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At Medtronic, a significant investment in clinical research is a key part of how we help people with diabetes enjoy greater freedom and better health. These results could improve access to insulin pumps for the 20 million people around the world with type 2 diabetes who require insulin.
Initial results of OpT2mise showed that after six months, people with type 2 who used MiniMed® insulin pumps achieved better glucose control than those using multiple daily injections (MDI). One of the biggest myths about insulin pump therapy is that it’s only for people with type 1 diabetes. Now that I am on Medicare, I have lost coverage for pump supplies because my fasting glucose and C peptide didn’t meet their criteria.
I am also on Medicare and Tricare for Life and I have lost coverage for pump supplies because of fasting glucose and C peptide did not meet criteria.
I believe the Medtronic Insulin Pump that I have used for 4 years now has literally saved my life or at least added years to my life as I fight this disease called diabetes.
I read with interest this article entitled New Results on Insulin Pump and Type 2 diabetes. Henry, thank you for sharing your story with the community and for putting your trust in us all of these years.
Type 1 diabetes (insulin dependent) is an autoimmune disorder leading to the destruction of the insulin producing beta cells in the pancreas.
Type 2 diabetes (non-insulin dependent) is characterised by disorders of insulin action and secretion (Metzger and Cho 1995). Consultant Endocrinologist, Consultant Obstetrician, Diabetes Specialist Nurse, Diabetes Specialist Midwife and Diabetes specialist dietician should be part of the multidisciplinary team planning the care for women with diabetes in pregnancy. If a women with known diabetes presents to her GP or CMW in early pregnancy she should be referred urgently to the combined antenatal clinic and seen within one week. The joint clinic appointments will be given at a frequency that will be determined by their diabetic control and their individual needs. Take blood, in addition to routine testing performed antenatally, for HbA1c, U+E’s, thyroid function – TSH and FT4.
Then seen throughout pregnancy between 2 and 4 weekly intervals depending on individual needs.
Routine anomaly scan and offered detailed cardiac scan (ultrasound examination of the four chamber view of the fetal heart and outflow tract) usually done around 22 weeks – due to improved views.
Ultra sound scan and review the findings along with glycaemic control and previous obstetric history. The decision will be made on an individual basis, depending on glycaemic control, estimated size of fetus and the review of any complications of either the diabetes or the pregnancy. Consider antenatal hand expression of colostrum to be brought in on admission and stored frozen until baby requires it. Clear written plan in hand held notes and the BG monitoring diary of insulin requirements in postnatal period. Women with diabetes who are at risk of pre term labour should receive steroids with a clear written plan from the endocrinologist of how to regulate diabetic control throughout treatment.
Continue to eat and drink as normal with normal insulin regime until in established labour. If the patient is on long acting insulin once or twice per day (eg lantus [glargine], levemir [detemir], humulin I or Insulatard) this should be continued throughout induction and labour. If the patient is on pump therapy this should be continued through labour if possible (see flow chart) - If the patient does not wish to self manage or is unable to do so on the pump it will be necessary to stop pump therapy and commence an IV insulin infusion as per protocol. 50 units of Human Actrapid insulin made up to 50mls with Sodium Chloride 0.9% - given by infusion pump. If the patient is on pump therapy this should be continued through labour if possible (see flow chart). If the patient is on long acting insulin once or twice per day (eg lantus [glargine], levemir [detemir], humulin I or Insulatard) this should be continued throughout labour. If the patient is on long acting insulin once or twice per day (eg lantus [glargine], levemir [detemir], humulin I or Insulatard) this should be continued throughout. If the patient is on pump therapy this should be continued through the procedure if possible (see flow chart). No food or insulin to be given and capillary blood glucose to be checked on admission and hourly until eating and drinking normally following delivery. Once the placenta has been delivered there is a rapid decline in insulin requirements – be vigilant with the blood sugar measurement. For those with type 2 diabetes metformin can be used if breast feeding (with or without insulin depending on need). If the patient is usually on pump therapy and has been on an IV insulin infusion, pump therapy should be recommenced as soon as possible after delivery (see obstetric notes for suggested infusion rates).

