Friday, April 19, 2024

Do Insulin Pumps Measure Blood Sugar

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Key Points To Remember

I am Diabetic. Here’s how it works. My insulin pump and continuous glucose meter (CGM).
  • An insulin pump can free you from a strict regimen of meals, sleep, and exercise, because you can program it to match your changing schedule.
  • After you learn how to work with a pump, it can make living with diabetes easier. But it takes some time and effort to learn how to use the pump to keep it working properly and to control your diabetes.
  • When you use a pump, you will need to check your blood sugar many times a day or use a continuous glucose monitor. You will need to carefully count the grams of carbohydrate that you eat.
  • Using an insulin pump can keep your blood sugar at a more constant level so that you don’t have as many big swings in your levels. People who use pumps have fewer problems with very low blood sugar.
  • Insulin pumps are very expensive. Contact your health plan to see if costs for the pump and the supplies will be covered.

So Which Cgm Device Would Work Bestand How Accurate These Devices Are

The CGM devices are very accurate and give a lot of data, in opposition to the traditional blood glucose meter which provide information from a single finger prick, the CGM devices will give you a full day data that can be viewed on smart devices like watches, smartphones, and tablets.

Like Dexcom describes it instead of a snapshot you get a full story

When it comes to choosing the best CGM device, the accuracy of the reading of glucose levels should be taken into account. With this respect, the U.S. Food & Drug Administration is approving the following CGM devices lately:

Example #: Formulas Commonly Used To Create Insulin Dose Recommendations

This example illustrates a method for calculating of your background/basal and bolus doses and estimated daily insulin dose when you need full insulin replacement. Bear in mind, this may be too much insulin if you are newly diagnosed or still making a lot of insulin on your own. And it may be too little if you are very resistant to the action of insulin. Talk to your provider about the best insulin dose for you as this is a general formula and may not meet your individual needs.

The initial calculation of the basal/background and bolus doses requires estimating your total daily insulin dose:

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Who Should Use An Insulin Pump

Using an insulin pump is a personal preference. You may want to use an insulin pump if you:

  • Experience delays in food absorption.
  • Are active and may want to pause insulin doses when exercising.
  • Have severe reactions to low blood sugar.
  • Have diabetes and are planning a pregnancy.

Insulin pumps can also be a good option for young people with Type 1 diabetes. A pump can deliver a steady supply of insulin, even for children and others who might have trouble sticking to a schedule for insulin injections.

Pump Safety Is A Commitment

Diabetic items

The one requirement for using a pump is that you and/or your caregivers are ready and willing to do what it takes to use the pump safely. Checking blood sugar is important because it will warn you if your pump stops working right or your infusion set stops working. This can cause high blood sugar levels and cause diabetes ketoacidosis , which is very serious and dangerous. Checking blood sugar levels frequently will alert you to this possibility and will prevent the development of ketones.

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How Do You Choose The Right Syringe For Injecting Insulin

  • If your highest dose is near the syringe’s maximum capacity, consider buying the next size up in case your dosage increases
  • If you measure your doses in half units, be careful to choose an appropriate syringe that has the right measurements
  • When youre traveling, make sure to match your insulin strength with the correct size syringe if you purchase new syringes in an unfamiliar place
  • Just as there are different sizes of syringes for administering insulin, there are also varying sizes of insulin needles. Shorter needles usually mean less sting when injecting. The downside is that the shallower the injection is, the longer it takes for the insulin to work. Your doctor will help you find the balance thats best for you.

    Measuring Blood Sugar And Insulin Levels

    There are many ways for doctors to assess your blood sugar and insulin levels and determine insulin resistance. One of the most common methods involves taking an oral “glucose tolerance test.” After fasting, a patient drinks a solution containing 75 grams of sugar glucose. Blood is periodically drawn over a two- to five-hour period to determine how high the glucose levels rise and how quickly they fall. Doctors directly measure changes in glucose and infer insulin function from this data. A glucose response more typical of a diabetic or prediabetic suggests insulin resistance. Some physicians, especially those who specialize in the treatment of Syndrome X, also draw blood to specifically measure insulin levels, but this is not common in general practice. A normal fasting glucose range, taken before breakfast, is 65120 mg/dL . A normal fasting insulin range is 635 micro-international units per milliliter . A normal two-hour postprandial glucose range is generally 65139 mg/dL. A normal two-hour postprandial insulin range is 635 micro-international units per milliliter .Continue reading > >

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    Managing Patients With Type 1 Diabetes On An Insulin Pump

    This section is meant to provide general information and guidelines on the management of patients using insulin pumps and should not replace care from or consultation with diabetes care providers who are experts in insulin pump therapy. Ideally, the patient is managed by a diabetes care team and is seen regularly by members of that team.

