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Cited by 32Diabetes Management and ResearchDiabetes Management and EducationIntravenous Infusion Technology and Safety

Continuous subcutaneous insulin infusion: practical issues

Open access
Saboo, BanshiD, Talaviya, PrafulA·2012·Indian Journal of Endocrinology and Metabolism
DOI 10.4103/2230-8210.104055PMC PMC3603042
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Abstract

The growing number of individuals with diabetes mellitus has prompted new way of treating these patients, continuous subcutaneous insulin infusion (CSII) or insulin pump therapy is an increasingly form of intensive insulin therapy. An increasing number of individuals with diabetes mellitus individuals of all ages have started using insulin pump therapy. Not everyone is a good candidate for insulin pump therapy, and the clinician needs to be able to determine which patients are able to master the techniques required and to watch for the adverse reactions that may develop. Insulin pump increases quality of life of patient with diabetes mellitus with increasing satisfaction with treatment and decrease impact of diabetes mellitus. Manual errors by insulin pump users may lead to hypo or hyperglycemia, resulting into diabetic ketoacidosis (DKA) sometimes. Some of practical aspect is associated with insulin pump therapy such as selection of candidates, handling of pump and selection of site, and pump setting, henceforth this review is prepared to explore and solve the practical problems or issues associated with pump therapy.

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Cites

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  • Current occlusion alarm systems cannot detect other types of infusion failures such as leakages, dislodged cannulas, and silent occlusions.

    “However, these detection thresholds are not standardized across manufacturers and cannot detect other types of infusion failures such as leakages, dislodged cannulas, and “silent” (ie, no alert) occlusions.15,16”

    From Development of a Real-time Force-based Algorithm for Infusion Failure Detection (2024) · cites this paper as [16]

    The Mechanical problems and Hyperglycemia sections identify leaks, displaced catheters, and blocked infusion sets as causes of unexplained high blood glucose; Mechanical problems also says leaks can be difficult to detect. Neither section says that occlusion alarms fail to detect these problems or silent occlusions, and the paper does not establish that alarm thresholds vary across manufacturers. No page numbers are available in our copy. (LLM, conf=0.78)

    Experimental — accuracy not yet measured

  • Occlusion detection thresholds are not standardized across manufacturers.

    “However, these detection thresholds are not standardized across manufacturers and cannot detect other types of infusion failures such as leakages, dislodged cannulas, and “silent” (ie, no alert) occlusions.15,16”

    From Development of a Real-time Force-based Algorithm for Infusion Failure Detection (2024) · cites this paper as [16]

    The Mechanical problems section discusses clogged infusion sets, leakage, and displaced sets, but does not address occlusion-detection thresholds or whether manufacturers standardize them. Searches for threshold standardization and occlusion-alarm pressure found no relevant passage in our copy; page numbers were not available. (LLM, conf=0.76)

    Experimental — accuracy not yet measured

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Cites

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Research works printed but not linked: 4

  1. [7]Walsh J Roberts R Pumping insulin 2006 4th ed San Diego, CA Torrey Pines Press
  2. [8]The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. The Diabetes Control and Complications Trial Research Group N Engl J Med 1993 329 977 86 8366922
  3. [13]American Association of Diabetes Educators. Education for continuous subcutaneous insulin infusion pumps users Diabetes Educ 2003 29 97 9 12645494
  4. [16]Walsh J Roberts R Pumping insulin 2006 4th ed San Diego, CA Torrey Pines Press

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Authors
Saboo, B., & Talaviya, P.
Affiliations
Diabetes Care & Hormone Clinic (IN)
Corresponding author
Saboo, BanshiD
Venue
Indian Journal of Endocrinology and Metabolism
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2012
Volume
16
Issue
8
Pages
259
ISSN
2230-8210 (ISSN-L)
DOI
10.4103/2230-8210.104055
PMC
PMC3603042
OpenAlex
W1481343876
Cited by
32
References
10
Citations by year
2025: 4 · 2024: 2 · 2023: 1 · 2022: 4 · 2021: 4 · 2020: 4 · 2019: 2 · 2018: 4 · 2017: 4 · 2016: 1 · 2014: 1 · 2013: 1
FWCI
0.51
Type
journal article
Language
en
Open access
Licence
cc-by-nc-sa
Locations
  • Indian Journal of Endocrinology and Metabolism (publishedVersion, cc-by-nc-sa)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
  • PubMed Central (publishedVersion, cc-by-nc-sa)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Physical Sciences › Engineering › Biomedical Engineering › Intravenous Infusion Technology and Safety
Keywords
insulin pump therapy, diabetes mellitus, intensive insulin therapy, patient selection, hypoglycemia, hyperglycemia, diabetic ketoacidosis, quality of life

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