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those living with Diabetes
Insulin Pumps
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How do you insert an infusion set? How do you wear an insulin pump? Injection Site Map Insulin pumping log sheets What Insulin Pumps are available? What types of infusion sets are available? What does a pump and infusion set look like? User Comments and Reviews Continuous Glucose Monitors Glucometers Insulin Pump cases and carrying devices Insulin Pump, Journal to beginning to Pump Insulin Pumps, provincial coverage Insulin Pumps, getting started Insulin Pump, Log Books Insulin Pump Studies Insulin Pump Tips Please send questions or comments to webmaster@diabetesadvocacy.com ![]() |
An insulin pump is not a cure but another method of insulin delivery. It is a small pager-like device that mechanically pumps set amounts of fast-acting insulin into the patient's body. This is not yet a closed loop system. It is a system that requires the setting of "basal rates" and the calculation of various insulin to food ratios to be used in the run of a day.
An insulin pump currently costs between $6000 and $7000CAD and require monthly pump supplies whose costs can run upwards of $1200 per year. These costs are often, but not always covered by private insurance plans. In Canada, more and more provinces are also beginning to realize the long term benefits of covering insulin pumps and supplies under their provincial health care policies.
What insulin pumps are available? Below is a chart of the current, most popular insulin pumps available. The OmniPod is currently undergoing Health Canada approval for sale here. All of these pumps are available in the US.
Other pumps available
One Touch Ping...awaiting Health Canada approval but currently available in the US User comments and reviews: Animas: Not much difference between the 2020 and the 1250 except for the color screen (easier to read), and most importantly the variable I:C, ISF, and Target time ranges. It's also supposed to store the BG and number of carbs you enter for boluses and provide the ability to download them from the pump. The one drawback is that Animas hasn't released the upgraded Ez-Manager software for the 2020 that you use to download and program the pump. Until they release the new Ez-Manager, you won't be able to program a custom tune, use the Food Database, or download pump readings.(I am able to download bolus values for now using the old version of Ez-Manager, but no basal rates and no programming pump settings on the computer - Has to be done manually.) There are only only 2 reminders you can set for specific times of day and then a reminder to check BG x hours after a bolus. I don't think it has as many reminders as the Cozmo does. Excellent customer service I really liked the built in food database that helps you when bolusing
for meals. The Animas lets you bolus in 0.05 unit increments and set
basal rates in 0.025 unit increments. So it's
great for anyone who's really
sensitive to insulin. It's fully waterproof, the O-rings on the battery
cover and the insulin reservoir really emphasize this. It also delivers
the insulin boluses
very quickly
compared to my old Minimed. And despite the bright screen it doesn't
seem to drain the single AA battery too quickly. I could easily cancel the combo bolus, add the remainder to the new amount I am giving and give another combo bolus. Animas gives IOB with the total bolus on 1 screen (no scrolling) so you can make the decision to subtract the IOB or not based on the BG. Faster insulin delivery can cause some discomfort. Animas shows you the entire basal list with times and amounts on 1 screen so you can view the changes you make on 1 time period along with the rest of the time periods and amounts. I could do a negative temp basal (usually -10% for 30 minutes) AND it would show me how long we have left on the home screen. I do NOT change the insulin cartridge with a site change (that's wasteful). I change it when the pump tells me there are 20 units left in the cartridge. With Animas, there is simply a needle to get the insulin into the cartridge which is wonderful to be able to tip a nearly empty bottle to get all the insulin out. Animas has a much better "windows" based set up and much easier to read and bigger screens than Minimed. from Rachel"We used Cozmo for 2 years then switched to the MM Real Time in able to have the CGMS. It took us many months to get used to the small differences between Cozmo and MM but once we got used to it it was just as good as the Cozmo. We sort of had to retrain ourselves to REMEMBER site change days b/c there is no alarm to tell you on the MM. There were a few other little things too that drove me nuts but I can now officially say I love my MM pump just as much as my Cozmo pump. " " I'll put in another plug for the Paradigm Real Time. I love the fact that I can leave the house and the husband (no hands