Insulin Pump Therapy in Patients with Diabetes Undergoing Surgery

2012 ◽  
Vol 18 (1) ◽  
pp. 49-55 ◽  
Author(s):  
Adrienne Nassar ◽  
Mary Boyle ◽  
Karen Seifert ◽  
Karen Beer ◽  
Heidi Apsey ◽  
...  
Keyword(s):  
Insulin Pump ◽  
Insulin Pump Therapy ◽  
Pump Therapy ◽  
Patients With Diabetes

scholarly journals Use of Automated Bolus Calculators for Diabetes Management

2010 ◽  
Vol 9 (2) ◽  
pp. 92 ◽  
Author(s):  
Frank L Schwartz ◽  
Cynthia R Marling ◽  
◽  
Keyword(s):  
Insulin Therapy ◽  
Glucose Control ◽  
Diabetes Management ◽  
Insulin Pump ◽  
Smart Phone ◽  
Glycated Haemoglobin ◽  
Insulin Pump Therapy ◽  
Pump Therapy ◽  
Numeracy Skills ◽  
Patients With Diabetes

Fewer than 30 % of patients with diabetes who are on insulin therapy achieve target glycated haemoglobin (HbA1c) levels. Automated bolus calculators (ABCs) are now almost universally used for patients on insulin pump therapy to calculate pre-meal insulin doses. Use of ABCs in glucose monitors and smart phone applications have the potential to improve glucose control in a larger population of individuals with diabetes on insulin therapy by overcoming the fear of hypoglycaemia and assisting those with low numeracy skills.

“Finding the Balance”: A Qualitative Study of the Experience of Nurses and Patients with Diabetes on an Insulin Pump in the Hospital

2020 ◽  
Vol 46 (6) ◽  
pp. 587-596
Author(s):  
Ann R. Kaisen ◽  
Janet A. Parkosewich ◽  
Karen H. McAvoy ◽  
Leigh B. Bak ◽  
M. Tish Knobf
Keyword(s):  
Nursing Education ◽  
Insulin Pump ◽  
Comparative Method ◽  
Hospitalized Patients ◽  
Insulin Pump Therapy ◽  
Pump Therapy ◽  
Constant Comparative Method ◽  
Lack Of Control ◽  
Patients With Diabetes ◽  
Control Versus

Purpose The purpose of this study was to explore experiences of hospitalized patients as they transition insulin pump self-management from home to hospital and the experience of nurses caring for them. Patients are often more knowledgeable about the pump than their nurses, which could lead to undiscovered challenges. Little is known about the hospital experience related to insulin pump therapy from nurses’ and patients’ perspectives. Methods A qualitative approach with interpretive descriptive design and purposive sampling was used. Eligible patients were ≥18 years of age, able to read and speak English, and admitted to non-ICU settings ≥20 hours. Eligible nurses cared for at least 1 patient using an insulin pump. Patients and nurses were interviewed separately. Interviews were audiotaped and transcribed verbatim. Data were analyzed using a constant comparative method. Coding was performed independently and jointly to reach consensus on emerging themes. Results Hospitalized patients and nurses had an array of perceptions highlighting challenges and adaption to “finding the balance” in managing diabetes when patients wore their insulin pumps. There were 4 interrelated themes representing a continuum of trust to lack of trust, control versus lack of control, effective communication to limited communication, and staff knowledge to lack of knowledge. Conclusions Results of this study provide valuable insights into the challenges for both patients and nurses. A standardized approach to caring for this population is necessary. These findings can inform the development of nursing education programs and policies aimed at improving their experiences.

Insulin Delivery Devices

2004 ◽  
Vol 17 (1) ◽  
pp. 20-28 ◽  
Author(s):  
Kristine M. Stewart ◽  
Mary F. Wilson ◽  
Joan M. Rider
Keyword(s):  
Insulin Pump ◽  
Insulin Delivery ◽  
The United States ◽  
Tight Glycemic Control ◽  
Alternative Methods ◽  
Insulin Pump Therapy ◽  
Pump Therapy ◽  
Patients With Diabetes ◽  
Insulin Pens ◽  
The 1960S

More than 6million Americans require daily injections of insulin. Insulin therapy, using the vial and syringe method, can be complicated and time consuming. Insulin pens were introduced in the United States in 1987 and have simplified insulin administration for many patients. Continuous Subcutaneous Insulin Infusion (insulin pumps or CSII) is being utilized to achieve and maintain tight glycemic control for personswith Diabetes Mellitus (DM). CSII therapy has existed since the 1960s. These insulin delivery devices provide improvements in flexibility, convenience, and freedom for patients-with diabetes. These devices may also help promote dosing accuracy and often improve compliance. CSII uses only rapid acting insulin, which has more reliable and predictable absorption. Gone are the days of sliding scales and feeding times to match the insulin delivery systems. This article focuses on insulin pen therapy and other alternative methods of delivering insulin including insulin pump therapy.

