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Type 1 Diabetes Automatic Insulin Pump

What Happens While Using An Insulin Pump

What is an insulin pump?

An insulin pump delivers insulin in one of two ways:

  • Small, continuous insulin doses .
  • Surges of insulin near mealtimes .

While using an insulin pump, you still need to check your blood sugar levels. Most people check blood sugar at least four times a day. Or you may use a continuous glucose monitor.

The pump uses information you enter about your food intake and blood sugar levels to calculate how much bolus insulin you need. The pump then recommends a bolus dose to you and waits for your approval before delivering. In addition, some pumps automatically adjust basal doses based on glucose levels from a continuous glucose monitor.

Healthcare Provider Education & Training

To support rollout and access to closed-loop systems, it is important to consider healthcare provider burden and ease-of-training. Appropriate and readily available HCP training is vital to ensure people with T1D have access to these new technologies in future. Kimbell et al assessed HCP views with regards to training, support and resourcing for closed-loop technology . It was emphasised that HCPs should be proficient with current pump and CGM technologies, and that accredited closed-loop training as well as demonstration systems could help improve understanding and confidence in these systems. After the initial training period, closed-loop users required less HCP input than those on pump therapy or multiple daily injections, therefore potentially reducing burden on diabetes clinics. The study recommended the development of clinical guidance to support HCPs in delivering closed-loop consultations.

The Government Of Canada’s Role

Health Canada regulates the safety, effectiveness and quality of medical devices imported into and sold in Canada, including medical devices like insulin pumps. As part of this work, we:

  • review insulin pumps to make sure they meet our requirements for safety, quality and effectiveness before we grant a medical device licence to manufacturers
  • monitor problems with insulin pumps on the market and work with manufacturers to correct them when problems are identified
  • encourage Canadians to report complaints about insulin pumps and other medical devices to our Health Products and Food Branch Inspectorate

We also send safety information about medical devices to health care professionals and consumers.

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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.

How Does Pod Therapy Work

First official

Pod Therapy delivers the continuous control of pump therapy, without the tubes or interruptions. Once the Pod is placed on your body and synced with your PDM, Omnipod 5 Controller or App, youre ready to go. Through the Omnipod DASH® PDM, you can enter your glucose value reading and carbs into the bolus calculator and it automatically calculates the insulin needed to bolus.

The new Omnipod 5 connects directly with Dexcom G6 CGM to automatically adjust your insulin every 5 minutes based on your glucose values. With the Omnipod 5 App on the Controller or compatible smartphone, you can enter your carbs into the SmartBolus Calculator and it will automatically calculate the insulin needed to bolus based on CGM value and trend.

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Are Insulin Pumps Better For People With Diabetes

Supporters of insulin pumps believe that they allow diabetics to be more flexible, and eliminate the need for a wearing, daily routine.

A diabetic with an insulin pump does not necessarily have to rise at a certain time to take insulin. When it comes to diet, insulin pumps allows you to be more flexible with that they eat, if they are used in the correct way.

When Should I See My Healthcare Provider

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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Safety And Efficacy Measures

We comment on safety of closed-loop systems by assessing diabetes-related adverse events. These include diabetic ketoacidosis , severe hyperglycaemia with ketosis, and severe hypoglycaemia events. Both DKA and severe hypoglycaemia have the potential to be life-threatening events requiring hospitalisation, and can occur in any person with type 1 diabetes irrespective of type of insulin therapy.

Minimed 630g Insulin Pump With Optional Cgm

Type 1 Diabetes: Why We Chose an Insulin Pump and a Continuous Glucose Monitor (CGM)

The MiniMed 630G insulin pump delivers precise doses of insulin to your body. When combined with our CGM, it takes action for you with the SmartGuard Suspend on low feature – providing protection that can help keep your glucose levels stable. ,3

Individuals pictured and/or quoted here were compensated for spending the day with us and allowing us to photograph them and their family. Their thoughts and opinions are their own.

Important Safety Information: MiniMed 770G System With SmartGuard TechnologyThe MiniMed 770G system is intended for continuous delivery of basal insulin and administration of insulin boluses for the management of type 1 diabetes mellitus in persons two years of age and older requiring insulin as well as for the continuous monitoring and trending of glucose levels in the fluid under the skin. The MiniMed 770G System includes SmartGuard technology, which can be programmed to automatically adjust delivery of basal insulin based on continuous glucose monitoring sensor glucose values and can suspend delivery of insulin when the SG value falls below or is predicted to fall below predefined threshold values.

The Medtronic MiniMed 770G System consists of the following devices: MiniMed 770G Insulin Pump, the Guardian Link Transmitter, the Guardian Sensor , one-press serter, the Accu-Chek® Guide Link blood glucose meter, and the AccuChek®Guide Test Strips. The system requires a prescription.

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Vacuum Supplies Could Be Expensive

An insulin pump may not be Proper for you if:That you really dont desire to wear a device that allows people to understand that you have diabetes.You really do not like the feeling of sporting a gadget.You are uncomfortable operating the pump.That you really do not desire to check on your blood sugar four times per day.

You are unsure you want to accomplish the task to figure out insulin doing carbs, carbohydrates, and physiological activity.

