Type 2 diabetes: What is it?Diabetes is a chronic condition that affects the body's ability to convert sugar into energy.
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MiniMed insulin pump therapy helps you achieve better control by providing convenient insulin delivery that’s easy for you to manage. You may be taking additional medications for your diabetes management, beyond just insulin. Your healthcare provider informed you that your A1C is elevated and your diabetes is not well controlled. The MiniMed insulin pump is an external device about the size of smaller than a cell phone that you can easily carry on a belt, place inside a pocket or wear under your clothes.
You can program your insulin pump to continuously deliver tiny and precise amounts of insulin 24 hours a day.
You can deliver additional insulin, called a bolus dose, to cover meals and to correct a high blood-glucose reading.
With MiniMed insulin pump therapy, you can eat when you want and go on outings without worrying about injections. Accurate, seamless integration: CONTOUR® NEXT LINK meter from Bayer, MiniMed’s exclusive blood glucose monitoring partner. Using the MiniMed insulin pump relieves you from many of the hassles of treating type 2 diabetes with a syringe or pen.
The MiniMed insulin pump with CareLink™ software automatically records your blood sugar levels and all the insulin you’ve taken over the past month, so you don’t have to keep track with daily logs. 7 Do not use the Bolus Wizard to calculate a bolus for a period of time after giving a manual injection by syringe or pen.
Many people think that if you live with type 2 diabetes and use insulin pump therapy, it means you’ve failed in managing your diabetes.
Many seasoned healthcare professionals who work with patients who have diabetes would probably tell you they’ve learned the most about diabetes from their patients. I’ll never forget, when I was a new nurse practitioner, I had a patient with type 2 diabetes who was afraid to start insulin due to his misguided fear that taking insulin would cause blindness and the need for dialysis.
Just because it can be difficult to comply with an insulin therapy routine 100% of the time does not make you a failure, it makes you human.
Being on MDI can mean taking more than 90 injections per month, compared to only 10-12 insertion set changes per month with insulin pump therapy. So, if your healthcare provider speaks to you regarding insulin pump therapy, please do not make the mistake of feeling like a failure.
Sara Tilleskjor has worked in various roles within the healthcare industry since she graduated with her Marketing degree from the University of Arizona in 2010.
My wife recently went to her doctor about the use of a pump as one of her friends had just had one placed on her abdomen. Hi Kronae, I’m happy to hear you and your wife are doing well managing your diabetes with diet and exercise. Would you please address issues that arise with the site where the infusion set is placed . As he says 2 type diabetes is caused from overeating and lack of exercise and that is all there is too it. Kronae, since type 2 diabetes is a progressive disease, some patients require insulin to keep their blood glucose levels in control. Vicky, I’m glad you found the doctor that works best for helping you manage your diabetes, and are doing well on insulin pump therapy! Judy, we are always looking for content suggestions of what the community would like to see more of, so thank you for your feedback. I also learned I have Celiac’s Disease and think much of the Diabetics are consuming way to many grains. This year the many of the Celiac web sites published articles saying more people have Celiac’s Disease than Type I diabetes and maybe as many as one in four people have a gluten intolerance issue!
Lori, I’m glad you found the article helpful, and appreciate your sharing your feedback and experience with us. Studies have shown that Cinnamon can lower blood sugar levels in cases of uncontrolled type-2 diabetes. You can also boil two or three cinnamon sticks in a cup of water and let it steep for 20 minutes.
This allows sugar levels to build up in the blood, which can lead to heart disease, blindness and other serious complications.
It is intended for general information purposes only and does not address individual circumstances.
You want to manage your sugar levels well, but with shots, you must deal with frequent challenges to keep your sugar levels under control. The pump contains insulin and delivers it in a continuous and precise flow through a thin, flexible tube called an infusion set.
With MiniMed insulin pump therapy, you only have to insert your infusion set 10 to 12 times per month. It can also wirelessly transfer the information to a computer for you or your doctor to see online. A randomized, prospective trial comparing the efficacy of continuous subcutaneous insulin infusion with multiple daily injections using insulin glargine.
The Bolus Wizard does not account for manual injections, and could prompt you to deliver more insulin than needed.
Unfortunately, it’s a misconception that Medtronic Diabetes Clinical Manager, Beth Spencer Kline, MSN, RN, NP-C, CDE, hears too often from patients.
We walk into new jobs, ready to save the world one patient at a time, thinking we have all of the answers, and it’s easy to prescribe medication and make everything better. Two of the most important things I’ve learned working with people with diabetes in the last 10 years is diabetes is a disease everyone seems to have an opinion about, and has a lot of misplaced judgment and surrounding myths.
We had a long discussion that it is not insulin, but uncontrolled diabetes that can cause these complications. Sometimes they hear from a friend, family member, or even another healthcare professional, “Oh, you’re going on a pump?
My 9-month-old son was recently sick, and had to take different medications six times a day on an empty stomach.
