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Doctor insights on: Insulin Pump Management

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Insulin pen or insulin pump which is better?

Insulin pen or insulin pump which is better?

Depends on you: Taking Insulin by injection or by pump are both good options. There are very many well-controlled people with diabetes who do each. The primary question is which of the two ways of delivering Insulin will work best for you. People like using Insulin pumps because it simplifies the math associated with accurate testing and because it offers more flexibility in hour by hour and day by day dosing. People like injections because they are simpler and do not require being tethered to a device all the time. ...Read more

Dr. Roshani Sanghani
97 doctors shared insights

Insulin Pump (Definition)

Insulin pumps is a convenient way to give insulin. The Insulin is in a reservoir and gets pumped through a needle into the skin nearby. You can program it to give a variable basal rate, and you tell it how much Insulin to give with meals. However, the pump does not measure glucose. You still need to do this. The Insulin pump is good for type 1 diabetics who are motivated to ...Read more


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Is a diabetic insulin pump with the new attachable 24-7 glucose monitor more convenient than traditional insulin pumps?

Is a diabetic insulin pump with the new attachable 24-7 glucose monitor more convenient than traditional insulin pumps?

Yes, and better: The continuous glucose monitoring systems represent a tremendous advance in the ability for Insulin controlled diabetics. Although they still need to check a few times a day to calibrate the meter, the continuous monitoring allows the system to anticipate trends, such as falling glucose levels and adjust the pump rate accordingly. With attention to diet and good training, the system is much safer. ...Read more

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Is an omnipod insulin delivery system better than other insulin pumps?

Is an omnipod insulin delivery system better than other insulin pumps?

Insulin pump: It is a good insulin pump, and many users like it. However, an insulin pump often does not solve your blood sugar issues. It requires a lot of care, and you still need to check your glu many times per day. If you are thinking about a pump, you should be talking to an endocrinologist who uses a lot of pumps and who can guide you through this. ...Read more

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Diabetes insulin.Any alternative for the needles insulin?

Diabetes insulin.Any alternative for the needles insulin?

Insulin: If you have type 1 diabetes, you need insulin, which can be from injections or the pump that is placed inside you. Type 2 diabetes is from Insulin resistance and can be treated with oral medication and as that fails, you will need diabetes. The pump is an option, pancreatic transplants in certain candidates is another option. ...Read more

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Does novorapid and lantus (insulin glargine) work well for diabetes?

Does novorapid and lantus (insulin glargine) work well for diabetes?

Yes: These are two very good Insulin frequently used in the treatment of both type of diabetes. ...Read more

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Does an insulin pump automatically control blood glucose levels?

Does an insulin pump automatically control blood glucose levels?

No: It doesn't automatically control your blood sugar. It is not the messiah of diabetes care. You still have to check bs and press a button to give insulin. If used correctly, it can significantly change your quality of life and control of diabetes. However, if you are using it simply as a glorified Insulin dispenser, it will disappoint you. Not everyone is a candidate for an Insulin pump. ...Read more

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Changing insulin from humalog (insulin lispro) to novolog - any effect?

Changing insulin from humalog (insulin lispro) to novolog - any effect?

Congratulations: Great move. Well, NovoLog is quicker acting but also quicker getting out of your system. So make sure you eat as soon as you inject. As with any insulin, proper close titration is necessary to avoid hypoglycemia and wild fluctuations in your sugar levels. Overall, best short acting Insulin on the market at present, and the most physiologic. ...Read more

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Views on insulin pumps?

Views on insulin pumps?

Good for some: Just like most other aspects of diabetes management there is no "right" answer to whether a pump is good for you. If you need additional flexibility in your Insulin dosing and don't mind being tethered to a device 24 hours a day and your insurance will pay for it then a pump may be a good option. If you are well-controlled on Insulin injections it may not be necessary. Ask your doctors. ...Read more

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What is special about lantus (insulin glargine) insulin ?

What is special about lantus (insulin glargine) insulin ?

Basal insulin: 40% of the Insulin a pancreas makes is done constantly and the other 60% is done to respond to your carbohydrate ingestion(when you eat). Lantus (insulin glargine) is the first Insulin that was design to take care of that 40% because it is designed to work over 24 hrs without any peak in action minimizing low blood sugar reactions. ...Read more

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Type 1 diabetic actively exercising & healthy eating looking for right lantus (insulin glargine) dose.

