Getting off of Insulin Pump 1

Dr. Jaiwant Rangi walks through four ways a 26-year-old type 1 diabetic can stop using her tethered insulin pump. Options include daily injections, inhaled insulin (Afrezza), the tubeless Omnipod 5 patch that pairs with a Dexcom for automatic insulin adjustments, or combining Omnipod 5 with inhaled insulin for corrections.
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Foreign. I wanted to discuss a scenario of a type 1 insulin diabetic patient that we came across today. And it is quite often we come across this kind of a scenario and I thought I'll discuss that for the sake of other patients as a very good educational tool. So what happened was we had a patient, her name is Julie, she came to us with history of type 1 diabetes that she had for 26 plus years. Julie's diabetes has been well controlled with Medtronic insulin pump so far for the last 26 plus years. But she wishes to look into her options, what else she can use to have insulin delivery because she wants to get a take a break from insulin pump which is always tethered on her and it has a tubing that gets entangled in different places and she just wants to be free and look at her options. So her options at this time include either using a long acting insulin injection that she can take one injection at bedtime and then we can give either multiple daily injections that she takes before each meal, or we can give her a frazza as an inhaled insulin that she can take before each meal which is ultra short acting and she does not have to worry about multiple injections a day and that way she takes only one shot once a day. The other option for her is to use Omnipod and Dexcom. Now this is Omnipod that has been out in the market for a long time. The Latest Omnipod is Omnipod 5 and what that means is this is a newer generation. This can be put on anywhere on the body. It could be on the arm, it could be on your belly or thigh, wherever you want to put. This works with Dexcom in a closed loop system where this sense blood sugars to the pod via Bluetooth. So automatically this gives more insulin or less insulin based on your body needs. So it is something that is phenomenal for our patients where this can give excellent diabetes control as a closed loop automated delivery system where you change the pod every three days and you don't have to take any injection whatsoever. We have some patients who take Omnipod and Dexcom for basil and every now and then they will take inhaled insulin in between to correct the hyperglycemia because it gives them ultra short acting insulin without stacking up and causing the risk for hypoglycemia. I hope it was helpful and we look forward to helping you. If you need any help with your insulin system or looking for options for other kinds of devices, thank you and good luck.
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