Does the pump know my sugar level and automatically deliver the right amount of insulin?
No! At this time, insulin pumps cannot measure glucose levels and cannot automatically deliver the right amount of insulin.
How much time and effort commitment does pump therapy require?
Starting pump therapy requires commitment. It is not unusual to check blood sugars 8-12 times per day in the beginning of pump therapy to assess basal and bolus insulin needs. This often means lots of interruptions during the workday and during family time. It also means disturbing your sleep in order to take blood sugar readings in the middle of the night. Think about your schedule and commitments. Talk to your family for support. Plan ahead.
What knowledge and skills should I have?
A thorough understanding of diabetes self-management skills:
You should understand insulin action, carbohydrate counting and how to treat high and low blood sugars.
Manual dexterity:
Manual dexterity is necessary to load or fill an insulin cartridge and depress buttons on the pump for technical functions. Severe limitations from hand arthritis or neuropathy may hinder this.
Whats so great about the pump?
The list is an important one, in large part because pumps provide more precise and tailored insulin delivery. As a result, they offer greater lifestyle flexibility. Tailored insulin delivery can help:
The dawn phenomenon by matching your early-morning increase in insulin resistance, so you avoid high blood sugar.
Post-meal glucose rise from slowly digested foods or gastroparesis (Combination and extended meal boluses extend insulin delivery).
Shift workers by adjusting the basal rates to your varying work schedule
Frequent travelers by adjusting the basal and bolus rate to your travel schedule and time zone changes
Prevent low blood sugars during physical activity and exercise by use of temporary basal insulin rate settings
Extremely insulin sensitive people by delivering small doses of insulin
Whats not so great about the pump?
There are downsides to any therapy, and the insulin pump is no exception.
Wearing it can be unsettling
Most of the time, youll be wearing your pump on your body, clipped to your waistband or in your pocket. Fortunately, many accessories are available to make wearing the pump discreet and convenient.
https://dtc.ucsf.edu/types-of-diabe...type-1-insulin-pump-therapy/pump-faqs/#amount
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