An overview of insulin pump therapy: Appropriate use of an expensive resource

Abstract

Insulin pump therapy is an option for intensive insulin therapy in patients with type 1 diabetes who meet the criteria described in this article. Pump therapy may assist in the reduction of haemoglobin A1c (HbA1c) and the frequency of severe hypoglycaemia. It can also lead to improvements in awareness of hypoglycaemia and quality of life. Careful assessment of patients is vital, as pump therapy is an expensive treatment option and can be dangerous if used incorrectly. Intensive education of patients who meet the criteria is essential. This will reduce possible risks associated with pump therapy. A team approach is needed, consisting of a minimum of a doctor and a diabetes educator who are experienced in pump therapy, as well as a registered dietitian who has expertise in carbohydrate counting. A psychologist is also a useful member of the team and can help with patient assessment and selection.