Beyond the barriers of the use of continuous subcutaneous insulin therapy in type 1 diabetes: a new opportunity from catheter-less insulin pumps

Autor: Katherine Esposito, Andrea Mario Bolla, Francesco Costantino, Maurizio Delvecchio, Chiara Molinari, Carlo Negri, Michela Petrizzo, Emanuele Bosi
Jazyk: English<br />Italian
Rok vydání: 2021
Předmět:
Zdroj: AboutOpen, Vol 8, Iss 1 (2021)
Druh dokumentu: article
ISSN: 2465-2628
DOI: 10.33393/ao.2021.2266
Popis: Although it represents a valid alternative for patients with type 1 diabetes (T1DM) with insufficient glycemic control and/or with recurrent hypoglycemia, insulin pump therapy (Continuous Subcutaneous Insulin Infusion, CSII) in Italy is nowadays still relatively uncommon. The following review aims to investigate the barriers that limit the transition to CSII and the reasons behind the widespread cases of drop-out, particularly evident in younger patients. Among the interventions that could contribute to the solution of the problem, catheter-less insulin pumps (or patch-pumps) will be described: a tool potentially able to reduce, if not eliminate, some of the main obstacles encountered by patients. In particular, a new opportunity has become available today thanks to the evolution of the generation of catheter-less insulin pumps represented by Accu-Chek® Solo (Roche Diabetes Care GmbH), therefore three clinical cases of patients with T1DM undergoing therapy with the Accu-Chek® Solo insulin pump will be presented and discussed herein.
Databáze: Directory of Open Access Journals