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Devices called insulin pumps may work better at controlling blood sugar in children with type 1 diabetes than insulin injections, a new study finds. Davis’s team compared outcomes for 345 children, aged 2 to 19, who were using insulin pumps to control their type 1 diabetes to a similar number of children who were receiving insulin injections. During the follow-up period, episodes of dangerously low blood sugar levels (severe hypoglycemia) in the insulin-pump group fell by about half, the researchers said. The researchers also looked at rates of hospital admission for diabetic ketoacidosis, a shortage of insulin that causes the body to switch to burning fats and to produce acidic ketone molecules that cause complications and symptoms. Of the 345 patients with insulin pumps, 38 stopped using them at some point during the study: six in the first year, seven in the second year, 10 in the third year and the remainder after three years. The study authors said some children stop because they tire of the extra attention needed to manage the pump, or are concerned about the physical sight of the pump.
Virginia Peragallo-Dittko is executive director of the Diabetes and Obesity Institute at Winthrop-University Hospital in Mineola, N.Y. What has been missing, however, is a study that tracked children’s outcomes with insulin pump use over the long haul, she said.
Individuals with advanced stage of type 2 diabetes need to control their blood sugar level through insulin therapy as poor management of blood glucose levels can lead to serious and life-threatening complications including kidney failure, vision damage and heart disease. Unfortunately, many diabetic patients have difficulty controlling their blood sugar level with insulin injections, which must be administered several times during the day.
Individuals with hard to treat diabetes may instead opt for insulin pumps as results of a new study found them to be better in controlling blood sugar levels in type 2 diabetes patients compared with the standard therapy.
For a study published in the Lancet on July 03, which involved 331 type 2 diabetes patients between 30 and 75 years old, Yves Reznik, from the University of Caen Cote de Nacre Regional Hospital Center in Caen, France, and colleagues randomly assigned 168 of the participants to use pumps for their insulin treatment and the rest of the participants continued getting insulin through multiple daily injections.
After six months, the researchers observed that the patients who used insulin pumps had significant reduction in their average blood glucose levels compared with those who used injection. By the end of the study period, the patients who used insulin pumps also required 20 percent lower dose of insulin daily compared with the patients who used injection. With the announcement of Animas Vibe’s FDA approval in the United States and last week’s first shipments of Asante’s new MySnap reaching customers who designed the company’s first customizable pumps (myself included), it’s the perfect time for an insulin pump comparison. I’ve been using an insulin pump since the year 2000 and in those 14 years, have used 10 different pump models from five different pump companies. Each of the six companies listed below is working hard to provide people with diabetes with innovative devices for pumping insulin.
Pros: Integrated Enlite CGM with Low Glucose Suspend puts it on the pathway toward Artificial Pancreas. Takeaway: If you have loved the Medtronic pump for the last two decades, you’ll love and recognize this pump. Cons: Human factor issues (tiny screen, reliance on meter to use advanced features, difficult cartridge changes). Takeaway: As the only tubeless option on the market, it’s just right for users wary of tubing.
I have also experienced a massive decrease in pod failures during the past 6 months compared to my first few years using the pod.
Great review as a PA getting a patient view and comparison is extremely helpful since we have to know about all the equipment our patients. Would be EXCELLENT to also read potential problems with each Pump, Customer Service for each pump, etc. My husband is diagnosed T2 Diabetes and he is in marketing field, so he has been prescribed to take Healthgenie Insulin Travel Wallet. I have been with Medtronic since I started my pump therapy almost 16 years ago and stick with them because they are the front runners in this market.
I am small and slim and not used to carrying around something attached to my body at all times so I hate (yes, a strong word but it is how I feel) the lump in my clothing at all times. The Diabetes Media Foundation is a 501(c)(3) tax-exempt nonprofit media organization devoted to informing, educating, and generating community around living a healthy life with diabetes.
Despite current medical evidence, there are many who believe that type 1 diabetes can be managed effectively without insulin, using alternative therapies.
In 2008, The Incurables, a U.S reality television series about people who overcome series medical conditions, aired an episode about a boy called Zachary Swerdlow who suffers from type 1 diabetes.
Zachary’s parents, who prefer homeopathic solutions to Western medication, began investigating alternative treatments shortly after his diagnosis. They consulted a natural pharmacist, Robert Kress, who believed that Zachary’s diabetes was caused by infections and parasites in the body, placing his internal organs under strain. Zachary was also taken to Alan Maynard, a chiropractor who informed the family that the vertebrae in Zachary’s spine responsible for the pancreas, were significantly out of alignment.
