1 Consider using an insulin pump. Insulin pumps consist of a small
catheter inserted into your skin with a small needle, which is held in place
with an adhesive dressing. The catheter is attached to a pump device unit that
holds, and delivers your insulin through the catheter. Using pumps have both
advantages and disadvantages. Some advantages to using an insulin pump include
the following:
§ Pumps eliminate the need for insulin
injections.
§ Insulin doses are more accurately delivered.
§ Pumps often improve the longer term management
of diabetes as indicated by blood level measurements of your hemoglobin A1c.
§ Pumps provide constant insulin delivery in
some cases which eliminates the swings in your blood glucose levels.
§ They make it easier to deliver an extra dose
when needed.
§ People that use pumps have fewer hypoglycemic
episodes.
§ Pumps allow more flexibility in when and what
you eat, and allow you to exercise without the need to consume extra
carbohydrates.
2 Recognize the disadvantages of insulin pumps. According to the American Diabetes
Association, even though there are disadvantages to using an insulin pump, most
people that use one agree that the positives outweigh the negatives. Some
disadvantages to using an insulin pump include the following:
§ Pumps are reported to cause weight gain.
§ Serious reactions including diabetic
ketoacidosis can occur if the catheter unknowingly becomes dislodged,
§ Insulin pumps can be expensive.
§ Some people find it troubling to be connected
to the device, which is usually worn on a belt or top of a skirt or pants,
practically all the time.
§ Insulin pumps often require hospitalization
for a day or more for the catheter to be inserted, and for you to be properly
trained on how to use it.
§ Develop a routine to limit the time you turn
it off, or take it off.
§ Have back-up pens or insulin vials and
syringes available if the pump is not working properly.
§ Learn to account for extra carbohydrates
consumed in order to adjust the dose delivered through your pump.
§ Keep accurate records of your blood glucose
levels. Daily records with additional notes of exercise times and extra foods
consumed are best. Some people record information three days each week, spread
out through the week, to provide a good balance of information.
§ Your doctor will use your logs to adjust your
insulin dosing and improve the overall care of your condition. Usually
about three months of of average blood sugar levels will give your doctor a
good idea of how well your diabetes is controlled.
4 Ask your doctor about a jet injector. Insulin jet injectors do not use needles
to get the insulin dose through the skin. Instead, insulin jet injectors use
strong air pressure, or blasts of air, to spray the insulin through your skin.
§ Jet injectors are very expensive and somewhat
complicated to use. This form of technology is new. Talk with your doctor if
you are considering this method of delivering your insulin dose.
§ In addition to their high cost, some risks
have been identified such as improper dose delivery and trauma to the skin.
§ Research is ongoing to determine the risks and
benefits of administering insulin in this manner.
5 Use inhaled insulin devices. Some forms of rapid-acting insulin are
now available in the form of inhalers, similar to the inhalers used to treat
asthma.
§ Inhaled insulin is to be administered just
before meals.
§ You will still need to administer your primary
long-acting insulin by another method.
§ Several manufacturers have made insulin
inhalers available in the United States, but the research in this area is
ongoing. Much is still to be learned about the risks and benefits of using
insulin by the inhaled method.
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