UNDER THE SKIN INSULIN PUMP SYSTEMS
The Diabetes Center at Hospital da Luz Lisboa is experienced in the application and treatment monitoring using these devices.
This system enables the body to have access to insulin in a more physiological manner, and its aim is to imitate the functioning of a normal pancreas.
In short, baseline or basal insulin is programmed in a pump and continuously administered, and may vary according to time periods, depending on the patient's needs. At mealtimes, or when a high blood glucose level needs to be corrected, the pump carrier administers an extra amount of insulin, referred to as a Bolus.
Under the skin insulin pump systems are especially indicated for diabetic persons who:
- do not have an acceptable level of metabolic control, despite intensive insulin therapy treatment with multiple daily injections
- present accentuated daily blood glucose variability
- experience the dawn phenomenon (high blood sugar levels before waking)
- have hypoglycemia without symptoms/alarm signs and/or very frequently
- require small doses of insulin (insulin pumps allow for dosage adjustments up to 0.01 units)
- require flexibility due to their lifestyle (e.g. Shift workers)
- are planning or already going through pregnancy
This form of treatment is particularly useful in pre-conception and pregnancy, given the need for optimized metabolic control, with a very narrow blood sugar interval.
There are also devices for the continuous monitoring of blood sugar levels which may function in association with the under the skin insulin pump systems or independently. These devices enable almost continuous assessments (approximately every 10 minutes) of interstitial blood glucose, thus providing fundamental information on the glycemic profile of the individual with diabetes.
The Diabetes Center at Hospital da Luz Lisboa is experienced in the application of and treatment monitoring using these devices using.