Animas – 2020 and Vibe

Medtronic – 522, 722, Veo

Roche – Spirit and Combo pumps

Dana R – distributed by Advanced Therapeutics

Omnipod

CellNovo

All of these insulin pumps are suitable for children with Diabetes

I’ve been having trouble lately with my pump and sports. I am very athletic and play football and support Manchester United Tickets (more than is probably sane haha). Last summer I decided to get an insulin pump and its been great for bloodsugar control but its at odds with me and contact sports such as football.

The pump is obviously to fragile to be hit by people upwards of 200lbs haha

So I have to remove the pump during practices and games (even the injection site barely survives through a practice, sometimes being ripped off on impact). In practices this isn’t too bad as I can find time to sneak away from coach (well, I ask) and attach my pump and hookup to do some insulin at the half-way mark in practice.

The big problem comes during games… High bloodsugars ack! I will finish a game around 16.0 mmol/L on a bad day…
With the pregame warm up on 3d TV and the game itself, it can be 2 and a half hours or more without being able to put the pump on.
I can’t do insulin to cover the whole time before-hand or I go low during the game (not good to be a linebacker that can’t stand)

I try to do insulin when I’m off the field, but with only a brief amount of time off and slow delivery I can’t get enough insulin…
Gack, I’m lost, I’m hoping to find a better solution by the time the season starts up again, cause the way I try to fluke it I have balanced to end around 9.0 and 12.0 which isn’t great, and still spike to 15.0 once in a while 

Our specialist advises that if you have a MM 522, u can use the sport guard case (Lexan) to protect the pump from pretty much any impact that you can survive.  These are fairly good value around $60

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 A thin plastic or metal cannula is inserted under the skin in an area where it won’t rub against clothing and where it can be taped securely in place.  The cannula is connected to plastic tubing which leads to the pump.  Tubing is absent in patch pumps.  The cannula and tubing are called an infusion set.  The pump works by pushing down on a syringe to provide insulin to the body.  Every two or three days, the needle and tubing are thrown away and a new infusion set is reinserted under the skin.

 Pumps are about the size of a small mobile phone.  The pump provides a constant trickle of rapid-acting insulin through the tubing and cannula into the body.  In this way, the pump provides an almost continuous flow of insulin under the skin.  This continuous flow is called the basal rate.  It can be adjusted depending on insulin requirements during different parts of the day.

Insulin pumps are used by some people who have type 1 diabetes who want more flexibility or have hard-to-control diabetes – those who have trouble keeping their blood glucose levels in the normal range and those who suffer from frequent hypos and have no hypo awareness.  Some people who use this method of therapy find that they feel better and their blood glucose levels are within the normal range more consistently.

Use of the insulin pump may be very beneficial, but it does not “manage” diabetes for the person using it.  Pump users must still perform all the other tasks of diabetes care such as following a meal plan, monitoring blood glucose 4-6 times per day and keeping accurate records.   We all of course hope that the development of the “artifical pancreas” with complete automated control of blood glucose will be a reality in a few years.

I don’t meet the NHS criteria for a pump and am thinking about paying for one privately. How much will this cost?

If you are not deemed suitable for an insulin pump on the NHS then the cost of funding a pump privately is can vary considerably.

Insulin pumps may cost between £1000 and £5000.

There are additional costs for the consumable attachments, eg infusion sets, batteries and pump reservoirs, which you may also have to pay for yourself.

Consumables could amount to between £1000 and £2000 per year.

Some of the best specialist diabetes doctors in the world are based in London’s Harley St

An insulin pump consists of

• the pump itself (including controls, module, and power source )
• a disposable reservoir for insulin (normally contained in the pump)
• an infusion set and a mechanism system to interface the insulin reservoir to the cannula.

Many diabetics are now finding that an insulin pump is preferable alternative to multiple daily injections of insulin by insulin syringe or an insulin pen and allows for intensive insulin therapy when used in conjunction with blood glucose monitoring and carb counting.

NHS Insulin pumps

Insulin pumps can be obtained on the NHS but it is not always easy.

Many GP’s won’t simply provide an insulin pump if you ask for one.

Sometimes a GP, doctor or diabetes specialist nurse may  suggests that a patient would benefit from a pump;

However, before an insulin pump can be prescribed, the patient (or the patient’s carer), the GP, and the diabetes consultant must all agree that a pump is the most appropriate solution and suitable for the patient.

However, many patients are disappointed when their requests to receive an insulin pump are repeatedly refused and many then go to a private Harley St Clinic to request an Insulin Pump

Insulin can only be given by injection as it is broken down by enzymes in your gastric fluids.

There are various types of insulin and your GP will help choose the one that best suits you. Most people inject themselves 2–4 times daily. You can use a syringe, special pens that adjust the dose for you or special insulin pumps. However, insulin pumps are not freely available on the NHS and you need to have met certain criteria to qualify for one.

As insulin is absorbed through fat, it should be injected into the fatty parts of your body, such as upper arms, tummy, thighs and buttocks.

It is recommended that you rotate the place you inject so that you avoid lipohypertrophy (a lump under the skin caused by accumulation of extra fat at the site of insulin injections) and you don’t get sore. To help you dispose of your needles, you should receive a sharps container from your healthcare team to safely do this.

People with type 1 diabetes must take insulin and many people with type 2 diabetes need insulin therapy as well. If you have type 2 diabetes, it is natural for things to change over time and you may need to add insulin to your diabetes management plan to help keep your blood glucose in control. Most likely, insulin can help you feel better and have more energy.

The type of injectible insulin you use depends on what you need it for. Here’s how the various kinds work:

Types of Injectible Insulin