Insulin Pump

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An insulin pump is a small medical device, which runs on batteries and is worn externally. It delivers a precise dose of rapid-acting insulin to closely match the body’s needs- 24 hours a day.

An insulin pump works like a pancreas in that it releases small amounts of insulin, continuously. Insulin is delivered into body through flexible tubing from the pump reservoir to the infusion set. A tiny tube called cannula is inserted under the skin with the help of an insertion device.

The pump delivers insulin in two ways:

Basal Rate- small amounts of insulin delivered continuously for normal functions of the body (not including food). The programmed rate is determined by a doctor.

Bolus dose- additional insulin is delivered on ˝ demand˝ to match the food in order to correct high blood sugar.

Insulin pumps have bolus calculators that help calculate bolus amount based on settings that are determined by a doctor.

Clinical studies prove that insulin pump therapy helps better and more accurate blood glucose control, which means HbA1c levels improve and may increase the changes of an incident-free life. Other advantages are fewer insulin injections (infusion sets are replaced every three days) and fewer large swings in blood glucose levels as well as severe low glucose episodes. All of the stated benefits significantly improve quality of life.

image3Continuous glucose monitoring is achieved through a sensor inserted under the skin. The sensor measures glucose levels and sends them to a monitor via transmitter (MiniLink).The sensor is a separate device from the pump, and has to be replaced every 6 days. Continuous glucose monitoring shows the rise or fall of glucose levels. An early notification of oncoming lows and highs and alerts the patient. When hypoglycemia is detected, the pump stops basal insulin delivery and resumes working automatically two hours later, unless programmed differently in the meantime.

Indications for Use

An insulin pump is indicated when adequate glycemic control with daily injections fail. It is also recommended to patients who have frequent night-time hypoglycemia, as well as to those sensitive to small changes of insulin units, which causes them to quickly move from hypo- to hyperglycemia. The pump is useful for children who require multiple daily and night- time injections, and for those going through puberty or adolescence, when need for insulin may be increased by hormonal fluctuations, body growth or development. Other indications include dawn phenomenon, preconception, pregnancy, gastro paresis or early onset of neuropathy or nephropathy when improvement in glucose control can reduce acceleration of these complications. Insulin pump therapy gives people with diabetes the freedom to enjoy life and improve their lifestyle, especially if they are active in work, sports or travel.

 

PARADIGM® VEO™

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First insulin pump system (Paradigm® VeoX54™) and Continuous Glucose monitoring REAL-Time with automatic stopping of insulin delivery:

  • minimal basal dose is 0,025U/H
  • can prevent hypoglycemia by calculating the amount of insulin left unused from previous bolus
  • helps to avoid hyperglycemia by sending a warning when bolus dose is absent after a meal
  • it sends a warning every 5,10,15,20,25 or 30 minutes before the desired glucose level is reached
  • it warns when there is sudden change in glucose levels
  • the arrows will point in a direction and register speed of changing glucose levels
  • warns when low and high limits are reached, and stops automatically if hypoglycemia occurs. The pump resumes working by itself after two hours, unless re-programmed.
  • click (here) for a complete and detailed Paradigm® Veo™ User Guide.

Prescription

Insulin pump therapy can be prescribed by a doctor, an internal medicine specialist or a pediatrician, who will continue to monitor and follow up with the patient.

Requirements

Good eyesight and hearing are necessary. All sounds and alarms need to be noted immediately. Pump therapy is not recommended for people who are unwilling or unable to perform a minimum of four blood glucose tests per day or to maintain contact with their healthcare professional.

Talk to your physician if insulin pump therapy might be the right choice for you.

Feel free to ask any questions and to contact any of our experts here at MediLigo.

Before starting to use a pump, it is necessary to learn how to operate it and how to insert the infusion set.

The patient has to be aware of possible complications and precautions when using the pump.

 

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Talk to your doctor or specialist if pump therapy is the right choice for you.

Our team of experts is here to answer any additional questions or concerns if necessary. We will teach you how to operate the pump, how to set up an infusion set, and you will learn about possible complications and precautions.

Once you are on insulin pump therapy, 24 hour support is available.

Your confidence in us is our motivation for the highest quality of service that we can provide.