2009
DOI: 10.1177/0145721709333493
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Insulin Pump Therapy Guidelines for Successful Outcomes

Abstract: As the number of pump users and potential users expands, diabetes educators face new challenges and opportunities to improve patients' lives with diabetes. This activity describes the rationale for insulin pump therapy, its potential advantages and disadvantages, and strategies regarding patient selection and education.

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Cited by 62 publications
(58 citation statements)
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“…1 The comparative frequencies of ketoacidosis 2,3 and hypoglycemia 4 on CSII versus insulin injection therapy have been well researched in recent years. However, although the possible nonmetabolic, technical problems associated with modern CSII are given due note in recent reviews of this therapy 1,2,[5][6][7] and indeed widely recognized from clinical practice, there have been few if any surveys that formally record the types and frequencies of these risks using a standardized questionnaire, since the 1980s. 8 Complications of CSII may have changed in the last 25 years because of improvements and increasing sophistication in technology and clinical care; this should ideally reduce risks, but it may possibly exacerbate problems or introduce new ones.…”
Section: Introductionmentioning
confidence: 99%
“…1 The comparative frequencies of ketoacidosis 2,3 and hypoglycemia 4 on CSII versus insulin injection therapy have been well researched in recent years. However, although the possible nonmetabolic, technical problems associated with modern CSII are given due note in recent reviews of this therapy 1,2,[5][6][7] and indeed widely recognized from clinical practice, there have been few if any surveys that formally record the types and frequencies of these risks using a standardized questionnaire, since the 1980s. 8 Complications of CSII may have changed in the last 25 years because of improvements and increasing sophistication in technology and clinical care; this should ideally reduce risks, but it may possibly exacerbate problems or introduce new ones.…”
Section: Introductionmentioning
confidence: 99%
“…Some indications are a matter of personal choice (shift work, sports, or pregnancy planning). Hypoglycemic events are noted in all guidelines as a key indication for CSII therapy 6,14,19 . When taking this into consideration, it is no wonder that a diabetologist's personal judgment in most indications for CSII includes hypoglycemia.…”
Section: Discussionmentioning
confidence: 99%
“…201 However, comprehensive patient education, such as carbohydrate counting, and frequent self-monitoring of blood glucose or continuous glucose monitoring are necessary components of successful IPT. 190 The IPT case is the only one of the three technologies studied that had been the subject of a national technology appraisal process; however, this did not guarantee that the evidence base for the technology was universally accepted, as the findings illustrate. NICE issued technology appraisal guidance on IPT in 2003, which was further updated in 2008, and recommended it as a clinically effective and cost-effective treatment option for people with type 1 diabetes, whether adult or child, for whom MDIs have failed, and for children aged <12 years if MDIs are not deemed practical or appropriate.…”
Section: Introductionmentioning
confidence: 98%
“…188,189 In the past decade, technological advances have resulted in a new generation of smaller, more portable, more efficient and user-friendly pumps with additional safety features. [189][190][191] Several studies in recent years have demonstrated the benefits of IPT in type 1 diabetes compared with MDIs. 190,[192][193][194][195][196][197][198][199] In particular, it is suggested that the continuous infusion of insulin provides not only improvement in metabolic control, but also increased physiological and psychological well-being.…”
Section: Introductionmentioning
confidence: 99%