Insulin Pumps Pros & Cons  

An insulin pump is a compact, computerized insulin delivery device which delivers prescribed doses of insulin to the patient subcutaneously using an infusion set. The insulin pump has gained wide public acceptance. However, debates are on discussing the pros and cons of using insulin pumps.

Pros: Insulin pumps can be carried in a pocket or attached to a belt and kept hidden under the clothes. It facilitates easy adjustments in the insulin dosage based on the results of frequent self-examination of blood glucose levels, thereby eliminating the need of frequent injections and the pain associated with it. As a result, you can maintain near-normal blood sugar levels over a sustained period of time, which helps in preventing the long-term micro-vascular complications associated with diabetes. No long-acting insulin is used in the insulin pump and very small and regulated doses of insulin are administered at a time, thus reducing the dangers associated with uneven insulin absorption.

Cons: Handling and using an insulin pump requires special training and it may be quite sometime before the user gets comfortable with it and learns to operate it successfully. Although the frequency of injections is reduced due to the alternative use of an insulin pump, the user will need to monitor his blood glucose levels every few hours in order to adjust the dosage, which can be painful and inconvenient as well. Increased risk of DKA (during times when long-acting insulin is required by your body), bad site selection (where absorption levels are too low), steep rise in blood glucose levels on forgetting boluses before meals, the hassle of changing sets are all some of the demerits of using an insulin pump. Another significant drawback is the high price and insurance coverage associated with it. The infusion sets can also cause scarring in some people.

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