    Upon initiation of insulin pump therapy, it is recommended that patients have face-to-face follow-up with their diabetes care providers within the first 3-14 days after starting.

    As with patients on MDI, insulin doses for patients on insulin pumps should be adjusted regularly. Adjustments are made whenever BG patterns indicate a need. Typically, a pattern is established over a period of several days before changes are made, thus minimizing the potential for chasing BG levels. Once a change is made, the effectiveness of this change should be determined over several more days. The need for constant adjustments to meet the needs of the growing child and adolescent is the hallmark of insulin treatment in pediatrics.

    Adjusting Basal Rates
    Adjusting Meal Boluses
    • Test the 2-hour postprandial BG level to eval/uate effectiveness of meal bolus

    • 2 hours after meal target of < 160-180 mg/dL

      Consider accuracy in carb counting as one cause for bolus ineffectiveness

      Increase ratio to decrease amount of insulin given with bolus

      Adjustments typically made in 10%-20% increments

    Adjusting Correction Boluses
    Managing Hypoglycemia




    Benefits Of Using An Insulin Pump

    How to Pair the Animas OneTouch Ping Insulin Pump and Glucose Meter! (Tutorial)

    Studies have shown that an insulin pump can improve diabetes control and lessen the risk of hypoglycemia. Many people find increased flexibility in the timing of meals and exercise when wearing an insulin pump.

    Sharing insulin pump data with your care team between office visits helps to make the most of the time you spend with them during your appointments. Uploading your pump reports allows the care team to track patterns and make adjustments to your care plan if needed.

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    A Pump May Be A Good Choice For:

    • People who like the idea of a pump. If this is what you want, or what you want for your child, and it can be used it safely, then it should be used.
    • Active people, who benefit from changes in basal rates or suspending the pump when exercising.
    • People who have frequent low blood sugar reactions.
    • Anyone who has delays in absorption of food from the stomach .
    • Women planning pregnancy.
    • People who want to use the pumps bolus calculator functions to determine insulin doses.

    Insulin Pump Use In The Hospital

    Approximately 3 million children and adults are estimated to have T1D in the U.S. , with incidence rates that have gradually increased during the last two decades . Similarly, the incidence of T1D in European countries has increased by 34% per year , leading to growing demands on inpatient services . Hospitalization rates in patients with T1D are about threefold higher compared with the general population . Although few studies have reported differences in hospital outcomes between patients with T1D and T2D, patients with T1D have longer hospital stays and higher rates of complications and hospital mortality compared with patients with T2D . Management of hospitalized patients with T1D usually differs from that of patients with T2D. Patients with T1D are often admitted for procedures that would normally be carried out by outpatient services . T1D patients must be treated with insulin therapy to prevent ketoacidosis, and they frequently have worse glycemic control and higher rates of hyperglycemia and hypoglycemia compared with patients with T2D . Frequent challenges in patients with T1D include difficulties in adjusting insulin doses during short- and long-term fasting or during nutritional support and in maintaining a consistent source of carbohydrate while modifying scheduled daily insulin therapy .

    Recommendations on the course of action for hospitalized patient with T1D wearing an insulin pump . IV, intravenous EGD, esophagogastroduodenoscopy.

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    When You Need To Detach

    When you disconnect your pump, you are quiting all shipment by the pump.

    Here are some crucial suggestions to remember when disconnecting your pump.

    • It is essential for you to bear in mind that if you stop your pump while it remains in the middle of supplying any kind of bolus it will NOT be returned to. You might require to set a new one.
    • Be certain to bolus to cover the basal rate you will miss. If your blood glucose level is under 150, you could wait an hour to bolus.
    • Do not go much longer than one to 2 hours without any type of insulin.
    • Display your blood sugar every three to four hours.

    Insulin Pump That Monitors Blood Sugar

    When Should I See My Healthcare Provider

    Tips for Buying and Using Diabetes Supplies

    If you have diabetes and are curious about insulin pump options, talk with a healthcare provider or a Diabetes Care and Education Specialist. There are many types of insulin pumps on the market. Ask your provider which option is right for you.

    Insulin pumps can offer a flexible option for insulin delivery. The pump works by sending continuous insulin or insulin surges directly into your bloodstream. Many people with diabetes find insulin pumps to be more convenient than insulin injections. Insulin pumps arent permanent. You can change your mind and return to injections if you dont like using an insulin pump. There are many insulin pump brands on the market. Speak with your healthcare provider to figure which option is right for you.

