With the development of medical technologies in the field of diabetology, methods that are as close as possible to physiological processes of regulation of blood glucose levels. One of these methods was insulin pump therapy - an innovative approach to maintaining optimal glycemic levels, which differs significantly from the traditional one administering insulin by injection.
The use of an insulin pump for type 1 diabetics is especially relevant. This is due to the fact that a pump for diabetics is able to more accurately adjust to the body's insulin needs, especially at times when sugar levels are unstable.
The basis of the action of an insulin pump is its ability to constantly and in doses introduce insulin into the patient’s body, eliminating the need for multiple injections throughout the day. The essence of the technology is the use of a catheter, which is delicately fixed under the skin and connected to a device that carries information about the amount of insulin required for the patient.
The main advantage of an insulin pump is its dual mode of operation. First, the device provides basal insulin delivery, thereby simulating the background functioning of the pancreas. Secondly, before meals or at times when blood sugar levels become higher than normal, the patient can activate a bolus administration of the drug. This point turns out to be key for effective glycemic control.
When considering the use of an insulin pump: Basic indications for therapy
Modern diabetology provides a number of effective methods for treating and controlling diabetes. One of the most advanced is insulin pump therapy, the use of which is based on specific medical indications:
- Disturbances in carbohydrate metabolism. For any form of diabetes mellitus, when standard methods of insulin administration do not provide the necessary level of glycemic control, an insulin pump can be a key solution.
- Ineffectiveness of traditional insulin therapy. If the results of treatment with conventional injections leave much to be desired, then an insulin pump may be an alternative.
- Readiness for motherhood. Planning pregnancy and the need for maximum glycemic control at this important time of life.
- Age categories. Although diabetes can be diagnosed at any age, it is important to note that an insulin pump is suitable for even the youngest patients.
- Individual desire. Often the decision to switch to pump insulin therapy is made at the request of the patient seeking to improve the quality of life.
- Duration of the disease. Regardless of the time that has passed since diabetes was diagnosed, insulin pump therapy may be considered as a treatment option.
An insulin pump is a device that continuously injects insulin into the patient's body.
A diabetes pump, or as it is also called a diabetic pump, works on the principle of continuously administering small doses of insulin.
The design and functionality of modern insulin pumps are similar to those of the pancreas. A lightweight and compact device, resembling a regular pager, provides continuous insulin delivery through thin flexible tubes connected to a reservoir. Thanks to two modes of operation (basal and bolus), the device is maximally adapted to the daily rhythms of the body and the needs of the patient.
Features and functional diversity of insulin pumps
Many patients ask the question: “What is an insulin pump?” In response, we can say that an insulin pump is a compact device designed to constantly introduce insulin into the body. It offers a number of features that can significantly improve glycemic control and the patient's quality of life.
- Insulin step size. Refers to the minimum dose of insulin that can be delivered using the device. Some modern models allow you to dose insulin with high precision, reaching steps of up to 0.01 units. This fine regulation is especially important for infants and young children, whose insulin needs may be minimal.
- Bolus calculator. Most modern pumps are equipped with this feature, which helps automatically calculate the required insulin bolus dose based on your current blood glucose level and the amount of carbohydrates in your food.
- Remote control. Some models have a remote control, allowing patients to inject insulin discretely, even while in public places. An added bonus is the built-in glucose meter, reducing the need to carry an additional device.
- Glycemic monitoring systems (CGM). They provide continuous monitoring of glucose levels, allowing patients and their doctors to quickly respond to fluctuations. However, the use of such systems involves the need to replace sensors and regular calibration.
- Tubeless pumps. Although these pumps are not yet available in some countries, they offer the convenience of not having to use external insulin tubing, which may be preferable for some patients.
In conclusion, when choosing an insulin pump, you need to consider your individual needs and preferences. Discussing all available options with your endocrinologist will help you choose the device that will best suit your lifestyle and diabetes management needs.