While Zachary’s parents believed that when Zachary swam in a salt water pool, it would have the most significant effect on lowering his blood sugar. Using the above methods, amongst others, Zachary’s parents claim that he no longer requires insulin.


Whilst it cannot be denied that these different therapies may have helped to improve Zachary’s blood glucose control, they cannot be suggested as a cure for type 1 diabetes. It is important to note the difference between simply surviving and actively ensuring that blood glucose levels are kept in the target range as far as possible to avoid life-threatening long-term complications. It is well-documented that a healthy diet and exercise can assist in regulating blood glucose. It is more than likely that Zachary was experiencing such a honeymoon phase and therefore was able to manage his blood glucose without insulin. While alternative remedies should not replace insulin therapy, they may assist as part of an integrative approach to managing type 1 diabetes.
Health24 spoke to Dr Shaun Harper, registered chiropractor at West End Chiropractic in Pinelands, Cape Town about his opinion on the use of chiropractic treatment in the management of the condition.
A case study published in the November 2011 edition of the Journal of Paediatric, Maternal & Family Health, documents a case of a 4 year old child, who had very good results stabilising her blood sugar through chiropractic treatment. In the case mentioned above, it was found that there were vertebral subluxations (restrictions) at the spinal level that supplied the pancreas.
It is important to remember that type 1 diabetes is a serious condition and insulin therapy should be continued according to your specific needs in consultation with your doctor. Dexcom CGM sensor technology is approved for up to seven days of continuous wear with one of the smallest introducer needles on the market.
First and only CGM-enabled insulin pump with a high-contrast color screen, featuring color-coded graphs and arrows to indicate direction and rate of glucose change, revealing trends at a glance. Scotland is lagging behind the rest of Europe in its provision of insulin pumps to treat diabetes, a Conservative MSP has said Scotland is lagging behind the rest of Europe in its provision of insulin pumps to treat diabetes, a Conservative MSP has said.
Margaret Mitchell said health boards needed to provide more insulin pump therapy, which gives Type 1 diabetes patients more flexibility and can reduce the risks and complications associated with the disease. Figures from the Scottish Diabetes Survey 2010 show only 2.5% of Type 1 patients in Scotland use insulin pumps, compared with 15% across Europe. Scottish Government statistics show health boards are making progress in making the treatment available to more people. This content is created for Diabetes Mine, a consumer health blog focused on the diabetes community. The content is not medically reviewed and doesn't adhere to Healthline's editorial guidelines. Please note that we are unable to respond back directly to your questions or provide medical advice.
Growing up, I never got presents or money or rewards of any kind for doing multiple blood tests a day or getting my A1c down. Please join us today in welcoming back our interim correspondent Dan Fleshler, a longtime type 1, writer and media strategist in New York City -- for another edition of what we're calling D'Mine on D-News. Hi Simon,The reason why OmniPod is the only patch pump "out there" being reimbursed is because, well, it's the only patch pump "out there" (available for sale). In contrast, episodes of severe hypoglycemia in the insulin-injection group rose, from about seven events per 100 patients per year to more than 10 events by the end of the study. Insulin injection has been the standard of care for many years but it just does not work for up to a third of diabetic patients. While insulin injections require manual shots that need to be administered several times per day, insulin pumps do not require self-injection and works by delivering constant amounts of insulin using a catheter that is placed under the patient's skin. Of those who used insulin pumps, 55 percent reached the blood sugar control target range while only 28 percent of those who used injections did. Patients belonging to the pump group also experienced high blood sugar almost three hours less per day compared with those who belonged to the injection group. Which you prefer depends on which features matter to you; one man’s pro is another man’s con. Insulin that has sat adjacent to your natural body temp of 98 degrees is very likely to have denatured, meaning that the insulin has broken down and no longer works. My blood sugars are through the roof all the time with this piece if junk and it should not be on the market.
It is my first pump after years of injecting and as I live in the UK it is funded entirely by our National Health Service (good) which means I have no choice of pump (bad). Looking at the dimensions, the smallest option you mention is the OmniPod but it is not very much smaller than the Animas considering the controller is separate. Despite Kress’s beliefs, it is important to note that the exact cause of type 1 diabetes is not yet fully understood. Kress believed that this would reduce the strain on Zachary’s “overworked” pancreas, enabling it to function better.
The condition can be managed through the control of blood glucose with a combination of insulin therapy, diet and exercise. Wayne May, an endocrinologist who also runs the DiabetesLife Clinic at The Kingsbury and Claremont Life hospitals in Cape Town.