When patients go on the pump, they receive a continuous infusion of insulin, and are able to stop taking long acting insulin shots.
Insulin pump treatment compared with multiple daily injections for treatment of type 2 diabetes (OpT2mise): A randomised open-label controlled trial.

If your insulin delivery is interrupted for any reason, you must be prepared to replace the missed insulin immediately. Sara has always had a deep passion and interest in health, nutrition, and exercise that has led her to pursue a career in the healthcare industry. The MiniMed insulin pump is an external device about the size of a deck of cards that you can place inside your pocket or wear under your clothes. As Beth mentions, type 2 diabetes is a progressive disease, and exercise and eating right is always important, but over time, some patients may need to add insulin or change their insulin regimen to make sure their blood glucose is in a healthy range. Since I don’t know the specifics of your situation, I’m going to have a member of my team reach out to you to try and help. Our recent OpT2mise study showed MiniMed insulin pumps safely achieve better glucose control for people with type 2 diabetes requiring insulin when compared to multiple daily injections. The first doc I ask about the pump he told me that they were more trouble than they were worth. I recommend talking with your healthcare provider to see if insulin pump therapy is right for you. Celiac’s Disease is autoimmune disease that when you eat Wheat, Rye, Barley, or Malt with Gluten protein your immune system attacks your small intestine.
At Medtronic, our mission is focused on improving and extending lives through the application of medical technology until a cure for diabetes is found. I was diagnosed 5 yrs ago about 2 yrs ago I started talking to my doctor about a pump, he continually says no to it.
It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health.
You wish there was an easier way to manage insulin dosing without compromising your health. The end of this tube sits comfortably under the skin and is replaced every two to three days.
Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complication in patients with type 2 diabetes (UKPDS 33). Type 2 diabetes is a progressive disease, and exercise and eating right is always important, but over time, patients may need to change their insulin regimen to make sure their blood glucose is in a healthy range. His sister’s response, “So, it’s kind of like an umbrella… carrying it doesn’t make it rain, you carry it because it is raining.” Exactly…she nailed it…umbrellas don’t cause rain! On the pump, they are able to eat when they want and go on outings without worrying about injections.
She enjoys learning and finding ways to help others better manage their own personal health.
Since everyone is different, what works for one person’s diabetes management, may not work for another. Diabetes is not your fault, and sometimes it just takes educating others on your diabetes to help them better understand. I will also have a member from my team reach out to you to talk more in detail about pump therapy.
Way too many diabetics aren’t counting carbs or testing their BG levels five or more times a day. In the interim, we want to improve the lives of people today, so they can live a longer, healthier life. My question would be why is he adamant about not assisting me in making life easier an less painless?
In addition to many customers with type 1 diabetes, we also have customers who are living with type 2. Diabetes UK estimates that over 600,000 people with type 2 diabetes don't know they have it. Never ignore professional medical advice in seeking treatment because of something you have read on the BootsWebMD Site. Your baseline insulin needs may fluctuate throughout the day and the pump can match that with different basal rates. One’s healthcare professional should be consulted for how long one needs to wait after a manual injection before relying on the active insulin calculation of the Bolus Wizard.
By just pressing a couple of buttons on the pump, they can administer meal time bolus insulin.
For Sara, working for Medtronic, a company dedicated to improving people’s lives, is very exciting and rewarding.
I have done all the education, learning to eat right, got my A1C down, and even more exercise per his request. In fact, there are many clinical and lifestyle benefits of insulin pump therapy for people with type 2 diabetes who require insulin. We need to stop the blame game and guilt when it comes to diabetes, starting with ourselves. By choosing insulin pump therapy, you are making a large stride towards becoming a healthier version of yourself so you can better manage your diabetes with fewer restrictions on your quality of life. There are many clinical and lifestyle benefits of insulin pump therapy for people with type 2 diabetes who require insulin. I have found that non-MD CDE’s are more open minded and accepting of input form patients.
He said if I did all them things he would help me transition to a pump, but has given me more excuses. Diabetes may not have symptomsIn most cases type 2 diabetes doesn't cause any symptoms, or the symptoms are mild, which is why many people have it for years without knowing it, and why it's important to get tested.
Many people with diabetes feel like failures because they cannot get their blood glucose under control.
Similarly, we need to be more understanding when it comes to compliance in insulin regimens. Even though my diabetes is under control and has been for over 10 years the doctors still drag there feet to give insulin instead of pills that do nothing but burn up your t-cells let along letting them have the pump. If there is anything we can help with or if you would like to speak with one of our specialists about options please let me know. Warning sign: ThirstOne of the first symptoms of type 2 diabetes may be an increase in thirst. Many people on multiple daily injections (MDI), for various reasons, find adhering to insulin therapy to be challenging. This is often accompanied by additional problems, including dry mouth, increased appetite, frequent urination – sometimes as often as every hour -- and unusual weight loss or gain. Warning sign: Blurred visionAs blood sugar levels become more abnormal, additional symptoms may include headaches, blurred vision and fatigue.

