Faculty of Medicine, Dentistry & Health Sciences Diabetes CCRE

Insulin Pumps

Insulin pump therapy, also known as Continuous Subcutaneous Insulin Infusion (CSII), is being used by more and people with diabetes.  The insulin pump is attached to your body, which means you can administer insulin by pushing a few buttons on the pump rather than having to inject it manually.  This means you can undertake greater activity and have more flexibility with activities such as travelling and exercise being greatly improved with the use of an insulin pump.

There are a variety of pumps available.  The latest technology involves the use of real-time glucose monitoring sensors, separate to the pump, which are worn under the skin and allow you to monitor your blood glucose levels.  The sensor communicates with your insulin pump, with alarms being activated if glucose levels go too high or too low.  You can then manually adjust your insulin doses via the pump, based on your blood glucose levels.  Normal finger prick testing is also still required.

Studies have shown that user-directed use of real-time continuous glucose monitoring leads to a reduction in HbA1c levels, but without proper guidance and education users may not correctly administer insulin based on their glucose levels.  An algorithm has been developed to guide users of real-time glucose monitoring with insulin pumps, and more information on this can be found at the ALGOS for the Community page.

 

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