After giving the first dose of meal-time insulin it is important to continue the sliding scale (if the patient is on this) for 30 minutes to give the pre-meal insulin injection chance to work otherwise blood sugars may rise excessively. Once back on their usual regime the patient should monitor at least 4 times per day (pre-meal and pre-bed). If the patient has not previously been on a sliding scale after delivery blood sugars should continue to be monitored hourly. Ideally all women of childbearing age with diabetes will be advised by their GP’s about the need for pre-conceptual care when planning their family. Women will be seen regularly at the Pregnancy and Diabetes Clinic on a Monday morning and will be given the opportunity to discuss any aspects of their care, or concerns they might have.
Implementation of this guidance will be monitored through audit of the following specific standards as a minimum.
An antenatal ultrasound examination of the four chamber view of the fetal heart and outflow tracts was offered at 20 weeks. The audit will be a retrospective review of all health records of women who have a diagnosis of pre-existing diabetes within the 12 months prior to the audit.
Confidential Enquiry into Maternal and child Health, 2007 Diabetes in pregnancy: Are we giving the best care? New York NYC Crime Bronx Brooklyn Manhattan Queens Education Weather Obituaries Sports Yankees Mets Giants Jets Knicks Nets Rangers Islanders Football Basketball Baseball Hockey Soccer College High School The Score More Sports News Crime U.S. Follow Us Facebook Twitter Instagram Pinterest YouTube Subscribe Follow UsNewsletter App Subscriptions Subscribe Get Our Newsletter A daily blend of the most need-to-know Daily News stories, delivered right to your inbox. Select Sport Football Basketball Baseball Hockey Soccer College High School More Sports Health Homes Food Share This facebook Tweet email Dad invents bionic pancreas to help diabetic sonA  Dad invents bionic pancreas to help diabetic son BY Meredith Engel NEW YORK DAILY NEWS Monday, June 16, 2014, 2:41 PM facebook Tweet email The bionic pancreas consists of a smartphone, top, hardwired to a continuous glucose monitor and two pumps, bottom, that pumps deliver doses of insulin or glucagon every five minutes. Ed Damiano knew there had to be a better way to take care of his son, David, who was diagnosed with type 1 diabetes at just 11 months old. Damiano had to constantly monitor his son's blood sugar levels and calculate how much insulin he needed a€” duties he shared with his pediatrician wife and which often entailed getting up in the middle of the night to administer shots or check on a pump attached to his little body. About 5 percent of the 26 million Americans with diabetes have typ 1 diabetes and cannot make insulin to turn food into energy. These people must check their blood and inject insulin several times a day or get it through a pocket-sized pump with a tube that goes under the skin.
It works by measuring blood sugar every 5 minutes via a small monitor that attaches to the body. Patients still have to prick their fingers to test blood sugar twice a day and make sure the monitor is accurate, but the system takes care of giving insulin or glucagon as needed.
Damiano set up a study with 52 people testing his device, presenting the findings at Sunday's American Diabetes Association annual meeting. David is now a high school freshman and his father hopes to send him to college with a final version of his invention.
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. I've never been a fan of strangers trying to tell me what they think is best for my health without knowing anything about me (although that's been happening most of my life, since being diagnosed with type 1 as a kindergartner!). As the fastest growing consumer health information site a€” with 65 million monthly visitors a€” Healthlinea€™s mission is to be your most trusted ally in your pursuit of health and well-being. It’s what allows us to evaluate the effectiveness of new technologies or existing technologies for new groups of people. This is the largest global study to evaluate and compare insulin pump therapy versus multiple daily insulin injections for people with type 2 diabetes. Many health systems and governments around the world have said there is not enough scientific evidence to support use of insulin pump therapy in type 2 diabetes (even if they cover insulin pumps for people with type 1 diabetes).
Insulin pumps are actually suitable for anyone with diabetes of any type as long as they require intensive insulin treatment and have a prescription from their healthcare team. At the end of the continuation phase, participants who switched from MDI to an insulin pump showed a 19.0% reduction in total daily insulin dose, making it equivalent in both groups of people.
