Uses for an Insulin Pump: An Overview
How Are Insulin Pumps Used?
In healthy people without diabetes, insulin levels do not stay the same throughout the day; instead, they fluctuate in response to changes in blood sugar levels.
In order to mimic the natural insulin changes that help keep blood sugar safely controlled, many healthcare providers recommend "basal-bolus" insulin regimens. These regimens often involve a long- or intermediate-acting insulin to provide a basal insulin level (a relatively steady background level of insulin throughout the day). A rapid- or short-acting insulin is added to provide the bolus (a quick, fast-acting, short-lived dose of insulin) to handle the sudden rise in blood sugar levels that follows each meal. While such regimens work for many people, they require several injections a day and may produce unpredictable effects, usually due to the long- or intermediate-acting insulins.
For people having trouble controlling their blood sugar with standard insulin injections, an insulin pump can be used to help get things under control. Insulin pumps are programmed to deliver tiny amounts of insulin continuously throughout the day (the basal rate) and can also provide additional doses as necessary (bolus doses). The basal rate can be variable. In other words, you can program it to deliver different basal rates throughout the day. For instance, you might need to have a high basal rate for early morning in order to counteract the increase in blood sugar that occurs in the early hours of the morning (the dawn phenomenon).