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Insulin Pump Forum
Starting pump therapy and I'm stuck
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<blockquote data-quote="Muneeb" data-source="post: 2105176" data-attributes="member: 491635"><p>MDI's or multiple daily injections is not more likely to cause lipohypertrophy than canulla's, if the injection sites are rotated properly. If you constantly inject in the same fatty tissue or reuse needles etc, lipohypertrophy will definitely increase with MDI's.</p><p></p><p>Im not sure about the insulin absorption rate, but the nature of insulin leads to lipohypertrophy and the fact that with a pump you constantly have insulin in a single location for several days means that chances of lipohypertrophy are high.</p><p></p><p>Dr Bernstein recommends against pump usage as he states he has never seen a well controlled diabetic on pump therapy due to lipohypertrophy and issues with insulin absorption. In general Dr Bernstein's diet is low carb (30g per day) and therefore insulin requirements are generally on the low side anyway, but he still observed this.</p></blockquote><p></p>
[QUOTE="Muneeb, post: 2105176, member: 491635"] MDI's or multiple daily injections is not more likely to cause lipohypertrophy than canulla's, if the injection sites are rotated properly. If you constantly inject in the same fatty tissue or reuse needles etc, lipohypertrophy will definitely increase with MDI's. Im not sure about the insulin absorption rate, but the nature of insulin leads to lipohypertrophy and the fact that with a pump you constantly have insulin in a single location for several days means that chances of lipohypertrophy are high. Dr Bernstein recommends against pump usage as he states he has never seen a well controlled diabetic on pump therapy due to lipohypertrophy and issues with insulin absorption. In general Dr Bernstein's diet is low carb (30g per day) and therefore insulin requirements are generally on the low side anyway, but he still observed this. [/QUOTE]
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