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KMID : 0927720100110010040
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Korean Clinical Diabetes
2010 Volume.11 No. 1 p.40 ~ p.45
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Insulin Pump Therapy in Diabetes Mellitus
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Han Kyung-Ah
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Abstract
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The insulin pump acts somewhat like the pancreas by delivering insulin continuously. The insulin pump has several advantages over other forms of insulin delivery: it gives precise units of more predictable rapid insulin as little as one tenth of a unit, and can be closely matched to the patient’s needs. The most common response to insulin pump was improved flexibility. Other reported advantages included ease of scheduling and timing of meals, greater freedom, decreased sense of physical restrictions, decreased physical restrictions. although metabolic control matters are important. Today, insulin pumps are technically more advanced, smaller, and more versatile, to closed-loop insulin delivery with development of better performing continuous glucose sensors. The basal rate may be programmed to vary at times of diurnal variation in insulin sensitivity, and adjusted during the day only when meals are delayed or skipped and blood glucose levels rise or fall > 30 mg/dL (> 1.7 mmol/L) during that time. The pump may be activated before meals to provide increments of insulin
as meal “boluses” whenever that meal or snack is consumed. Prandial insulin usually comprises 50~70% of the total daily dose, and basal insulin does 30-50%. Compared to western research results, the basal insulin requirement was lower, while the amount of insulin needed for meals was higher because Korean consumed relatively more carbohydrate. To choose candidates for successful insulin pump therapy, medical, physical, intellectual and motivational ability will be considered.
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KEYWORD
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Basal, Bolus, Insulin pump
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Listed journal information
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