Type 1 diabetic actively exercising & healthy eating  looking for right lantus (insulin glargine) dose.

See endocrinologist: The best way for your doctor to determine your optimal insulin doses is for you to check your sugars before each meal and at bedtime. Write them down and take them to see your endocrinologist. Most type 1 diabetics need an endocrinologist for optimal management, though some primary care doctors are also very good at managing diabetes. ...Read more

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Please describe the medication: lantus (insulin glargine)?

Please describe the medication: lantus (insulin glargine)?

Diabetes medication: Treats diabetes mellitus. Insulin is a hormone that helps get sugar from the blood to the muscles, where it is used for energy. This type of Insulin usually works longer than regular insulin. ...Read more

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Dlabetic&hypertensive, bmi31 , on amarylm2 tab 2x3, novonorm2 1x3 and lantus (insulin glargine) insulin +3o min excercise. ....A1c 9.7 please help!

Dlabetic&hypertensive, bmi31 , on amarylm2 tab 2x3, novonorm2 1x3 and lantus (insulin glargine) insulin +3o min excercise.    ....A1c 9.7     please help!

Your endocrinologist: Needs to adjust/ increase the dose of your medicine esp Insulin to attain good control of your sugar reflected in your a1c (ideally in the 6 or 7 range). A good diet & exercise regimen would help as well. Increase your water intake to maintain good kidney function. Annual or periodic ekg is a must have your annual eye check , lipid and kidney function monitored closely .Take care & god bless u! ...Read more

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Dlabetic&hypertensive, bmi31 , on amarylm2 tab 2x3, novonorm2 1x3 and lantus (insulin glargine) insulin +3o min excercise. ....A1c 9.7 please help!

Dlabetic&hypertensive, bmi31 , on amarylm2 tab 2x3, novonorm2 1x3 and lantus (insulin glargine) insulin +3o min excercise.    ....A1c 9.7     please help!

High Hb a1c: You need to go to an endocrinologist (e) to see if your diet needs to be changed. The regimen of medicines you take to control your diabetes is clearly not working and this may be due to inadequate dosing or ingesting too many carbohydrates. If you reduce your bmi, there is a chance to control your glucose better. Get your glucose under control to avoid harmful complications of diabetes, see an e. ...Read more

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Type II diabetic, blood insulin last test (NOT glucose)=29.5 On lantus (insulin glargine) 62 units, humalog 17 units. Am I still producing endogenous insulin?

Type II diabetic, blood insulin last test (NOT glucose)=29.5 On lantus (insulin glargine) 62 units, humalog 17 units. Am I still producing endogenous insulin?

Need C-peptide test: Since exogenous (injected) insulin will show on a blood test, C-peptide should be measured to assess for endogenous insulin. Proinsulin is made by the pancreas, then cleaved into C-peptide & insulin. Exogenous insulin has no C-peptide. ...Read more

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I need more info on a insulin pump?

I need more info on a insulin pump?

See an endocrine MD: There are many web sites that discuss pumps, both from the pump companies and societies. See a doctor who does pumps regularly to discuss whether it's right for you. ...Read more

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How do I get help for a insulin pump?

How  do  I  get  help  for  a insulin  pump?

See your doc: See your physician to discuss appropriateness of an Insulin pump. He/she might send you to a pump nurse/diabetes educator or to an endocrinologist to get things started. ...Read more

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How do I know if an insulin pump is the right choice for me?

It depends: Just like most other aspects of diabetes management there is no "right" answer to this question. If you need additional flexibility in your Insulin dosing and don't mind being tethered to a device 24 hours a day seven days a week and your insurance will pay for it then a pump may be a good option. If you are well-controlled on Insulin injections and have issues with any of the above there may not be a reason to change. Ask your endocrinologist. ...Read more

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How do I know when to change my daughters insulin pump settings ?

How do I know when to change my daughters insulin pump settings ?

Out of control: If her blood sugars ever go lower than sixty or higher than one fifty, the setting should be changed. I recommend checking with her endocrinologist or diabetes doctor before you do that, though. ...Read more

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Dr. Quang Nguyen
2,784 doctors shared insights

Insulin (Definition)

A hormone produced in the pancreas by the islets of langerhans that regulates the amount of ...Read more