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Insulet Corporation (PODD) Message Board

  • audiemom audiemom Nov 5, 2008 10:54 AM Flag

    Lack of Understanding CSII

    Since this is buried in the traffic on "Needles", wanted to repost for some visibility:

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    Re: Needles 4-Nov-08 06:57 pm As mentioned prior, it is not a "nasty" needle!!! It is a very small soft catheter inserted through the skin (epidermis) to rest some 6-9mm below the surface. My guess is you are not diabetic, not the parent of a diabetic and not a provider to this population. Continuous subcutaneous insulin infusion (CSII) has been fantastic for type 1 diabetics because it allows a much more flexible and scalable ability to provide the body the micro amounts of insulin needed to maintain a more "normal" blood sugar as well provide the ability to bolus with meals and snacks. Otherwise the choice is multiple injections of a variety of type of insulins with those "nasty" needles up to 6-8 or more times a day. You try this and come back with an answer. Do this for 14 years (that's over 5000 days and don't forget the 6-8 times needed to check the blood sugar, or 30K more pinpricks of the fingers or arms or wherever).

    Currently my daughter has been on this insulin pump for 4+ months and doing great. She pumped for 6 years before taking a yearlong pump holiday. A1C climbed to 9.1% on shots and is already back to 7.3%.

    There are over 151K kids living with type 1 diabetes, 13K new ones diagnosed annually and this number is increasing. 1 in 800 people are estimated to be type 1 diabetics. There are 24M diabetics overall--and CSII is being looked at for some of these folks as well.

    So is there a need and a market for this device? Certainly. Why is my daughter using this--because as a teenager, she didn't want to have to deal with the accessory tubing that is part of the other pumps--google this and you will see.

    Is this market only usable for diabetes? Take the same technology and system, use pain-medications instead of insulin, and you now have a subcutaneous pump for treatment of chronic pain (post-surgical, hospice cancer patients, and on).

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