Doctor insights on:
What Are The Precautions Of An Insulin Pump
Plan ahead: Things can and do go wrong with an Insulin pump sometimes, so plan ahead for these. Infusion sites can fail if the catheter becomes kinked, or the tip comes out. Keep an extra infusion set with you at all times. Occasionally, the electronics of the pump fail, so keep a written copy of your pump settings with you. For the most part, pumping is very safe, but be prepared for emergencies!See 1 more doctor answer
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
Most aren't: A few clinics are involved in research for implanted pumps, where a surgeon places a pump under the skin in the abdomen, and a doctor uses a syringe to load Insulin into the pump once a month. Most Insulin pumps, though, are external pumps, where only a thin plastic tube, or catheter, goes under the skin to deliver Insulin into the fatty tissue, just as a syringe does.See 1 more doctor answer
Can be: Insulin pumps are excellent for getting tight glucose control, and they are most often used for type 1 diabetes, aka juvenile diabetes. They do require daily maintenence & attention, and blood sugar check with every meal, so the safety depends a lot on the patient's personality. There is no substitute for an honest discussion with your doctor.
See below: Risk: pump malfunction, insertion site infection. Benefits: you always have Insulin with you (no "surprise" meals with no Insulin cause you didn't plan ahead), can take Insulin for snacks without another injection, can decrease Insulin during/after exercise to avoid lows, you can have Insulin delivered more slowly for a meal that takes longer to digest (dual wave bolus), more.
Not usually: Pumps do take a little getting used to, and some trial and error to learn what works best for sleeping, sex, using the restroom, etc. The nurses and educators who help with the training do a terrific job to help each individual figure out what length tubing works best for them, and how to overcome any problems that arise.See 1 more doctor answer
Lifestyle: Hi. Insulin pumps don't do anything for control you can't do with a good non-pump regimen (e.g., Lantus, (insulin glargine) and Humalog/Novolog/Apidra) before each meal. Pumps don't do anything magic. You still have to test BG frequently and TELL the pump what to do. I wish you Grandpa the best.
No: Type 2 diabetics who are Insulin dependent can be put on the pump as well. Dr kurzweil review: it is true that it may be possible, but unlikely. Type 2 diabetics should be controllable with good persistent medical care--nutritional, weight reduction, medication, exercise, if necessary a long-acting Insulin once daily, perhaps added short acting. A clinical expert endocrinologist could rx c pump.See 1 more doctor answer
Can be used together: Many patients on Insulin pumps also use a continuous glucose sensor, a device that measures the glucose in the tissues under the skin. This does not totally eliminate the need to do fingerstick testing, but gives much more information than intermittent testing. The results of displayed by the monitor can be used by the patient to make decisions about how much Insulin to take.
Generally, no: Any kind of diabetes is disqualifying for military service. Read more here: http://tinyurl.Com/ceq9hp under endocrine and metabolic disorders. It is possible to apply for a waiver, but i strongly doubt one would be granted for someone with type 1 diabetes, or on a pump. The marines would probably be the least likely service to accept anyone with any kind of pre-existing medical condition.See 2 more doctor answers
Insulin pump: If you can afford it, an insulin pump is currently the best for you. You will be trained carefully regarding its use. Hope all goes well.
Depends on preferenc: Most of the major manufacturers of Insulin pumps make reliable pumps with good customer support. The major difference is whether you want a pump that has a tube leading to a small disposable needle/tube that sits on the skin (minimed, animas, accuchek combo), or a disposable "pod" pump that has no tubing, but instead adheres to the skin and inserts a needle automatically (omnipod).See 1 more doctor answer
Infusion site?: Hi. Did it start with insertion of the infusion cannula? Sometimes insertion will hit a sensory nerve and cause a burning sensation. That usually passes quickly. How old is the infusion site? Is it red or tender? If it persists, take that rig out and put a new one in in a different location. If the current site looks infected, notify your endocrinologist and be seen; sometimes antibiotics needed.
All insulin pumps: Are constructed to allow for the continual delivery of insulin, so called basal insulin.
See the doctor: There is a process to go through to get an Insulin pump. My recommendation is for him to see his doctor for a referral to a pump educator. He can then learn the pros and cons from all the pumps. Then he can make an informed decision about which is best for him.