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AACE: New Guidance on Insulin Pumps

In order for a patient to obtain maximum benefit from an insulin pump, uniform training programs must be developed…. 

George Grunberger, MD, president of AACE stated in an updated consensus statement that, "The organization acknowledges that pumps have become more sophisticated, and in order to obtain maximum benefit, training programs should be developed." According to that statement, which was published in Endocrine Practice, an update to earlier guidance from 2010 offered recommendations for patients who are on pump therapy with both type 1 and type 2 diabetes. It addresses the benefits of pump therapy, which include: pump therapy has benefits over multiple daily injections, better outcomes in regards to glycemic control, quality of life improvements, and severe hypoglycemia reductions.

The guidance provides an update on the state of technology and improvements to functional features of the pump. These improvements can be maximized if providers offer comprehensive training programs to patients.

Dr. Grunberger made several recommendations for creating a uniform training program including that the right people should be on the pumps and the people on pump therapy should be trained well. Some of the challenges in using pump therapy were also outlined including one of the biggest, that Medicare no longer covers CGM for pump therapy in patients over 65.

Practice Pearls:
  • Pump therapy has benefits over multiple daily injections, better outcomes in regards to glycemic control, quality of life improvements, and severe hypoglycemia reductions.
  • The guidance provides an update on the state of technology and improvements to functional features of the pump.
  • Medicare no longer covers CGM for pump therapy in patients over 65

Grunberger G, et al "Consensus statement by the American Association of Clinical Endocrinologists/American College of Endocrinology insulin pump management task force" Presented at the 2014 AACE meeting.