Chapter

Insulin pump therapy: then and now

Edited by John Pickup

in Insulin Pump Therapy and Continuous Glucose Monitoring

Published on behalf of Oxford University Press

ISBN: 9780199568604
Published online May 2011 | e-ISBN: 9780199607440 | DOI: http://dx.doi.org/10.1093/med/9780199568604.003.0001

Series: Oxford Diabetes Library

Insulin pump therapy: then and now

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• Continuous subcutaneous insulin infusion (CSII) is also known as insulin pump therapy • CSII is a form of intensified insulin treatment, mostly used for selected patients with type 1 diabetes • Insulin pump therapy was originally developed as a research tool, but is now part of routine clinical practice • In CSII, short-acting (monomeric) insulin is infused subcutaneously at variable rates (basal and prandial) from a portable infusion pump • The main clinical indications are frequent and disabling hypoglycaemia and/or a continued elevated HbA1c in spite of best attempts with insulin injection therapy (usually multiple daily insulin injections, MDI)

Chapter.  3543 words.  Illustrated.

Subjects: Endocrinology and Diabetes

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