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Insulin pump therapy: guidelines for successful outcomes.
Scheiner, Gary; Sobel, Robert J; Smith, Daphne E; Pick, Anthony J; Kruger, Davida; King, Jacqueline; Green, Karen.
Afiliação
  • Scheiner G; The Integrated Diabetes Services, Wynnewood, Pennsylvania (Mr Scheiner)
  • Sobel RJ; Feinberg School of Medicine, Northwestern University, Chicago, Illinois (Dr Sobel, Dr Pick)
  • Smith DE; University of Illinois at Chicago (Dr Smith, Ms King)
  • Pick AJ; Feinberg School of Medicine, Northwestern University, Chicago, Illinois (Dr Sobel, Dr Pick)
  • Kruger D; Henry Ford Health System, Detroit, Michigan (Ms Kruger)
  • King J; University of Illinois at Chicago (Dr Smith, Ms King)
  • Green K; Private Practice, Glenview, Illinois (Ms King)
Diabetes Educ ; 35 Suppl 2: 29S-41S; quiz 28S, 42S-43S, 2009.
Article em En | MEDLINE | ID: mdl-19318690
ABSTRACT

PURPOSE:

Current forms of insulin delivery used in the treatment of diabetes mellitus (diabetes) include syringes, pens, and insulin pumps. Technical advantages of insulin pump therapy, or continuous subcutaneous insulin delivery (CSII), include precise and flexible insulin dosing. In the context of intensive diabetes management, insulin pumps can facilitate improved long-term glycemic control and reduce the risk for diabetes complications, with improved lifestyle flexibility for patients and their families. Comprehensive patient education, carbohydrate counting, and frequent self-monitoring of blood glucose or continuous glucose monitoring are necessary components of successful insulin pump therapy. Technological advances have increased the appeal of pump therapy to patients and clinicians. Physically, current insulin pumps are discreet, ergonomic, and water resistant. Meanwhile, software improvements have yielded smart pumps with features that support pump users in their daily diabetes management. Robust data analysis software packages allow patients and clinicians unprecedented insight into the quality of diabetes control. Furthermore, widespread insurance reimbursement for CSII has expanded access to therapy.

CONCLUSIONS:

As the number of pump users and potential users expands, diabetes educators face new challenges and opportunities to improve patients' lives with diabetes. This activity describes the rationale for insulin pump therapy, its potential advantages and disadvantages, and strategies regarding patient selection and education.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sistemas de Infusão de Insulina / Diabetes Mellitus Tipo 1 Tipo de estudo: Guideline Limite: Humans Idioma: En Ano de publicação: 2009 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sistemas de Infusão de Insulina / Diabetes Mellitus Tipo 1 Tipo de estudo: Guideline Limite: Humans Idioma: En Ano de publicação: 2009 Tipo de documento: Article