Type 1 Diabetes And The Need For Automated Insulin Delivery

In type 1 diabetes, insulin-producing pancreatic beta cells are destroyed by an immune-mediated process. Beta and alpha cells produce insulin, amylin and glucagon, all of which are hormones required to maintain the bodys glucose homeostasis. Prior to insulin therapy, type 1 diabetes was universally fatal. Nowadays, insulin is either replaced with multiple daily injections using both short- and long-acting insulins, or by continuous infusion of rapid-acting insulin via an insulin pump. Even with insulin replacement therapy and frequent self-monitoring of blood glucose levels, people with diabetes are at risk of multiple long-term complications if glucose control is suboptimal , as well as the immediate risks posed by dangerously low or high glucose levels if insulin is acutely over- or under-dosed.

A person with type 1 diabetes is required to make frequent and complex dosing decisions to maintain glucose levels in the desired range whilst avoiding hypoglycaemia. A multitude of factors influence glucose levels and insulin sensitivity, causing considerable day-to-day variability of glucose levels as well as insulin requirements . This leads to a high burden of diabetes management. Consequently, only one third of people with type 1 diabetes achieve recommended levels of glycaemic control with current treatment options . Automated insulin delivery has the potential to address these issues, decrease disease burden, and improve glycaemic outcomes.

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New Insulin Pumps Offer Continuous Monitoring

Next-generation insulin pumps will feature sophisticated computer algorithms that automatically calculate and administer precise doses of insulin, but will not replace proper physician care, which is the source of their success.

For patients with type 1 diabetes mellitus, next-generation insulin pumps will feature sophisticated computer algorithms that automatically calculate and administer precise doses of insulin, or insulin and glucagon, based on data from a continuous glucose monitoring system.

These closed-loop or artificial pancreas devices would require little or no user input, obviating the need for daily finger pricks. When available, a fully automated system will reduce the daily burden of self-care and will help prevent acute and chronic complications of diabetes, said Guillermo Arreaza-Rubín, MD, program director within the Division of Diabetes, Endocrinology, and Metabolic Diseases at the National Institute of Diabetes and Digestive and Kidney Diseases .

Early trials of artificial pancreas devices are promising, experts say. In one random-order crossover study of adults with type 1 diabetes, a system that automatically administered both insulin and glucagon caused no serious adverse events and achieved significantly better glycemic control than either conventional or glucose sensor-augmented insulin pump therapy, investigators reported in the Jan. 28 Lancet.

These devices will advance diabetes care, but they cannot replace it, the experts emphasized.

Omnipod Dash Insulin Management System

Insulin pump linked to better glycemic control in young patients with ...

No multiple daily injections. Built-in food library to help simplify mealtime insulin math. The Pod can be worn almost anywhere youd inject and carries up to 3 days of insulin. Features include:

  • Tubeless, wearable, waterproof*
  • Wireless touchscreen controller
  • Software updates over WIFIstay plugged in without the plug

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Simplify Your Everyday Life

Whether youre a parent or caregiver of a child with type 1 diabetes or living with type 1 diabetes yourself, Omnipods innovative, wearable insulin therapy can help lighten the load of day-to-day diabetes management. Omnipod users all over the U.S., and their families, experience the benefits of this tubeless delivery system every day. Unique features and benefits of Omnipod:

  • Eliminates the need for multiple daily injectionsEach Pod delivers insulin nonstop for 3 consecutive days

  • Tangle-proof, waterproof*, and durableIdeal for the physical demands of day-to-day life

  • Tubeless Walk freely through every open door, leaving doorknobs in the dust. No belts, fanny packs, or pockets required

  • Easy to useOmnipod is easy to apply, insertion is quick and virtually painless, and the wireless PDM or Controller offers the flexibility to manage your insulin treatment in the palm of your hand

  • Lifestyle compatibleOmnipod is small enough to be worn discreetly under clothing, almost anywhere youd give yourself an injection, and the wireless controller is small enough to fit in a purse or pocket. Plus, Omnipod 5 can even be controlled from a compatible smartphone! See our full list ofcompatible smartphones.

  • ConvenientAvailable through the pharmacy channel and covered by most insurance plans, including Medicare Part D with no commitment and no contract

Enjoy More Freedom To Confidently Live Your Life

Our insulin pump allows you to focus on new possibilities, and not just on managing your diabetes. Its a positively different care experience.

True to its name, the t:slim X2 insulin pump is up to 38% smaller than other insulin pumps* yet still holds up to 300 units of insulin. Stylish and easy to operate, this insulin pump seamlessly integrates into your life like a sophisticated, modern smart device.

Zero Fingersticks

When integrated with Dexcom G6 continuous glucose monitoring .

Rechargeable Battery

No more disposable batteries. Charge using a convenient micro-USB port.

Durable Housing

Shatter-resistant glass and a light, ultrastrong, watertight case.§

Custom Settings

Create up to six Personal Profiles, with up to 16 different time segments.

Bolus Calculator

Allows you to enter multiple carb values and the pump does the math.

Feature Lock

When activated on the pump, it can prevent unintentional interactions.

