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The Insulin Pump
 
Transcript:
"It was like being tied down by injections. I felt like an outcast because no one else walks around with syringes," says Tilly Philbrick.

When she was only 11 years old, Tilly Philbrick was diagnosed with diabetes. At the time, her only treatment option was insulin shots. “I was kind of afraid to do it myself, so my parents did it for the first two or three months and then after a while, I started to give my own shots.”

But, the painstaking process of self-injecting was made worse by the fact that Tilly was never confident that she was getting her exact insulin dosage, so she eventually switched to the diabetes insulin pump. Tilly participated in a recent study conducted by Yale School of Medicine which compared insulin shots with the diabetes insulin pump in children with type 1 diabetes.

“We’re finding that for many of our children, insulin pump therapy is superior to multiple daily injection therapy for a number of reasons. You can fit it to the lifestyle better and the diabetes insulin pump is safer,” reports Dr. Stewart Weinzimer of the Yale School of Medicine.

A diabetes insulin pump holds a reservoir with a two-to-three day supply of insulin, which is delivered through an infusion set, a tiny disposable tube and a soft cannula that’s typically inserted under the skin in the abdominal area. The set is usually changed by the patient every 2-3 days.

According to Dr. Weinzimer, the diabetes insulin pump allowed patients to have tighter glucose control.

“People using the diabetes insulin pump were able to dramatically reduce their average blood sugars.”

Diabetes is caused by the inability of the pancreas to produce insulin, a hormone that’s needed to convert glucose and other food into energy. Type 1 diabetes is classified as an autoimmune disease, a condition in which the body’s immune system attacks one of the body’s own tissues or organs. In type 1 diabetes, it’s the insulin-producing cells in the pancreas that are destroyed, making it difficult to control the body’s sugar levels.

The diabetes insulin pumps have built-in dosage calculators that manage the complex diabetes math for patients. The diabetes insulin pump considers the amount of insulin still active in a patient’s body prior to recommending an insulin dosage. This helps patients avoid dangerous hypoglycemic episodes when too much insulin is delivered.

“Because the risks are so much lower on insulin pump therapies, people are able to relax and really feel more in control of the diabetes and not be a slave to them,” said Dr. Weinzimer.

Tilly is thrilled that she’s not only able to fine tune her insulin dosages, but, she says, the insulin pump has allowed her to enjoy life as a teenager. She’s back playing competitive soccer and doing Irish dance.

“Now, that I’m on the insulin pump, I feel free. I can eat whenever I want, I can skip meals and when I’m sick I feel more comfortable going to bed at night knowing that if I do wake up low, I’m not going to be in a seizure.”

Children with type 1 diabetes will often share the same symptoms that adults have- thirst, weight loss, tiredness and frequent urination. And symptoms that are more typical for children include stomach pains and headaches.


  © 2009 MediZine LLC



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