title: Using insulin pump therapy in poorly controlled type 2 diabetes.
abstract: The purpose of this pilot/feasibility study was to evaluate the use of insulin regimens among individuals with poorly controlled type 2 diabetes. In addition, a secondary aim was to build the body of evidence regarding the use of insulin pumps in patients with type 2 diabetes.
  
  
  
  The setting was a suburban private endocrinology practice. Patients were a convenience sample of 15 adults, aged 40 to 64 years with poorly controlled type 2 diabetes, as defined by a hemoglobin A1C (A1C) of 8% or higher when continuous subcutaneous insulin infusion (CSII) was initiated. Baseline, 3-month, 6-month, and 1-year A1C, body mass index (BMI), basal and bolus insulin use, and number of office visits were collected through medical record review. Descriptive, independent, and paired t tests were used to evaluate data.
  
  
  
  A significant reduction in basal insulin use was found. Significant reductions in A1Cs were found at 3 months, 6 months, and 1 year. A significant increase in BMI was noted.
  
  
  
  Results indicated improvement in glycemic control with CSII for some patients with an associated increase in BMI. Reduction of basal insulin use was significant and, for some, cost effective using CSII. Current policies regarding CSII use in patients with type 2 diabetes need to be re-evaluated.
authors.affiliation: The Graduate School of Nursing, Robert Morris University, Moon Township, Pennsylvania
authors.forename: Phyllis
authors.initials: P
authors.lastname: Wolff-McDonagh
authors.affiliation: The Graduate School of Nursing, Robert Morris University, Moon Township, Pennsylvania
authors.forename: Judith
authors.initials: J
authors.lastname: Kaufmann
authors.affiliation: The Graduate School of Nursing, Robert Morris University, Moon Township, Pennsylvania
authors.forename: Stephen
authors.initials: S
authors.lastname: Foreman
authors.affiliation: The Graduate School of Nursing, Robert Morris University, Moon Township, Pennsylvania
authors.forename: Steven
authors.initials: S
authors.lastname: Wisotsky
authors.affiliation: The Graduate School of Nursing, Robert Morris University, Moon Township, Pennsylvania
authors.forename: Jo Ann
authors.initials: JA
authors.lastname: Wisotsky
authors.affiliation: The Graduate School of Nursing, Robert Morris University, Moon Township, Pennsylvania
authors.forename: Craig
authors.initials: C
authors.lastname: Wexler
mesh_terms: D000328:Adult; D048909:Diabetes Complications / Q000453:epidemiology / Q000401:mortality; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000188:drug therapy* / Q000453:epidemiology / Q000534:rehabilitation; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis / Q000378:metabolism; D006706:Homeostasis; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D007328:Insulin / Q000008:administration & dosage / Q000097:blood / Q000627:therapeutic use; D007332:Insulin Infusion Systems / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D010353:Patient Education as Topic; D014481:United States / Q000453:epidemiology
chemical_list: D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; D007328:Insulin