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Insulin pump therapy and hypoglycemia

Czech version

Authors: Dana Prídavková;  Udovít Šutarík;  Peter Galajda;  Marián Mokáň
Authors‘ workplace: I. Interná klinika JLF UK a UN Martin
Published in: Forum Diab 2020; 9(1): 43-48
Category:

Overview

Treatment with continuous subcutaneous insulin infusion (CSII) or insulin pump (IP) with rapid-acting insulin analogues allows a more physiologic insulin replacement and may thus contribute to improved glycemic – metabolic control not only in patients with diabetes mellitus type 1 (DM1T), but also in suitable patients with diabetes mellitus typ 2 (DM2T). Reduced risk of severe hypoglycemia during treatment of CSII is associated with lower total daily insulin dose and a higher proportion of bolus insulin. CSII allowss a flexible therapy with lower glycemic variability, leading to reduced risk of acute and long-term diabetes complications.

Keywords:

diabetes mellitus – continuous subcutaneous insulin infusion – hypoglycemia – hypoglycemia unawareness

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