Clinical Outcomes After 1 Year of Augmented Insulin Pump Therapy in Patients with Diabetes in a Specialized Diabetes Center in Medellín, Colombia

2016 ◽  
Vol 18 (11) ◽  
pp. 713-718 ◽  
Author(s):  
Alex Ramirez-Rincon ◽  
Jaime Hincapie-García ◽  
Claudia Monsalve Arango ◽  
Natalia Aristizabal ◽  
Estefany Castillo ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Insulin Pump ◽  
Insulin Pump Therapy ◽  
Pump Therapy ◽  
Patients With Diabetes ◽  
Diabetes Center

Professional and flash on the monitoring of blood glucose levels of insulin pump therapy and without it

2021 ◽  
Author(s):  
Alexander Dreval
Keyword(s):  
Insulin Therapy ◽  
Insulin Pump ◽  
Self Control ◽  
Insulin Pump Therapy ◽  
Pump Therapy ◽  
Glucose Levels ◽  
Patients With Diabetes ◽  
Control Of Diabetes ◽  
Medical University ◽  
And Control

A new method of self-control of diabetes based on the results of continuous monitoring of glycemia (HMG) is especially relevant in patients who are on pump insulin therapy, especially since the start of pump insulin therapy is carried out with the mandatory installation of the HMG system [1,3]. Due to the novelty of these two methods (treatment of diabetes and control of glycemia) for a wide clinical practice, there is an urgent need to publish concise practical guides on this topic for doctors, both for self-study of these methods, and for advanced training courses. Based on the above and our experience of teaching at the Department of Endocrinology of the Federal Medical University of MONICA, this guide has been prepared, which will be useful, first of all, for endocrinologists, therapists working with patients with diabetes, as well as for senior students of medical institutes who are interested in new directions in practical medicine.

scholarly journals Are Physicians in Saudi Arabia Ready for Patients with an Insulin Pump? An Examination of Physician Knowledge and Attitude

2020 ◽  
Vol 17 (24) ◽  
pp. 9394
Author(s):  
Aqeel Alaqeel ◽  
Abdulaziz Almushaigeh ◽  
Muna Almijmaj ◽  
Raghad Almesned ◽  
Mohammed Alsuhaibani
Keyword(s):  
Saudi Arabia ◽  
Insulin Pump ◽  
Statistical Tests ◽  
Influential Factors ◽  
Insulin Pump Therapy ◽  
Insulin Pumps ◽  
Pump Therapy ◽  
Poor Knowledge ◽  
Patients With Diabetes ◽  
Knowledge And Attitude

Aims: The use of insulin pump therapy in patients with diabetes continues to expand worldwide. Although insulin pumps have been demonstrated to be successful and safe, physicians’ insufficient knowledge may carry a risk to the patients using insulin pumps. This study aimed to assess the attitude and knowledge among physicians in Saudi Arabia regarding insulin pump therapy. Methods: Three hundred and seven physicians, including 82 family physicians, 76 pediatricians, 48 internists, 27 pediatric endocrinologists, 17 adult endocrinologists, and 57 physicians from other specialties, completed a questionnaire that evaluated their knowledge and attitude toward insulin pump therapy. Results: Among the evaluated physicians, 56.7% had poor knowledge level, while 53.4% had positive attitude. Statistical tests revealed that older age, years of practice, consultancy, and endocrinology specialty were the influential factors of knowledge (p < 0.001). Non-endocrinologists demonstrated poor knowledge despite seeing patients with insulin pumps; however, those who had previously cared for such patients scored significantly higher knowledge scores. Conclusions: There was a significant lack of knowledge among physicians regarding insulin pump therapy; however, the perceived attitude of physicians toward this therapy was deemed positive. These findings support the implementation of insulin pump education programs.

scholarly journals Use of Automated Bolus Calculators for Diabetes Management

2013 ◽  
Vol 09 (02) ◽  
pp. 124
Author(s):  
Frank L Schwartz ◽  
Cynthia R Marling ◽  
◽  
Keyword(s):  
Insulin Therapy ◽  
Glucose Control ◽  
Diabetes Management ◽  
Glycated Hemoglobin ◽  
Insulin Pump ◽  
Smart Phone ◽  
Insulin Pump Therapy ◽  
Pump Therapy ◽  
Fear Of Hypoglycemia ◽  
Patients With Diabetes

Less than 30 % of patients with diabetes who are on insulin therapy achieve target glycated hemoglobin (HbA1C) levels. Automated bolus calculators (ABCs) are now almost universally used for patients on insulin pump therapy to calculate pre-meal insulin doses. Use of ABCs in glucose monitors and smart phone applications have the potential to improve glucose control in a larger population of individuals with diabetes on insulin therapy by overcoming the fear of hypoglycemia and assisting those with low numeracy skills.

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