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Pump Facts
- A study by Weissberg-Benchell,
Antisdel-Lomaglio and Seshadri indicated improved glycemic control
compared to traditional therapies including Multiple Daily
Injections (MDI). Their study further did find the pump to
associated with significant adverse outcomes.
- Continuous Subcutaneous Insulin Infusions
therapy (pump therapy) offers a more precise physiological method of
insulin administration
- There is no conclusive evidence of higher
risk of DKA when using pump therapy
- There was reported to be greater benefits
after one year of pumping.
- Pump Therapy has been about for over 25
years.
- As of 2002, there are at least 195,000
Americans on insulin pumps
- Absorption rates vary by less than 3% daily
when on a pump whereas absorption of NPH commonly used in MDI can
vary between 19-55%
- There is a higher patient satisfaction when
pumping due to the flexible lifestyle it offers
- Medical care charges increase significantly
for every 1% increase of HbA1c over 7%
Pump Research Studies
-
Comparison between multiple daily insulin injection therapy (MDI)
and continuous subcutaneous insulin infusion therapy (CSII), results
of
the five nations study. (Dec 2006)
-
Doctors Believe Insulin Pump Therapy is Preferable to Insulin
Injections for Managing Diabetes, Says Survey
-
A
Randomized Controlled Trial of Insulin Pump Therapy in Young
Children With Type 1 Diabetes
- First randomized, prospective study directly
comparing insulin pumps with LantusR therapy in pediatric patients
identifies pump therapy as a more optimal treatment for blood sugar
control
http://www.insulinpumpcenter.com/novice/yale.htm
- Insulin Pump Helps Kids With Diabetes
http://www.medtronic.com/newsroom/news_20040702a.html
- Insulin Pump Therapy Safe and Effective in
Children With Type 1 Diabetes
By Jennifer Warner WebMD Medical News
Reviewed By Brunilda Nazario, MD on Monday, December 06, 2004
Dec. 6, 2004 -- Insulin pump therapy may be a safe and effective
treatment for children under age 7 with type 1 diabetes, according
to a new study.
Researchers say the results suggest the insulin pump may ease the
burden of periodic insulin shots for many parents, including those
who also rely on a nanny or day care worker to care for their child
part of the day.
In type 1 diabetes, the body cannot produce insulin in order to
maintain healthy blood sugar levels. Children with type 1 diabetes
must receive frequent injections of insulin to keep their blood
sugar levels under control.
Although insulin pumps that supply a continuous dose of insulin to
the body have been used for several years in adults and older
children with type 1 diabetes, researchers say this is among the
first studies to look at their use in very young children.
The results of the study appear in the December issue of Pediatrics.
Insulin Pump Safe for Young Children In the study, researchers
looked at the safety and effectiveness of insulin pump therapy in 65
children with type 1 diabetes between the ages of 1 and 7.
About 60% of the children were cared for by their mothers during the
day, and the remaining 40% were cared for by paid caregivers either
in the home or at a child care center.
The study showed that average blood sugar levels (as measured by
HbA1c levels) decreased after one year of insulin pump use and
continued to improve after the next four years of insulin pump use.
Use of the insulin pump was also associated with a more than 50%
reduction in the incidence of low blood sugars.
In addition, children who received daytime care from paid caregivers
showed an even greater improvement in blood sugar levels than those
who were cared for by their mothers.
"This report is the first to show that insulin pump use may be
implemented successfully in very young children whose daytime care
is provided by paid caregivers, such as nannies or child care center
workers," write researcher Stuart A. Weinzimer, MD, of the Yale
University School of Medicine, and colleagues.
Researchers say that when necessary these caregivers may be taught
the basics of insulin pump use, such as ensuring proper function of
the pump, attending to the alarms, and how to provide meal-related
information to determine insulin doses.
They say the study shows that insulin pump therapy is not only
effective in treating young children, but it also may be superior to
multiple daily injections in minimizing episodes of severe low blood
sugar.
http://my.webmd.com/content/Article/97/104601.htm
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Flexible Insulin Therapy Works for Preschoolers Too
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