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No Multiple Daily Injections No Tubes No Kidding

Pod Therapy is an innovative, intuitive kind of insulin management methoda customizable alternative to traditional insulin pumps and multiple daily injections. The wearable, insulin-filled Pod includes a small, flexible cannula that inserts automatically with the push of a button. The Pod delivers personalized doses of insulin into your body based on the set and variable rates that you program into a handheld Personal Diabetes Manager , or Omnipod 5 App on the Controller or compatible smartphone.

Altogether, it delivers up to 3 days of continuous insulin without the tangles of traditional tubed pumps or the hassle of multiple daily injections.

How Does An Insulin Pump Work

My First Week Using The Omnipod Insulin Pump!

The American Diabetes Association states that insulin pumps are small, computerized devices. They deliver insulin in a steady and continuous dose, or basal rate, which the user programs. They also deliver insulin as a surge dose, or bolus, under the users direction.

The insulin enters the body through a thin tube that attaches to a needle, which goes under the skin. People refer to the tube and needle together as an infusion set.

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Omnipod: A Tubeless Waterproof Insulin Pump For Type 1 Diabetes

Type 1 diabetes doesnt take a break. But managing your insulin therapy with Omnipod® can give you one. Omnipod is different from traditional insulin pumpsits tubeless and waterproof*. And Omnipod can be worn almost anywhere you would inject insulin. A virtually painless cannula is inserted automatically once the Pod is placed on your skin, and insulin delivery is controlled wirelessly by your PDM/Controller thats small enough to be stored in a pocket, backpack, or purse. Say goodbye to multiple daily injections and say hello to Omnipod.

Omnipod® 5 Automated Insulin Delivery System, integrates with the Dexcom G6 Continuous Glucose Monitor to automatically adjust insulin and based on CGM value and trend, manage blood glucose levels to keep you in range.

With Omnipod DASH® Insulin Management System, you simply enter your blood glucose reading into the bolus calculator, and the system automatically calculates the insulin needed for a correction bolus. You can simplify mealtime math even further with the integrated food library.

Omnipod can help you regain your freedom with 3 days of tubeless, continuous insulin delivery.

Continuous Subcutaneous Insulin Infusion

You May Choose

A pump can be definitely an alternative, maybe not an essential prerequisite. And also bear in mind that whatever remedy method you employ, you may modify your own mind. Lots of men and women utilize their pump consistently, along with many others switch into shots whenever they move on a holiday or need infusion internet websites to cure, or only need a rest.

Everyone with type 1 diabetes and many individuals who have type 2 should take insulin to manage their own glucose. For the time being, you can find two alternatives: injecting it using a needle or pin, or employing an insulin pump.

An insulin pump is just a small computerized device. It supplies nourishment via a slender tube that goes beneath your skin.

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Insulin Pumps With Integrated Cgms

The most modern trend in insulin pump technology is for pumps to directly interact with CGMs. Pumps that allow CGM integration include:

  • Medtronic MiniMed 640G
  • Medtronic MiniMed Paradigm Veo
  • Animas Vibe with Dexcom G4 sensors

The MiniMed 640G and Paradigm Veo have an advanced feature that switches off insulin delivery if blood sugar levels become too low. The feature can shorten hypos and prevent severe hypos occurring.

NICE have endorsed the use of Paradigm Veo pump with CGM sensors for people on insulin therapy that are having problems with regular or unexpected hypos despite having otherwise strong blood glucose control.

Whats The Difference Between A Traditional Insulin Pump And A Patch Pump

Insulin pumps for treating type 1 diabetes

Traditional insulin pumps push insulin from a chamber within the pump through tubing to a site on the skin that is connected to a smaller flexible plastic tube . The cannula is a few millimeters long and delivers the insulin underneath your skin.

Insulin patch pumps also use a flexible plastic tube under the skin, but the insulin delivery chamber and the cannula are part of one pod that sits in the skin with an adhesive patch. You can place the patch directly on your belly or arm. There is no external tubing with a patch pump, and its controlled wirelessly with a handheld controller.

The tubing and cannula are removed and replaced every two to three days. A healthcare provider called a Diabetes Care and Education Specialist will show you how to do this.

Common insulin pump brands include:

  • Medtronic .

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How An Insulin Works

The gadget releases insulin exactly how your body naturally would: a regular stream all through the day and night, called cranial insulin, along with also an excess dose at mealtime, also known as a bolus, to handle rising blood sugar in your food you eat. Your system the pump to get each basal and bolus dose. If you consume a lot more than normal, youll be able to program a much bigger bolus to cover the carbohydrates in your food. Even a bolus can bring down significant blood sugar at other times, too.

The pump is around the size of the smartphone. You hook it for your own body employing an extracted set: a thin plastic tube and a needle or a modest tapered tube called a cannula which you put beneath the skin. The area in which you set it in your tummy, buttock, or sometimes thigh is called the infusion website. Some pumps come with inserters for easier positioning even yet in hard-to-reach areas.

Insulin pumps use short-acting and also rapid-acting insulin, however maybe not long-acting, since the pump has been designed to send a small level continuously to keep your blood glucose levels even.

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