Why use pump therapy?
- Improved glucose control as recommended by DCCT study.
- Prevention or delay of complications.
- Fewer and less severe insulin reactions.
- Reduction of wide fluctuations in blood glucose.
- Correction of dawn phenomenon.
- Easier glucose control with exercise.
- Flexibility in timing and size of meals.
- Improved control while traveling or with variable work schedules.
- Tight control during growth spurts of adolescence.
- A freer lifestyle.
- Reduction of hospitalizations.
Prerequisites
- Patient has demonstrated ability to self-monitor blood glucose levels (> 4x/day); and
- Patient is motivated to achieve and maintain improved glycemic control
One or more of the following
- Glycosylated hemoglobin (HbA1c) level> 7,0 %. (where normal value < 6,05 %; mean value in nondiabetic person is 5,05 %).
- History of sereve glycemic excursions (commonly associated with brittle diabetes, hypoglycemic unawareness, nocturnal hypoglycemia, extreme insulin sensitivity and/or very low insulin requirements).
- Fluctuations in blood glucose before mealtimes (e.g. prepandial blood glucose level commonly exceeds 140 mg/dL).
- Dawn phenomenon in wich fasting blood glucose levels often exceeds 200 mg/dL.
- Day-to-day variations in work schedule, mealtimes and/or activity level, which profoundly increase the degree of regimentation required for self-management with multiple insulin injections.
- Preconception or pregnancy with demonstrable suboptimal glycemic control.
- Onset of complications, including neuropathy, retinopathy, and nephropathy.
- Post renal transplant.
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