Posted at January 7th, 2023 | Categorised in Blood Sugar
How To Insulin Pump Therapy: An Overview – Diabetes is one of the most common diseases in today’s society. If the disease is left untreated or poorly treated, vital organs such as the heart, eyes, and kidneys can be seriously damaged. Patients with chronic diseases can better control their treatment with insulin pumps – powered by micromotors from .
Diabetes mellitus, commonly known as diabetes mellitus, is a chronic metabolic disorder in which the body’s supply of the hormone insulin is disrupted. Immediately after eating, the blood sugar of healthy people rises because the glucose from the food enters the blood. Insulin causes sugar to be absorbed from the blood into the somatic cells. This lowers the blood sugar again. Through the body’s control mechanism, insulin constantly keeps blood sugar within narrow limits. People who do not produce or produce enough insulin or who cannot use it develop diabetes.
How To Insulin Pump Therapy: An Overview
Medicine distinguishes between type 1 and type 2 diabetes. The onset of type 1 diabetes usually occurs during childhood or adolescence. These patients do not produce insulin in their bodies. On the other hand, type 2 diabetes is caused by poor diet, excess weight, and lack of physical activity. Diabetics need regular insulin to regulate their blood sugar. Patients with type 2 diabetes usually only need to take the pill. For severe cases of type 2 as well as for patients with type 1, insulin must be injected. In Germany, injections are usually done with the help of a pen, an injection device similar to a fountain pen. In addition to using insulin, patients should regularly check their blood sugar and learn to estimate the carbohydrate content of a meal to calculate the amount of insulin needed.
Pdf] Overview Of Common Regimens Used For Initiating And Titrating Insulin In Individuals With Type 2 Diabetes Mellitus
In fact, there is a relatively recent technological development that will be of great benefit to diabetics: the insulin pump. The patient wears this directly on the body. It constantly delivers small amounts of insulin into the blood; The amount of additional insulin required during a meal can be controlled by pressing a button. It does not eliminate the need for patient carbohydrate estimation, but it is a great relief for most users in daily life. It has even been used by small children and can be controlled remotely by parents.
Although available from many different manufacturers, the design of the insulin pump is always the same: the syringe contains insulin, which enters the body as needed through a battery-powered pump through a catheter and tube . A small motor pushes the insulin tube plug forward through the threaded rod, causing the insulin to be released. The motor has very high requirements: To reduce the weight of the wearable product, the motor must be compact and, as a rule, the diameter must not be greater than about 10 mm. The machine must be reliable and accurate, because too little or too much insulin is harmful to the patient. Human life may even depend on the reliability of the machine used. Since insulin must be injected into the body every few minutes, the machine must start and stop at regular intervals. In addition, the motor must be very efficient due to battery operation.
To meet all these high demands, insulin pump manufacturers rely on micromotors from Schönaich. Various types of motors are used here: Precious metal brushless motors, brushless motors with 2-pole technology and stepper motors. The 0816…SR series is an example of a micromotor with precious metal switches. The brushless DC servo motors of the 0620…B and 0824…B series have an extremely long service life. Precise dosage control is possible here using an analog Hall sensor. Some manufacturers rely on AM 0820 or AM 1020 series stepper motors.
The insulin pump is mainly used by diabetics as a wearable medical pump, but other areas of application are emerging. Because patients with other chronic diseases such as Parkinson’s disease or immunodeficiency also depend on regular injections. an AM 0820 series stepper motor was used here.
Insulin: Function And Types
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The Dual Wave Bolus Provides Better Glycaemic Control Of The High Protein Meal In Type 1 Diabetic Children Treated With Insulin Pumps: Randomised Cross Over Study
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Medicine and Director, Department of Endocrinology, University of South Carolina School of Medicine, Two Medical Park, Suite 502, Columbia, SC 29203, USA
Received: October 25, 2015 / Modified: December 16, 2015 / Accepted: December 24, 2015 / Published: January 4, 2016
Continuous subcutaneous insulin, or insulin pump, has gained popularity and sophistication as a near-physiological, flexible and style-friendly method of programmable insulin delivery. The introduction of continuous monitoring with glucose sensors provides unprecedented accessibility and prediction of a patient’s blood glucose level. Efforts are underway to integrate the two technologies, from “sensor-enhanced” and “sensor-driven” pumps to a fully automated and automatic sensor and dispensing system. Implantable pumps and an early-stage “biological pancreas” are also under active development. The refined “pancreas replacement” holds promise as one of many avenues of hope for people with diabetes. While endocrinologists and diabetes specialists will continue to maintain expertise in this area, primary care physicians need working knowledge of insulin pumps and sensors to ensure care clinic and optimal decision making for their patients.
Insulin Pumps In Hospital: A Guide For The Generalist Physician
Diabetes is rapidly becoming a health pandemic in most regions of the world . All patients with type 1 diabetes and a significant number of patients with type 2 diabetes require insulin to control blood sugar levels. Over the past 20 years, technological innovations and bioengineering have changed the landscape of diabetes treatment. There are many different types of insulin and injection regimens that can be used. However, despite the availability of insulin vials and pens, patient acceptability and glucose readings obtained using single-dose or multiple-dose regimens were not in the desired levels. Pumped insulin delivery, also known as continuous subcutaneous insulin infusion (CSII), was introduced almost half a century ago. It uses only short-acting or rapid-acting insulins, thus minimizing variability in use and reducing the potential for glucose fluctuations. Pump technology has evolved to the point where it accurately mimics physiological needs. Programmable basal and bolus insulin delivery integrated and enhanced with a glucose biosensor to provide real-time data-driven blood glucose control and early detection of hypoglycemic blood sugar. The prospect of a functional and closed “artificial pancreas” with transplant or biological capabilities is currently in the technological realm of the near future.
The insulin pump delivers insulin by continuous infusion through one site under the skin that is replaced on average every three days. Only fast-acting insulin is used, and insulin analogues have become more popular than conventional insulin for this purpose . A pump delivers programmable basal insulin round-the-clock, which matches the patient’s 24-hour glucose profile. Insulin requirements can be influenced by individual physiology, type and duration of daily activity, work schedule, exercise, disease, concomitant medications, and more . Most patients use multiple baseline levels in a 24-hour period, but some may use a single dose. ratio. Almost all pumps are able to program a base speed that can be changed every hour and also have a temporary base speed for special situations. Patients can also give bolus infusions of insulin over minutes to hours. Insulin injections include meals and correct high blood sugar. For the pump to work properly
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