so he can't monitor his blood glucose levels) and he can monitor his own blood gluocse level by just looking at the face of the pump. I also like the fact that he can go out and I don't really worry that much that he'll have a low on the road. I sleep a lot better at night knowing that the sensor will wake him up if he goes low or high. We have the low set at 5.0 and the high set at 10.0. Before, I'd get up and monitor at 3 in the morning and I'd administer juice, if necessary or extra insulin, if necessary and all that got me wide awake and I couldn't back to sleep again for hours. I think I was sleep deprived for 5 years. I used to monitor 10 or 11 times / day, now, usually, it's about 6 or 7. I have a better A1C to boot so we are losing nothing by reading less often. The A1C is not much better .072 as opposed to .074, but I can even go out of town now for the day. We also don't measure manually if we are across the border or in Toronto. Measuring bgs on the leg is a very difficult task in mid-winter in a parking lot, I assure you. So I reaaaaally reaaaaaaaly love my CGMS system. Lately, it has been very, very much in control. The readings do not vary much from the monitor's readings. We've been getting close to 7 days on each sensor, too, lately. I'm wondering if the fact we had higher readings in the summer meant that the pump only lasted 4 or 5 days or if Medtronic smarened up when the Dex 7 came out. ""I have a medtronic insulin pump and it has change my life. Medtronic inuslin pumps are great" "We have the Medtronic Minimed (which is the realtime one). The constant glucose monitors aren't covered by insurances yet, but they are working on it. We love the minimed. It is so easy to use! _____ is able to do most of it herself, and she has only been on it since June 19th. It is very user-friendly. Her a1c's dropped by 10% in the first two weeks on it. I would highly recommend it." "We have only used Medtronic pumps and products. What a difference my husband's insulin pump and sensor has made to both our lives. My husband has much better control even with a chronic bone infection and heavy (750 mg twice a day) cipro and ciprodex use and has not had a bad low in over a year. This morning I counted up the number of readings I'd done before I got one over 10.0. I had 21 readings, nearly 2 days' worth of readings where none were under 3.4 and none were over 10.0. And my husband has been diabetic since 1978. Sweet!" "We have the MM712, it is 3 years old and already behind the curve where smart pumps are today. With that being said I may love the newer smart pumps. I do not love this pump. I don’t like knowing that I only have 4 or 5 sets to chose from, since the connector is only with Paradigm pumps. There is the quickset, the silhouette, the sure-t, the sof-set (not recommended for smaller children) and the polyfin (not recommended for small children). We have had many problems with customer support…anytime anything has gone wrong it has been classified “user error” before you even explain what happened." I cannot cancel the dual wave/square wave boluses so I can give a new dual wave. Also, when you have a dual wave or square wave bolus going and you hit "act", it automatically goes to "suspend" instead of back to bolus. That will take some getting used to. One advantage Minimed has is the "easy bolus" key. You can bypass all the menus and go straight to the bolus wizard. Minimed is better with straight (normal) boluses because it goes in slower than Animas. Minimed shows the total bolus and you have to scroll down to see the Active insulin making it more difficult to remember the amount and making the decision to subtract the active insulin tricky for my math challenged mind. *you can cancel the dual wave..you just don't like the steps that it takes you through to get to it...but it can be done. You can see all the basal on a screen, just look at basal review...when changing, yes, you have one basal on a screen at a time. Minimed does not have a protective cover for the cartridge cap. There is an activity guard that "is perfect for participating in rough-and-tumble sports." It locks over the battery cover and resevoir compartment for extra protection. Minimed does not give you this info so you can determine if you have the basal vs. bolus ratio semi correct (basal 40% and bolus 60%). When you download your pump to Carelink, it gives you all that information and more. And you can forward it to your MD or CDE and they also can view it immediately, helping to adjust dosages very quickly. The download itself takes very little effort or time. In fact, you do not even need to disconnect the pump to do it. OnmiPod 'I tried a demo of the Omnipod, but decided against it and went with
the Minimed. I think that the Omnipod is great, it just wasn't for me. I
wore it for three days and had a lot of trouble sleeping with it on.
That was probably the biggest reason I chose not to go with it."
