4.2 Review

Insulin pumps: from inception to the present and toward the future

Journal

JOURNAL OF CLINICAL PHARMACY AND THERAPEUTICS
Volume 35, Issue 2, Pages 127-138

Publisher

WILEY
DOI: 10.1111/j.1365-2710.2009.01048.x

Keywords

closed-loop system; continuous subcutaneous insulin infusion; insulin pumps; smart pumps; Type 1 diabetes mellitus

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P>As an alternative to the usual insulin injections, insulin pumps have been introduced as an advanced method of insulin delivery for managing type 1 diabetes mellitus patients. This review documents the history of insulin pump development and the production of 'smart pumps' that offer patients greater dosing accuracy, flexibility, and ease of use. This has resulted in an increase in the number of insulin pump users around the world. This paper also provides a comprehensive survey of the pumps currently available on the market and their specifications. Unique features of each product and the drawbacks are addressed in the review. The future direction of insulin pump development is targeted toward closing the loop, to allow feedback control between an insulin pump and a glucose sensor, and hence finer adjustment of insulin delivery rates as required.

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