Insulin pump disadvantages

(Terence) #1

Could anyone can explain the reason of the below 2nd diadvantage of increased risk of DKA for a insulin pump? Thanks…

(Dennis J. Dacey, PWD) #2

Terence @DBDDD,

I think the reason that appears there [and this is just my WAG] is that these three reasons listed show up on surveys as reason for not using a pump. Add to that, some pump users think that “OK, I got a pump and the pump will take care of everything” - but as that second line states BGL should be checked at least four times every day.

I know that “very learned persons” have asked me why I bother to check my BG with their reasoning being that the pump negates regular checking.

(janlb) #3

The reason for the increase risk of DKA is that if for any reason the pump does not work or the cannula (the small plastic piece that is inserted in under the skin) kinks when inserted you will not be receiving any insulin. Unlike having a long acting insulin as your basal rate in a pump you only have your short acting insulin and you get small amounts every few minutes - so no insulin your blood sugars can rapidly rise hence the warning about DKA.

(Dennis J. Dacey, PWD) #4

Thanks for that reminder @janlb.

I should have remembered that because that has caused me problems in the past. Now what I do, at the endocrinologist’s suggestion, is if my first “correction bolus” with the pump is not effective to use a needle and syringe for the next correction and change the infusion set / site.

I do carry a syringe with me at all times in the belt pouch with my meter and granola bars - just in case I run into problems on a hike or when visiting.

(Terence) #5

Thank you @Dennis @janlb for your explanation! :grinning: