The Broken Pen Penalty

Lakshmanadoss, Umashankar; Ayyappan, Sabarish; Jain, Akshay; Konezny, Marilyn; Rajamani, Krishnakumar

doi:10.1089/dia.2009.0132

Cited by 6 publications

(7 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Further individualization is offered for the NPE with different skins which may be particularly relevant for the pediatric population. 24…”

Section: Resultsmentioning

confidence: 99%

“…Further individualization is offered for the NPE with different skins which may be particularly relevant for the pediatric population. 24 Durability/robustness. Reusable insulin pens are designed to withstand everyday use, and lifetime simulation is required as part of the ISO 11608-1 criteria.…”

Section: Main Features and Technical Characterization Of Hupsmentioning

confidence: 99%

“…14,[45][46][47][48] NPE is the only HUP with this feature and records the last dose volume and time (<12 h). 24,40,49 The majority of pediatric users (89%) and parents (94%) rated this feature as very easy or easy to use. 40 The memory function of NPE was also tested in the REMIND study, which included 2-to 18-year-old participants with T1DM.…”

Section: Factors Affecting the User Preference For An Hupmentioning

confidence: 99%

See 2 more Smart Citations

Half-Unit Insulin Pens: Disease Management in Patients With Diabetes Who Are Sensitive to Insulin

Klonoff

Nayberg

Stauder

et al. 2016

J Diabetes Sci Technol

View full text Add to dashboard Cite

Background: Insulin pens represent a significant technological advancement in diabetes management. While the vast majority have been designed with 1U-dosing increments, improved accuracy and precision facilitated by half-unit increments may be particularly significant in specific patients who are sensitive to insulin. These include patients with low insulin requirements and in those requiring more precise dose adjustments, such as the pediatric patient population. This review summarized functional characteristics of insulin half-unit pens (HUPs) and their effect on user experience. Methods: The literature search was restricted to articles published in English between January 1, 2000, and January 1, 2015. A total of 17 publications met the set criteria and were included in the review. Results: Overall, studies outlined characteristics for 4 insulin HUPs. Based on their functionality, the pens were generally similar and all met the ISO 11608-1 criteria for accuracy. However, some had specific advantageous features in terms of size, weight, design, dialing torque, and injection force. Although limited, the currently available user preference studies in children and adolescents with diabetes and their carers suggest that the selection of an HUP is likely to be influenced by a combination of factors such as these, in addition to the prescribed insulin and dosing regimen. Conclusions: Insulin HUPs are likely to be a key diabetes management tool for patients who are sensitive to insulin; specific pen features may further advance diabetes management in these populations.

show abstract

“…Further individualization is offered for the NPE with different skins which may be particularly relevant for the pediatric population. 24…”

Section: Resultsmentioning

confidence: 99%

Section: Main Features and Technical Characterization Of Hupsmentioning

confidence: 99%

Section: Factors Affecting the User Preference For An Hupmentioning

confidence: 99%

See 1 more Smart Citation

Half-Unit Insulin Pens: Disease Management in Patients With Diabetes Who Are Sensitive to Insulin

Klonoff

Nayberg

Stauder

et al. 2016

J Diabetes Sci Technol

View full text Add to dashboard Cite

show abstract

“…A diabetes educator can prove invaluable in this regard (see the American Association of Diabetes Educators to find a local certified diabetes educator: http://www.diabeteseducator.org/). 67 Safety education is essential. 66 Table 3 highlights topics to address with patients.…”

Section: Strategies To Facilitate Usage Of Insulin Pensmentioning

confidence: 99%

Considerations for Diabetes

Cuddihy

Borgman

2013

American Journal of Therapeutics

View full text Add to dashboard Cite

Insulin is essential for the treatment of type 1 diabetes, and most patients with type 2 diabetes will eventually require insulin for glycemic control. Several barriers contribute to delays in initiating insulin therapy in type 2 diabetes. Furthermore, insulin-treated patients often miss doses or otherwise fail to self-administer their insulin as prescribed, placing themselves at the risk of developing complications. Insulin pens can help overcome barriers to initiating insulin therapy and can facilitate the self-management of diabetes. Compared with the vial and syringe, insulin pens are more accurate, associated with greater adherence, and preferred by patients because of their convenience and ease of use. Large database analyses suggest that insulin pens may reduce the rate of occurrence of hypoglycemic events in patients with type 2 diabetes. Despite higher costs of insulin pens vs vials and syringes, studies suggest little or no increase in total health care costs and decreases in diabetes-related costs associated with reduced health care utilization with pens. Interestingly, the use of insulin pens within the United States lags far behind the use of pens in Europe and Japan. Insulin pens may be disposable or refillable, and some pens have special features [eg, audible clicks, large-dose selector and dial, memory function, half-unit dosing, high dosing (ie, 80 U)] that offer the opportunity to individualize treatment by meeting patients' needs. This review compares available insulin pens, describes strategies to facilitate their usage, and discusses how insulin pens can improve self-management of diabetes while reducing cost.

show abstract

“…Additionally, pen devices and pumps are still subject to user error, as well as the possibility of mechanical malfunction, which can lead to worsened glycemic control. [9][10][11] Finally, more randomized controlled trials in a wider variety of patient populations (such as those with low health literacy, visual impairment, or dexterity problems) should be conducted to compare dosing accuracy, patient satisfaction, adherence, and efficacy of insulin pen devices versus vial/syringe.…”

Section: Underutilization Of Insulin Pens In the Unitedmentioning

confidence: 99%

Analysis of Symposium Articles on Insulin Pen Devices and Alternative Insulin Delivery Methods

Dang

Lee²

2010

J Diabetes Sci Technol

View full text Add to dashboard Cite

Insulin therapy is a fundamental component of diabetes management, yet there is often resistance to insulin initiation by both prescribers and patients. A barrier to insulin use is the perceived shortcomings with the traditional vial-and-syringe administration method (inconvenience, difficulty of use, association with disease and addiction, etc.). This symposium in the journal discusses the advantages of alternative insulin delivery methods, primarily insulin pen devices. Although these administration methods, especially insulin pens, have some clear advantages over the vial/syringe, there are also limitations to their use and careful patient selection and education are still needed.

show abstract

The Broken Pen Penalty

Cited by 6 publications

References 7 publications

Half-Unit Insulin Pens: Disease Management in Patients With Diabetes Who Are Sensitive to Insulin

Half-Unit Insulin Pens: Disease Management in Patients With Diabetes Who Are Sensitive to Insulin

Considerations for Diabetes

Analysis of Symposium Articles on Insulin Pen Devices and Alternative Insulin Delivery Methods

Contact Info

Product

Resources

About