2010 AACE 美国临床内分泌医师学会胰岛素泵专家共识
AACE Consensus Statement: Statement by the American Association of Clinical Endocrinologists Consensus Panel on insulin pump management
2010-09-30
Insulin pumps have come of age. With their proliferation in medical practices, some guidance is necessary for prospective and current prescribers to ensure their optimal and safe use. This document summarizes the current stateof- the-art of continuous subcutaneous insulin delivery available to patients requiring intensive insulin management to control their diabetes mellitus. Appropriate patient selection is critical and must be followed by thorough assessment of their knowledge of diabetes management principles. Likewise, selection of a provider is critical and only those whose practice can assume full responsibility for the comprehensive pump management program should offer it. Patient diabetes education and a pump training plan must be implemented by a multidisciplinary team under direction of an experienced endocrinologist/diabetologist to address gaps in patient knowledge. The importance of periodic reevaluation and retraining is stressed. Physicians prescribing insulin pumps for their patients should have a round-the-clock system in place to answer patients’ concerns about pump problems.We summarize available peer-reviewed publications providing data that compare pumps with multiple insulin injections, address pump safety issues, and document costeffectiveness analyses of insulin pump use. We address the essential issue related to the economic feasibility of using pumps in medical practices. Gaps in our knowledge and research areas to be addressed conclude this statement.
