence of hyperglycemia, especially by a high morning readings (dawn phenomenon), where the increase in basal insulin levels in the early morning hours would better control blood sugar levels revealed.

The insurers require physician medical records and blood sugar prove to log patient that there is a real medical need.