There's no substitute for the body's own blood sugar control mechanism, but insulin pumps may be the next best thing, say diabetes experts.
An insulin pump is a compact, pager-sized, computerized device that can be worn on a belt. It is connected to the body via a flexible plastic tube through which insulin is delivered. The pump releases insulin in a steady, continuous background or "basal" dose, but also allows the wearer to add an additional dose, or "bolus" of insulin when needed, such as before a meal or snack.
If you have diabetes, you may already have experienced the nerve pain called diabetic neuropathy. If so, diabetic neuropathy treatment is important.
Some symptoms are obvious: pain in your feet. But more subtle signs of neuropathy are just as critical to notice - and to treat.
"We ask whether people are having unusual tingling or numbness," says Dace L. Trence, MD, an endocrinologist and director of the Diabetes Care Center at the University of Washington Medical Center in Seattle. Those symptoms...
"It provides more stable insulin deliveries and smoothes out glucose fluctuation compared with injections," explains Howard A. Wolpert, MD, senior physician and director of the insulin pump program at the Joslin Diabetes Center in Boston, in an interview with WebMD. "I think the advantage from a lifestyle standpoint is what attracts many people, because it does allow people much more flexibility in terms of eating times."
Although people with diabetes can now use an ultra long-lasting insulin (insulin glargine) that releases an even basal dose for 24 hours after injection, Wolpert notes that "with glargine people still need to take multiple injections whenever they're going out to eat or whenever they're going to have a snack. With a pump it's much more convenient in terms of just having to press a button and get insulin delivered. For people eating out, if they're not certain what they're going to be eating they can take an initial bolus or pulse of insulin, and as the meal proceeds they can take further insulin depending on their [food] intake."
The pump also can help control the release of glucose during exercise, Wolpert says. Insulin levels normally drop during exercise to allow the release of stored glucose for use by the exercising muscles, but people who inject insulin may find it hard to predict how much insulin to have on board prior to exercise. In contrast, those who use pumps can more easily adjust the dose to their body's minute-to-minute-demands. "For the motivated patient who wants to lose weight through exercise, one can do it much more effectively if one's on a pump than say on insulin injection," Wolpert tells WebMD.
Get the latest Diabetes newsletter delivered to your inbox!
Your level is currently
If the level is below 70 or you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.
People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.
Congratulations on taking steps to manage your health.
However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.
Your level is high if this reading was taken before eating. Aim for 70-130 before meals and less than 180 two hours after meals.
Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.
One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.
Thank you for signing up for the WebMD Diabetes Newsletter!
You'll find tips and tricks as well as the latest news and research on Diabetes.
Did You Know Your Lifestyle Choices
Affect Your Blood Sugar?
Use the Blood Glucose Tracker to monitor
how well you manage your blood sugar over time.