Insulin pump is not suitable for all diabetic patients

Since the discovery of insulin in 1921, it has always played an important role in the treatment of diabetes. Fractional injections have long been the only mode of administration of insulin, and this mode of administration still dominates. Since insulin needs to be administered multiple times a day, the dose is difficult to grasp, and many people are reluctant to use it. Since then, people have begun to study the subcutaneous physiological insulin infusion device, so the insulin pump that can continuously inject insulin has emerged.

The insulin pump is a microcomputer-powered device with short-acting insulin. It needs to be carried around and uses artificial intelligence to continuously infuse insulin into the body through a hose connected to the human body. It maximizes the physiological secretion pattern of human insulin. The advantages of using insulin pumps are:

1. Improve blood sugar control level The difference of conventional insulin injection absorption can reach 52%, while the insulin pump uses short-acting insulin and injection at a fixed site, the difference of absorption is less than 3%, and the normal insulin secretion mode is simulated continuously and accurately, so that The blood sugar control is stable and the glycated hemoglobin level is greatly improved.

2. Reduce the hypoglycemia The insulin pump’s micro-continuous infusion method does not form an accumulation under the skin, does not cause unpredictable hypoglycemia, and reduces the incidence of severe hypoglycemia by 85%.

3. Overcoming the dawn phenomenon Insulin pump therapy is the only treatment that can flexibly segment the amount of nocturnal insulin release. A small base dose can be set according to the patient’s needs and continuous infusion for 24 hours.

4. Improve the quality of life The use of insulin pump treatment does not require multiple injections per day, and can freely arrange various activities.

Insulin pumps are especially effective for diabetic patients who need to strictly control their blood glucose in the short-term special circumstances:

1. Patients with type 1 diabetes who are difficult to control with conventional insulin or intensive therapy, those with variable blood sugar levels, such as patients with frequent hypoglycemia, high morning blood sugar, and high glycosylated hemoglobin. In fact, experts recommend that all patients with type 1 diabetes use insulin pumps to prevent chronic diabetes complications caused by long-term blood sugar instability.

2. Patients with acute complications of diabetes, such as ketoacidosis, coma rescue of non-ketotic and hypertonic diabetes.

3. Diabetes patients during surgery, gynecology, ophthalmology surgery, to ensure safety through the risk of surgery.

4. Diabetic patients are ready to become pregnant or have been pregnant, in order to stabilize blood sugar control, to ensure that the mother and baby should be the first to wear a pump treatment. Type 1 and even type 2 female diabetic patients with pump treatment are the best choice.

Although insulin pumps have many advantages and good results, not all diabetic patients are suitable for use. The following are people who are not suitable for insulin pump treatment and contraindications:

1. Diabetic patients who do not require insulin therapy.

2. Diabetic patients with severe circulatory disorders.

3. Diabetic patients who are allergic to subcutaneous infusion tubes or tapes.

4. Reluctant patients who are not willing to embed an infusion tube for a long time or wear a pump for a long time and do not receive insulin pump treatment.

5. Patients and their families lack relevant knowledge and still cannot master the method of using insulin pumps after training.

6. Diabetic patients with severe psychological disorders, mental disorders or unable to take care of themselves.

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