Warning sign: InfectionsIn most cases, type 2 diabetes is not discovered until it takes a noticeable toll on health.
Diabetes can cause damage to blood vessels and nerve endings in the genitals, leading to a loss of feeling and making orgasm difficult. Risk factors you can controlYour habits and lifestyle can affect your odds of developing type 2 diabetes.
Risk factors for womenHaving gestational diabetes when you're pregnant puts you seven times at greater risk of developing type 2 diabetes later on. Having a history of polycystic ovary syndrome (PCOS) can also cause insulin resistance that can lead to diabetes.
Type 2 diabetes in childrenAlthough older people have a higher risk of getting type 2 diabetes, the condition is affecting more young people. Diabetes UK says around 35,000 children and young people in the UK have diabetes, with around 700 of these having type 2 diabetes. The leading risk factor for children is being overweight, often connected with an unhealthy diet and lack of physical activity. Once children are overweight, their chances of developing type 2 diabetes more than doubles. Often a urine test is carried out first, and if it contains glucose, or a person is at risk of diabetes, one or more blood tests to check levels of glucose in the blood are performed. How does insulin work?In healthy people, after a meal, food is broken down into a sugar called glucose, which is carried by the blood to cells throughout the body. Cells use the hormone insulin, made in the pancreas, to help them process blood glucose into energy. People develop type 2 diabetes because the cells in the muscles, liver and fat cannot use insulin properly, called insulin resistance.
Type 2 Diabetes: Metabolism mishapsIn type 2 diabetes, the cells cannot absorb glucose properly.
If you've developed a condition called insulin resistance, the body makes insulin, but the muscle, liver and fat cells cannot use insulin, or do not respond to the insulin, properly. With long-standing, uncontrolled type 2 diabetes, the pancreas will reduce the amount of insulin it produces.
Managing diabetes: DietFortunately, people with type 2 diabetes can significantly reduce the risk of damage to their bodies, including damage to the heart, kidneys, eyes and feet.
People with type 2 diabetes should carefully monitor carbohydrate consumption, as well as total fat and protein intake and reduce calories. Managing diabetes: ExerciseModerate exercise, such as strength training or walking, improves the body's use of insulin and can lower blood sugar levels in people with type 2 diabetes. Being active also helps reduce body fat, lower blood pressure and protect against heart disease.
Try to do at least 150 minutes of exercise a week, with some exercise on most days of the week. It can also increase glucose levels in your blood as part of your "fight or flight" response.
Instead of letting stress take its toll, try relaxation techniques such as deep breathing, meditation or just talking to a friend or relative. Managing diabetes: MedicationWhen people with type 2 diabetes are unable to control blood sugar sufficiently with diet and exercise, medication can help. There are many types of diabetes medicines available and they are often used in combination. Some work by stimulating the pancreas to make more insulin, while others improve the effectiveness of insulin, or reduce the liver's production of glucose, or block the digestion of starches. Managing diabetes: InsulinMany people with type 2 diabetes eventually develop 'beta-cell failure'. This means the cells in the pancreas no longer produce insulin in response to high blood sugar levels. In this case, insulin therapy – injections or an insulin pump – must become part of the daily routine.
Whereas insulin pulls glucose into the cells, these medications cause the body to release insulin to control blood sugar levels. Glucose testingTesting your blood glucose level will let you know how controlled your blood sugars are and if you need to take action to change your treatment plan. How often and when you test will be based on how controlled your diabetes is, the type of therapy used to control your diabetes and whether you are experiencing symptoms of fluctuating sugars. Your diabetes team will suggest how often you should use a glucose meter to check your blood sugar. Common testing times are first thing in the morning, before and after meals and exercise and before bedtime. Long-term damage: ArteriesOver time, untreated type 2 diabetes can damage many of the body's systems. People with diabetes are likely to develop plaque in their arteries, which reduces blood flow and increases the risk of clots. People with diabetes are up to five times more likely to develop heart disease or have a stroke. Long-term damage: KidneysThe longer you have untreated diabetes, the greater the risk of developing kidney disease or kidney failure.
Long-term damage: EyesHigh blood sugar can damage the tiny blood vessels that bring oxygen and nutrients to the retina, a critical part of the eye. This is known as diabetic retinopathy and it can cause progressive, irreversible vision loss.
People with diabetes are up to 20 times more likely to go blind than those without diabetes. Long-Term Damage: Nerve PainOver time, uncontrolled diabetes and elevated blood sugars create a very real risk of nerve damage. Symptoms can include tingling, numbness, pain and a pins and needles sensation -- often in the fingers, hands, toes or feet. Preventing type 2 diabetesOne of the most astonishing things about type 2 diabetes is that such a life-altering condition is often preventable.

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