May explains that after a diagnosis of type 1 diabetes is made, a patient can experience a period where their pancreas is still producing some insulin. The better levels experienced after swimming can be attributed to the fact that Zachary was exercising. Chiropractic adjustments have been shown to reduce subluxations and boost the coordinated responses of the nervous system. So by adjusting the restricted levels and thereby freeing the joint, the nerve supply was no longer hampered, and the body was allowed to function normally and coordinate the endocrine system of the pancreas.
Zachary’s exact blood glucose levels were not discussed in the episode, making it difficult to assess whether or not these methods really worked or whether he was actually poorly controlled and being placed at risk of long-term complications.
In order to post comments, please make sure JavaScript and Cookies are enabled, and reload the page. This information complements fingerstick testing results and can be used to help guide immediate and long-term insulin delivery therapy adjustments.2 CGM technology measures glucose levels every five minutes and provides real-time glucose values, as well as trend information. Our Diabetes Action Plan, published last year, set out a three-year vision for improving services offered to those living with diabetes in Scotland. However, we recognise there is much more work to do and will continue to encourage NHS boards to increase the availability of pumps, ensure more equitable provision and build on the improvements already made in diabetes care through the implementation of our Diabetes Action Plan.
With that in mind, Kelly Close and her team at the highly respected diabetes consultancy Close Concerns have put together a thorough round-up of some of the latest in diabetes technology, specifically regarding patch pumps, from across the pond.
I agree, t2s need major help especially around taking insulin, it's just I'm still waiting for that credit card size insulin patch that delivers micro units LOL! When I approach a pump, I want its rep to be able to explain features beyond the company’s marketing talking points. We are incredibly fortunate to have choices when shopping for a device we’ll depend on for the next four to five years.
In my eyes, it is incredibly irresponsible to even suggest that a user violate this protocol.
It needs to receive blood sugar readings from the sensor, give insulin, and make my life a little easier and it does just that.
He was also advised to apply regular mudpacks to the areas of the abdomen in which his kidneys are located. This improvement in type I diabetes management is most likely a result of better cellular communication.
The idea of 2 units of rapid acting insulin being the lowest you can dose at meals makes it unusable for so many type 1s.
This clearly represents a key milestone for Bridgewater, NJ-based Valeritas, as far as commercialization of the V-Go outside of the United States is considered. I want to know how fast it scrolls, how large a pack mule I’ll need for the supplies, and where they’ve buried the IOB.
There are things that should be upgraded (the screen!) and I hope the enlite CGM is better than the previous system which I found to be worthless. We are excited to learn more about the company's plans for European distribution deals, about regulation across different parts of Europe, and launch timing. If I had an issue, needed a replacement shipped over night, placing an order, asking for a discount on my bill, getting warranty accessories replaced for free, maybe I just talk really nice to them and they appreciate that.
Relationship of fasting and hourly blood glucose levels to HbA1c values: safety, accuracy, and improvements in glucose profiles obtained by using a 7-day continuous glucose sensor.
That's GOOD - 44% of patients are not in good glycemic control and only 27% are even on insulin at all. That means we need more innovation, which should help avoid big expenses downstream that can emerge when patients do not have optimal insulin management (for example, if they take only basal insulin when their beta cells are burned out, which happens over time).
Valeritas plans to market the V-Go primarily to patients with type 2 diabetes, and we believe the device will compete more with pens than with other pumps.
So I"m glad to see this innovation and some regulatory approvals, and will be psyched for everyone to see the launches.
And the end result is that the pump wastes insulin by either leaking it from the cartridge or because loads have to be repeated. We note that these products differ in functionality and target audience a€” there's still a lot to learn! - Calibra has received FDA approval for its "patch-pen," which allows people with type 1 and type 2 diabetes to deliver bolus insulin by pressing two buttons together, for three-day use with both Humalog (January 2010) and Novolog (July 2010). Medical plans that its Spring Hybrid semi-disposable patch pump will have regulatory clearance and a launch framework in place in Europe by "the beginning of 2012" and in Mexico, Brazil, Russia, India, and China by 2012, according to the company. As a reminder, FDA filing of the second-generation OmniPod occurred in early May, and management looks for US clearance by the end of 2011 (see the May 10, 2011 Closer Look). We expect an update during the company's 2Q12 conference call, scheduled for tomorrow, Aug. It has received high praise from some of the leaders in the diabetes community, including JDRF's President Jeffrey Brewer and Medtronic Diabetes' Chief Medical Officer Dr.



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