Plymouth Diabetes Centre – Insulin Pump service
An Insulin pump (Continuous Subcutaneous Insulin Infusion) is a device delivering insulin in order to reduce the variability in blood glucose levels and improve lifestyle flexibility while minimizing the effects of low blood sugar.
The pump is composed of a pump reservoir which holds rapid acting insulin, a battery-operated pump, and hardware/software that allows the user to control the exact amount of insulin being delivered. The pump is attached via a thin plastic tube that has a metal or Teflon needle through which insulin passes. This cannula is inserted under the skin, where a person with type 1 diabetes would normally inject insulin and this cannula is changed every 2-3 days. The tubing can be disconnected from the pump for periods of less than an hour as the pump is used for continuous delivery insulin, 24 hours a day.
The amount of insulin is programmed and is administered at a constant rate (basal rate). Often, the amount of insulin needed over the course of 24 hours varies depending on factors like exercise, activity level, and sleep. The insulin pump allows for the user to program many different basal rates to allow for this variation in lifestyle. In addition, the user can program the pump to deliver a "bolus" during meals to cover the excess demands of carbohydrate ingestion.
We currently support approximately290 insulin pumps users. We provide specific Consultant and Diabetes Specialist Nurse clinics. Currently we offer a choice of 3 different insulin pump systems so our patient can choose a system that best fits their needs.
DANA RS http://www.sooil.com/eng/product/
National Guidance for Insulin pumps
https://www.nice.org.uk/guidance/ta151 or download
National Guidance for Continuous Glucose Monitoring (CGM)
https://www.nice.org.uk/guidance/dg21 or download