If your insulin delivery is interrupted for any reason, you must be prepared to replace the missed insulin immediately.
Please know that Medtronic is actively working with the Centers for Medicare & Medicaid Services (CMS) to ultimately establish coverage consistent with other healthcare insurance companies in the US.
I will have a member of our Supply Management Team reach out to you to discuss your options getting the supplies you need. I was diagnosed T2 in Jan 1972 and went on insulin in 1988 but it was not very effective either.

While successful operation of the insulin pumps and continuous glucose monitoring systems require adequate vision and hearing to recognize alerts and alarms, I’m glad to hear you’re doing well. All individual management plans should be documented in the maternity records throughout the pregnancy and for up to 6 weeks postnatally. Statins, ACE inhibitors, Angiotensin-II receptor antagonists should be discontinued and a safe alternative prescribed if required. If the women chooses to await spontaneous labour then advise to monitor fetal movements on a daily basis and to report any decrease or change. If declined offer tests of fetal well being and encourage mother to monitor fetal movements on daily basis. The main risk is preterm labour and IUD so a detailed plan of care to include an assessment of fetal wellbeing. If advice is not immediately available sliding scale insulin should be commenced as per protocol. Staff should check that the insulin is available when patient is admitted and this should be written up on the 2 weeks diabetes chart. If the patient is on a pump this should be removed once the sliding scale is set up and running. If the patient does not wish to self manage or is unable to do so on the pump or is having a general anaesthetic it will be necessary to stop pump therapy and commence an IV insulin infusion as per protocol.
No short acting insulin (novorapid, humalog, humulin S, actrapid) or oral hypoglycaemic agents should be given on the morning of the caesarean section.
The patient will know these and the suggested regime will also be written in the patients white notes.
The iv insulin infusion should be continued until a bolus of insulin has been given with the pump at the first meal after delivery and should then be stopped half an hour later. Diabetes Care Advisory Committee: Recommendations for the management of pregnancy women with diabetes (including Gestational diabetes).
Steven Russell, a diabetes specialist at Massachusetts General, said of the bionic pancreas he helped design. The data are sent to an iPhone app, which analyzes the numbers and calculates how much insulin is needed. Both of which will support, guide, and inspire you toward the best possible health outcomes for you and your family. And, in addition to helping health care providers decide what therapies to prescribe to best help their patients, it plays a big role in reimbursement. With the robust scientific data from this important study, Medtronic will partner with healthcare systems to demonstrate how effective this therapy can be to improve clinical outcomes. Data from studies like OpT2mise is important because this could help with insurance coverage, access to supplies, and serve a foundation for a discussion on insulin pump therapy to share with your healthcare team. People on MDI for the initial six months of the study were able to achieve an additional A1c reduction of 0.8% after switching to insulin pump therapy. The MDI group, which switched to insulin pump therapy after six months, experienced a similar reduction in A1c to the results seen in the original insulin pump group. I also appreciate your suggestion and will be sure to pass it along to Medtronic’s leadership and product development teams.
If steroids are appropriate then Endocrinologist to give details of plan to manage blood glucose throughout treatment. This should be discussed and reviewed by the diabetes team at the earliest opportunity Continue 2 hourly monitoring until 12 hours after the second dose. Where possible we encourage patients to continue to self-manage and to maintain pump therapy during labour and delivery or during their Caesarian Section.
In patients not breastfeeding all options for management of type 2 diabetes can be considered. When a patient's blood sugar is too low, the app calls for a dose of glucagon, which raises sugars.
Steven Russell of Harvard Medical School, found that the bionic pancreas could better control blood sugar levels in teens and adults. Where this does not happen and the pump is removed please ensure the pump is stored safely as they are very expensive.
Other than adjusting the timing of my basals somewhat, which was rather easy, it has made it easier to adjust to my retired life. I have been with Medtronic 16+ years now and should get my new pump tomorrow to go forward with.

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