We all know the word ‘cheeni kum’ can never inspire terror in a common man but today it has become a terror inspiring term for everybody. ‘Cheeni kum’ being a Hindi word for ‘Less sugar’ symbolizes diabetes too. Yes, diabetes is a silent assassin who takes millions of lives every year worldwide. The revelations of the 20th annual World Diabetes Congress of the International Diabetic Federation opened our eye to the silent killer called diabetes. The report says that India, in present condition, has the highest number of 50.8 million people suffering from diabetes followed by China and US with approx 43.2 million and 26.8 million respectively. The insulin pump is a small, computerized medical device used for the administration of insulin in the treatment of diabetes mellitus. This therapy is called as insulin pump therapy and insulin infusion therapy. It is designed to mimic the functions of a healthy pancreas. In this therapy, the pump delivers a single type of fast acting insulin in two ways: basal rate, which is a continuous trickle of insulin that keeps blood glucose stable between meals and overnight. On the other hand, bolus rate is a much higher rate of insulin taken for cover up the food you have eaten and also is used for correcting a high blood glucose level. The insulin pumps being very safe and light objects, you can carry them as easy as you carry your black berry mobile phone.
Advantages And Disadvantages Of Insulin Pump Therapy
Reasons For Insulin Pump Therapy
- Poor glucose control (high A1C values) in blood.
- Wish for a flexible lifestyle (sleeping late, skipping meals etc)
- Planned or existing pregnancy
- Convenience—ease of getting insulin with the pressing of a button
- Tedious or variable nature of your work schedule (overnight shifts, air travel, food restrictions, etc.)
- Fluctuations in blood sugar control during monthly menstrual cycle
- Better weight management
- Issues with the "Dawn Phenomenon" (Patients with ‘dawn phenomenon get a rise in blood sugar in the early morning hours)
- Desire for Precise Dosing
Advantages Of Insulin Pump Therapy
- It reduces wide fluctuations in blood glucose.
- Pump therapy Increases flexibility in life style
- Predictable and precise insulin delivery is ensured
- Insulin pumps increase the flexibility of your diabetes management
- It has the ability to accurately deliver 1/10th of a unit of insulin.
- Reducing episodes of severe hypoglycemia [low blood sugar reactions]
- An easy way to record your insulin usage
- The possibility to improve your A1C over using insulin injections
- Decreased needle sticks [There is no need of insulin injection if you use an insulin pump]
- The ability to program a variable basal insulin rate (different rates for different times of the day)
Disadvantages Of Insulin Pump Therapy
- There is high risk of infections if you do not change catheter site of cannula every three days.
- A skin reaction may appear at the site of the needle or cannula
- An insulin pump user may face the greater risk of high glucose levels that could lead to diabetic ketoacidosis. Diabetic ketoacidosis (DKA) is a state of inadequate insulin levels resulting in high blood sugar and accumulation of organic acids and ketones in the blood.
- This therapy is basically an expensive choice. Pumps are of high prices, so is the cost of supplies.
- Letting others know that you have diabetes.