
February 4, 2003
Insulin Pumps
Question from Copperas Cove, Texas, USA:
I have type 2 diabetes, I go to the military hospital, and cannot get a pump there because they say the cost is too high so I am trying to find out how much a pump would cost. How much it is for me to buy an insulin pump? Please help me if you can, because so far no doctor was able to get my blood sugar under control.
Answer:
Insulin pumps are about $5000-6000 in the US. You should visit the pump manufacturer’s websites for more current and specific information including costs of ongoing supplies
SB
[Editor’s comment: Your greater frustration seems to be the failure of your current treatment plan which you need to express to your diabetes team.. In that light, as I see it, there are a number of things to be addressed:
Current criteria for insulin pump coverage for people with type 2 diabetes, state that insulin pumps are covered under insurance plan such as Medicare provided C-peptide levels are equal to or less than the lower limit of normal for the lab performing the test. You do not indicate whether this has been measured and/or what your C-peptide level is.
You do not tell us what oral hypoglycemic agents have been tried previously to help you better manage your diabetes. Since type 2 diabetes involves a syndrome of insulin resistance, often use of metformin and/or a thiazolidinedione can help.
Since it is well known that weight loss is key to successful management of type 2 diabetes, careful review of your meal plan and exercise regimen are important to assure these aspects of your regimen as maximized to their full potential.
A pump is not a panacea; it is merely a means of delivering insulin which can only be effective when properly utilized. It cannot, in and of itself, “fix” your control. With the availability of newer insulins, basal/bolus regimens, and the pump, it should be possible to adequately control your diabetes, regardless of the delivery method.
It appears that you need to schedule a conference with your current care providers to discuss tour frustrations and desire for improved blood glucose control. The military health care system does have some excellent diabetes care teams (physician, nurse, dietitian) that can assist you in finding the proper treatment plan. plan. If you are nor currently being followed by such a team, I would request a referral. You are most likely lacking in the appropriate amount and kind of education to use any treatment regimen to its fullest advantage and need in-depth diabetes education if you wish to achieve tight control. Please schedule a conference to review your knowledge and skills as soon as possible.
SS]