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Insulin Pump therapy is based on the bodies' production of insulin by the
pancreas. When the pancreas has problems producing insulin this illness is
called Diabetes. The insulin pump takes over for the pancreas and simulates the
natural process of producing insulin. The pump delivers small amounts of
insulin continuously throughout the day and night. When you eat, the pump
delivers a little extra to cover the food you've eaten. The extra insulin
delivered by the pump is dependent on the amount of food you eat at any given
time.
A person who has to take insulin injections everyday has a very hard time
controlling their blood sugars. This is because they usually start the day with
an injection of long-acting insulin. The absorption of injected long-acting
insulin is extremely unpredictable and in fact, its variability rate has been
reported to be up to 52%! The absorption rate of long-acting insulin is closely
related to your level of activity. If you're just sitting watching T.V. the
insulin will go into your system more slowly then if you were moving around
(cleaning house, washing your car, playing football or swimming).
Pumps use a faster-acting insulin which is much more predictable than
long-acting insulin and is closer in characteristics to the human pancreas. Its
variability rate has been reported to be less than 3% making it much easier to
control blood sugars 24 hours a day. Pumps send a continuous, preset amount of
insulin every few minutes (like a pancreas) so it's more consistent.
Studies have
proven that better glucose control can result in fewer diabetes-related
complications. On a pump, you control your insulin so you get to decide when
you want to eat, what type of food you want to eat and how much you want to
eat. No more injections, no rigid meal scheduling, no more unpredictable
insulin, this provides you with the opportunity to have a more normal lifestyle
free of the stress surrounding the treatment of this illness.
Using the pump can be as easy as setting your watch and this controls the amount
of insulin delivered to your system. An insulin pump is made with several
different parts. It has a reservoir that is similar to a syringe and is filled
with insulin. This reservoir along with a small battery operated pump and a
computer chip fit into a small container about the size of a beeper, and is
carried the same way.
The pump reservoir delivers insulin to the body by a thin plastic tube called an
"infusion set." Infusion sets have a needle or soft cannula at the
end, through which the insulin passes. The cannula is inserted just under the
skin, usually on the abdomen. The process of putting the infusion set in place
is called "insertion," and is very much like giving a standard
insulin injection. The infusion set is changed approximately every two to three
days versus the multiple injections the person not wearing the pump has to
endure. Because of this fact most people, including teenagers, children and
even toddlers adapt very quickly to the pump.
The pump is
designed for continuous use and delivers insulin 24 hours a day according to
the programmed plan unique to each pump wearer. This small amount of insulin is
called the "basal rate". This insulin keeps blood glucose in the
desired range between meals and over night. When food is eaten, the user
programs the pump to deliver a "bolus dose" of insulin matched to the
amount of food that will be consumed.
Pumps are the most accurate, precise, and flexible insulin delivery system
currently available. But the pump is not automatic! The user still has to
decide how much insulin will be given. Using the results of blood glucose
monitoring, the experienced pump user can use this tool to obtain excellent
blood glucose control while living a normal lifestyle, free of the strict
scheduling demands that are required by conventional insulin regimens.
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