Please contact
manufacturers for pump prices. Most pumps start at approximately
$6500CAD+ but can vary. Also check with your provincial health care
provider as more provinces are now covering pumps and/or supplies.
90 degree sites... ![]()
Disetronic Rapid-D uses 28 gauge needle. Inserts at 90 degrees.
Multiple base units allow you to change infusion sites without changing
tubing. Low profile design makes it very discreet. Inset II or Insets by Animas ![]() This set has a teflon cannula. It has an all in one infusion set and inserter. It disconnects at the point of insertion. Small, flat infusion set design. One-handed insertion and hidden introducer needle. Disconnect and connect the tubing at the site. Convenient needle protection after use. Safe to carry without compromising sterility. 23 and 43 inch tubing. 27 gauge introducer needle with 6 and 9mm cannulas Quicksets
use a 90 degree insertion. Luer Lock or Paradigm connection. 6 or 9 mm
needle. 25 gauge intro needle, 27 gauge cannula. 23, 43 inch
tubing lengths.30 degree sites Inset 30 by Animas ![]() Pre-fixed 30 degree insertion angle. One handed insertion. Small and flat infusion set design. Ergonomic design with integrated insertion devise and a reversible connector that makes connecting and disconnecting a snap. Transparent window to view the site. Well-protected introducer needle. Disconnect and connect the tubing at the site. Convenient needle protection after use. Quiet release of the insertion devise. Available in blue, pink and grey with 23 and 43 inch tubing lengths. 13mm cannula. Comments :_____ has just began using these. Mom likes them, but she doesn't. She says that they hurt a lot more (even with the numbing cream) than the insets or the comfort detach. Mom doesn't like the insets. Each site change Mom ends up using two of them b/c the first one comes off as she withdraws the needle. Anyway, Mom is not sure if _____ doesn't like them b/c they are new, or if ____ really doesn't like them. She is a child that is very resistant to change.We have been using the Inset 30 for about a week.
We were using ContactD (straight in needle site). We had no
complaints with ContactD - they are super easy to insert and in one year
of pumping we only had one site failure. But ______ could be somewhat
protective of his site.
Wow! If you read the instructions it is the easiest site to use! No touching of tape to begin with. Nice viewing window. Perfect if you like to use 30 degree sets. Barb
Just like injection therapy, insulin infusion sites must be rotated. Site maps such as the one below may help to keep track of insertion sites and reduce the chance of hypertrophy.
You are not limited to using only one area of your body. Any area suitable for injections may also be used for infusion sets. Here are just some of the areas that can be used...
Site changes should be taught by a certified pump trainer!! Below is a demonstration of how "we" change a 90 degree infusion set. This should be used as a guide ONLY. It has been brought to our attention that our method and the method described by the Animas website (who distribute this set) are different. They do not require that you pinch the skin for one but it is an old MDI habit that I cannot break especially on a small child with minimal fat. Please remember to go through your trainer and read your manuals before doing a site change. This is only a guide for those who may forget or simply are curious as to what it may look like to do. For those who would prefer to insert the site according to the InsetII instructions, here is where we differ. I do not use the automatic inserter built into the site (as you can tell from the instructions below). The Animas instructions suggest that after you have removed the adhesive backing paper you "Place fingers on lined indentations. Press lined indentations on each side. Pull spring up until you hear a "click" (this is what we do NOT do). Carefully remove the needle guard by gently twisting and then pulling it. Place tubing in the slot so that it is not caught under the devise when inserting. Position InsetII. Simultaneously press the round indentations on either side of the insertion devise to insert it. Push gently on the center of the inserter to secure the adhesive on the skin. Remove the inserter needle by grasping the center and pulling it gently back. Massage the tape thoroughly into the skin and fill cannula."
Pump clips.... How do you log when using an insulin pump? Here are a few of the log pages that work for others.... Pump log A: available in excel format
Diabetes Pump Log Sheet: Available in Word Name:
Pump log B: Available in excel
Pump log D: Available in excel
Intensive Management log: Available in Word INTENSIVE MANAGEMENT FOR_________________
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Last updated on November 6, 2009