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INSULIN PUMP
THERAPY

INSULIN PUMP THERAPY WHAT IS IT?

Poor glycaemic control provides risk for both development and progression of diabetes complications. Good HbA1c control may be achieved despite a large fluctuation in blood glucose levels. However a wide variations in blood glucose levels on a daily basis can lower quality of life and increase the risk of complications.

An insulin pump closely mimics the physiological function of a healthy pancreas by delivering precise amounts of insulin to meet the needs of the patient. An insulin pump can reduce the variability of blood glucose levels and provides more flexibility whilst reducing hypoglycaemia and delivering better control 1,2.  

IMPROVE HBA1C CONTROL WITH THE MOST ADVANCED INSULIN PUMP SYSTEM

MiniMedTM640G provides better control for your patients

We have a number of products that will help you and your patients achieve better control of their diabetes. The MiniMed 640G system delivers better control for your patients. The system components consist of an infusion set for insulin delivery, the CONTOURTM NEXT LINK 2.4 blood glucose meter and CareLinkTM therapy management software which displays your patients data in easy to manage reports

PERSONALISED CONVENIENCE TO MEET YOUR PATIENTS NEEDS

  • Basal Rate: This is a programmed insulin rate consisting of small amounts of insulin delivered continuously, mimicking the basal insulin produced by a healthy pancreas. You can determine the programmed rate, based on your patient’s needs. This basal rate delivery can also be customised according to specific daily needs and can be suspended or altered for a definite time frame - this is not possible with long acting insulin injections.
  • Bolus Dose: This is the insulin which is delivered around mealtimes or used to correct high blood glucose levels. The MiniMedTM 640G has a bolus calculator that helps your patients calculate their bolus amount based on settings that are pre-determined by you.

MINIMED 640G SYSTEM - INTELLIGENT FOR BETTER GLUCOSE CONTROL

The insulin pump consists of:

  • A compartment that holds a reservoir
  • The reservoir (which is filled with insulin)
  • From the reservoir, insulin is infused into the patient’s body through an infusion set
  • The infusion set is inserted into the body and is infused through a tiny flexible tube called a cannula that sits just underneath the skin.

COMPONENTS OF THE INSULIN PUMP THERAPY SYSTEM (4,5,6)

INSULIN PUMP

An insulin pump is a small electronic device, about the size of a mobile phone, that can be easily carried on a patients belt, inside a pocket, or even attached to a bra thus becoming virtually invisible to others and allowing a very discreet therapy

BENEFITS OF INSULIN PUMP THERAPY - ACHIEVE BETTER GLUCOSE CONTROL(3)

Insulin Pump Therapy can help your patients reduce diabetes complications

The MiniMed 640G insulin pump provides the following benefits vs. Multiple Daily Injections (MDI):

  • Easier dosing: calculating insulin requirements can be a complex task, with many different aspects to be considered. The MiniMed 640G has a built-in Bolus Wizard™ for accurate dosing. It works by taking into account any insulin already in the body, the current glucose levels, carbohydrate intake and personal insulin settings.
  • Greater flexibility: the MiniMed 640G Insulin Pump can be instantly adjusted to allow for exercise, illness or to deliver small boluses to cover meals and snacks. This is easily done with a touch of a button. There is also a temporary basal rate option to proportionally reduce or increase the basal insulin rate.
  • Personalised convenience: the MiniMed 640G offers the additional convenience of a wirelessly connected blood glucose meter. This meter automatically sends blood glucose values to the pump, allowing more accurate Bolus Wizard calculations and to deliver insulin boluses discreetly.

RESERVOIR

This is a plastic cartridge that holds the insulin and is locked into the Insulin Pump. It comes with a transfer guard, the blue piece at the top that is removed before inserting the reservoir into the pump. This assists with pulling the insulin from a vial into the reservoir.

INFUSION SET

An infusion set includes a thin tube that goes from the reservoir to the infusion site on the patient’s body. The cannula is inserted with a small needle that is removed after it is in place7. It goes into sites (areas) on the patient’s body, similar to where they would usually inject insulin. The infusion set is changed every two to three days.

IS INSULIN PUMP THERAPY RIGHT FOR YOUR PATIENT?

Insulin Pump Therapy is beneficial for use by children, adolescents and adults who:

  • Have poorly controlled HbA1c
  • Want to improve their HbA1c
  • Want a more flexible therapy
  • Have onset or concerns of long-term complications
  • Experience dawn phenomenon
  • Have needle phobia
  • Have gastroparesis
  • Have more than two severe hypoglycaemic events in the last 6 months
  • Have hypoglycaemia unawareness
  • Have an inconsistent schedule
  • Are pregnant or planning to conceive8
  • Problems with glycaemic variability
  • Are not having their needs met by MDI therapy
References

1J. C. Pickup and A. J. Sutton Severe hypoglycaemia and glycemic control in Type 1 diabetes: meta-analysis of multiple daily insulin injections compared with continuous subcutaneous insulin infusion Diabetic Medicine 2008 :25, 765–774

2Bergenstal RM1, Tamborlane WV, Ahmann A, Buse JB, Dailey G, Davis SN, Joyce C, Perkins BA, Welsh JB, Willi SM, Wood MA; STAR 3 Study Group. Sensor-augmented pump therapy for A1C reduction (STAR 3) study: results from the 6-month continuation phase. Diabetes Care. 2011 Nov;34(11):2403-5. doi: 10.2337/dc11-1248. Epub 2011 Sep 20.

3DCCT / EDIC research group. JAMA. 2015;313(1):45-53

4Bergenstal RM, Tamborlane WV, Ahmann A, et al. The STAR 3 Study Group. Effectiveness of sensor-augmented insulin-pump therapy in type 1 diabetes. N Engl J Med. 2010;363(4):311-320.

5Garg S, Brazg RL, Bailey TS , et al. Reduction in duration of hypoglycemia by automatic suspension of insulin delivery: the in-clinic ASPIRE study. Diabetes Tech Ther. 2012;14(3):205-209.

6Battelino T et al. The SWITCH Study. Pediatric Diabetes 2011 Diabetologia DOI 10.1007/s00125-012-2708-9 Epub ahead of print and Aspire In-Home

7Please note, the Sure T-infusion set is a steel cannula and therefore does not have a removable introducer needle.

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