What Does an Insulin Pump Do?
Insulin (preferably fast acting analogs) is filled with a syringe (Reservoir), and the syringe is stored in a pump. The syringe is attached to a tube called the Infusion set. The infusion set has a cannula at the end, which is inserted into the subcutaneous tissue with the help of a needle. Then the needle is removed. Now the pump can push the exact amount of insulin the user wants. The pump can send a small amount of insulin continuously at different rates. It can also provide a greater amount of insulin to eat.
Thus, the pump delivers insulin in two ways – Basal and Bolus. Basal insulin refers to the constant pumping of small amounts of insulin with the option of different basal rates for different times of the day. Bolus Insulin is Insulin to cover carbohydrates in food while pump users determine the amount according to the size and type of food.
Who Should Use the Pump?
Replacement of insulin with a pump makes life very easy and flexible. Only a few people have a predictable lifestyle. On certain days a person might leave home early with breakfast, while on another day he might be late or might be stuck in a meeting or could be stuck in a traffic jam etc. and eating might be delayed.
The pump facilitates handling such situations comfortably. The possibilities are varied. When these things occur in injected patients, the result is often unnecessary stress. When a person starts “thinking like a pancreas” and thus establishes the right basalts or modifies them according to the situation and takes the right bolus to cover food, then this person can easily manage daily lifestyle changes and can keep the glucose range safe.
Why are pumps better for Indian patients?
- The Indian diet has a higher carbohydrate content which makes post-meal control difficult for patients. Pumps are a better choice for dealing with this problem.
- The content of sucrose, part of many Indian foods, is high. This can be easily treated by adjusting the bolus with the pump.
- Eating at unexpected times is very common and cannot be avoided in Indian society. This food intake remains open to injection therapy which leads to high A1c even though much fasting and post-meal 2 hours may not be that high.
- This situation can be easily managed with a pump.Many patients with type 1 diabetes do not express their disease because of social stigma. Injection is considered a difficult treatment in Indian society.
- Using a pump makes it simpler and more acceptable.Most Indian patients do not like true MSI which is one long acting injection and several short acting injections to cover all food. Pumps are a better choice for them.