Kesavadev Jothydev
Jothydev's Diabetes & Research Centre, Trivandrum 695032, India.
J Assoc Physicians India. 2011 Apr;59 Suppl:41-3.
There are various delivery devices available for insulin like syringes, pens, and insulin pumps. Syringes have drawbacks like dosage errors and pain. Insulin pumps can be useful to mimic the physiological insulin secretion. Though the insulin pumps are launched in India a decade ago, they are not popular due to high price and thus there is limited experience and queries with its use. Use of insulin pumps can improve the quality of life for diabetic patients. Available evidence from recent studies is a compelling indication and not to deny the never before discovered benefits of continuous subcutaneous insulin infusion (CSII) in selective patients with type 2 diabetes mellitus. Pumps with continuous glucose monitoring (CGM) system helps as a therapeutic option enabling diabetic patients to restructure lifestyles based on glycemic patterns.
有多种胰岛素给药装置可供使用,如注射器、胰岛素笔和胰岛素泵。注射器存在剂量误差和疼痛等缺点。胰岛素泵有助于模拟生理性胰岛素分泌。尽管胰岛素泵在十年前就已引入印度,但由于价格高昂,它们并不受欢迎,因此使用经验有限且相关咨询也较少。使用胰岛素泵可以改善糖尿病患者的生活质量。近期研究的现有证据有力地表明,不应否认持续皮下胰岛素输注(CSII)在部分2型糖尿病患者中具有前所未有的益处。配备持续葡萄糖监测(CGM)系统的胰岛素泵作为一种治疗选择,有助于糖尿病患者根据血糖模式调整生活方式。