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    How Should I Store My Insulin

    • Keep current insulin at room temperature to help alleviate injection discomfort.
    • Insulin can usually be stored at room temperature for about a month. Once in use, insulin pens should be stored at room temperature. Expiration dates of insulin pens can vary depending upon the type of insulin. For disposable pens, you should discard the entire device when empty or when you reach the expiration date.
    • Store extra insulin in the refrigerator.
    • Dont expose insulin to excessive cold or heat.

    What Are The Benefits Of Using An Insulin Pump

    • With a pump, you can plan your insulin around your life instead of planning your life around your insulin shots. Your basal rate is set and runs automatically. If you decide to stay out late, skip a meal, or work at a job with changing shifts, you can adjust your insulin at the push of a button.
    • A pump can deliver an exact amount of insulin and in very small amounts.
    • Instead of giving yourself shots several times a day, you only need to insert a catheter needle once every 2 or 3 days.
    • With a pump, you don’t have to stop what you’re doing and pull out a syringe or an insulin pen to give yourself insulin. You just push a button to give yourself the right dose.
    • A pump may help you keep your blood sugar in your target range. People who use a pump have fewer big swings in their blood sugar levels.
    • Pumps work well for people who can’t find an insulin dose that keeps blood sugar under control without also causing low blood sugar.

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    Whats So Great About The Pump

    OneTouch Ping Insulin Pump and Meter Remote – USA

    The list is an important one, in large part because pumps provide more precise and tailored insulin delivery. As a result, they offer greater lifestyle flexibility. Tailored insulin delivery can help:

    • The dawn phenomenon by matching your early-morning increase in insulin resistance, so you avoid high blood sugar.
    • Post-meal glucose rise from slowly digested foods or gastroparesis .
    • Shift workers by adjusting the basal rates to your varying work schedule
    • Frequent travelers by adjusting the basal and bolus rate to your travel schedule and time zone changes
    • Prevent low blood sugars during physical activity and exercise by use of temporary basal insulin rate settings
    • Extremely insulin sensitive people by delivering small doses of insulin

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    Continuous Glucose Monitoring And Insulin Pumps

    A CGM system can be used when you wear a pump for insulin delivery, or without pump therapy as a standalone. Many pump users find CGM quite helpful in their overall diabetes management. CGM isnt the same as BG monitoring, as sensors are placed into your body and transmit BG results to a pump or CGM receiver. The sensors measure the glucose in your interstitial fluid .

    A CGM system senses and records glucose levels every five minutes, which means it can show trends, i.e. whether BG levels are rising or falling. In contrast, blood glucose meters provide you with only a snapshot of your BG levels at a particular point in time. Thus, a CGM system can show users their glucose trends as they develop and help them to make more timely changes.

    The Canadian Diabetes Associations recent clinical practice guidelines note that recent advances in CGM systems may augment the diabetes management of people who use an insulin pump.

    CGM is recommended for people with diabetes who are willing and able to use it properly, and can calibrate it as needed. It is especially recommended for people who:

    • Suffer from frequent episodes of hypoglycemia, which cause problems with daily activities
    • Have an extreme fear of hypoglycemia
    • Suffer from episodes of severe hypoglycemia despite optimized use of insulin therapy and conventional BG monitoring
    • Have hypoglycemia unawareness

    This article was sponsored by an unrestricted educational grant from Animas Canada.

    Who Should Use A Pump

    Insulin pumps have been used successfully across the age spectrum. Whether or not to use a pump is a personal decision. You can manage your diabetes equally well with pumps or multiple injections, so it really comes down to your preference.

    Remember that a pump is just a toolyou can reach your blood sugar goals with a pump or injections. Choosing one method over the other is not a lifelong commitment. Some people go on and off their pumps .

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    Personal Stories About Insulin Pumps

    These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions.

    I got my insulin pump 3 years ago. I was pretty nervous about how well I’d be able to program my pump and take care of it. There was so much to learn! But I had a great team of people helping me, including my doctor, my dietitian, and even the manufacturer of my pump. Still, I almost gave up after 3 months. It was always there to remind me that I had diabetes, you know? But my doctor talked me into sticking with it a little longer. Now I would not want to go back. Before the pump, diabetes controlled my life. With the pump, I feel like I am now in control of my diabetesâand my life.

    Sally, age 50

    I was on an insulin pump for more than 2 years, and then I quit. For me, the hassle of constantly taking my blood sugar and figuring out how to program my doses wasn’t worth it. Plus, I got a lot of infections at the catheter site. I went back to injections and feel happier with my life now.

    Abner, age 35

    I got my pump as a teenager, and I love it. I’m a police officer now, and having a pump makes it much easier to do my job.

    Jake, age 22

    Xiang, age 29

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