Modern insulin pumps are complex, multifaceted devices that continue to advance and evolve. A pump—particulary with integrated continuous glucose monitoring—is a powerful tool when prescribed to appropriate and motivated individuals, and can help people achieve their best possible level of glycemic control.
This comprehensive, fully updated edition guides practitioners through all aspects of initiating and maintaining effective pump therapy. Topics include:
Pump therapy advantages and disadvantages
Pump, infusion set, insulin options, and selection
Pump candidate basics
Getting the patient ready
Pump start-up
Pump therapy management
Case studies and guidelines
Chapter 2: Pump, Infusion Set, and Insulin Options and Selection Available to Purchase
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Published:2024
"Pump, Infusion Set, and Insulin Options and Selection", Putting Your Patients on the Pump, Nicholas B. Argento, MD, FACE, Karen M. Bolderman, RD, LDN, CDCES
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Preview
As of 2023, there are multiple manufacturers that sell tubed insulin pumpsand one manufacturer whose nontubed “patch” pump is available in the U.S. There are a number of legacy tubed pump models no longer sold or supported;brand-specific tubed infusion sets available today may not work with older pump models. Current tubed pumps may be compatible only with several of their proprietary brand-specific styles and types of infusion sets. The infusion set tubing carries insulin from the pump cartridge/reservoir to the infusion setin serted into subcutaneous space. Infusion set styles are similar between the companies, but the brand-specific infusion sets are not interchangeable between different pump manufacturers. Insulin pump cartridges/reservoirs for tubed pumps hold up to 300 units of insulin and are also company branded and specific. The current patch/pod pump reservoir holds 200 units.
Tubed or patch/pod insulin pumps can be integrated with a continuous glucose monitor (CGM) system. The patch/pod pump has a remote-control device or smart phone that allows starting and using the disposable pump features, including a bolus. The disposable pod is changed at least every 72 hours, with an additional 8-hour grace period.
