Clinical Research Of Double Wave,square Wave And Bolus Calculator Of Insulin Pump

Objective: To study the effect of bolus calculator,double wave and square wave in type 2 diabetes treated with insulin pump.Methods:100 patients with type 2 diabetes treated with insulin pump in the department of endocrinology of Affiliated Hospital of Yan’an University from March 2015 to January 2016 are divided into 2 groups according to the principle of randomization. Patients in group A were given large doses according to the traditional doctor’s experience method, and large doses were given to the patients in group B using the bolus calculator. Collection the baseline data including age, history, weight, glycosylated albumin, blood lipids, glycosylated hemoglobin, complications, and concomitant medication. All patients were treated with insulin pump for at least 7 days. Glycemic control goals: fasting blood glucose <8.0mmol/L, postprandial 2 hours of blood glucose 4.4-6.1mmol/L, bedtime blood glucose at 5.6-7.8mmol/L. To monitor the blood glucose level of 7 times daily, record the time and side effects of blood glucose, and record the dose of insulin pump. B Group recorded the process of using bolus calculator. Using the corresponding infusion method and recording the dose and the blood glucose of the patients in the two groups who were satisfied with the condition of double wave and square wave. A questionnaire survey was conducted on patients who were using bolus calculator to understand the patient’s mastery of the bolus calculator. Questionnaires were distributed to the medical staff in the Department, and the understanding of the medical staff on the bolus calculator, double wave, and square wave was investigated. And SPSS20.0 software was used to deal with the indicators between the two groups.result:1. The two groups of patients’ baseline data: age, history, gender, weight, height, blood pressure, glycosylated albumin, blood lipids, glycosylated hemoglobin, complications and concomitant medication are similar.2. Two groups of patients start, the standard, third days after the standard and withdrawal of insulin dosage no difference.3. There was no significant difference between the two groups of patients with blood glucose standards days and standards; the difference was not statistically significant between the standard rate of blood glucose after third days and 3 days after meal.4. Two groups of patients with fasting blood glucose were significantly decreased, the difference was statistically significant. But there was no difference between the two groups of patients before and after pump fasting blood glucose level and fasting blood glucose decreased.5. There was no significant difference in the incidence of hypoglycemia between the two groups.6. Patients with different blood glucose levels before and after lunch, the experience method group after lunch, blood glucose decreased more. Two groups of different levels of blood glucose before dinner, the experience of the group of lower blood sugar before dinner.7. The two group compared to bolus calculator group after lunch to lower blood sugar more, the standard rate of blood glucose before the next meal is higher. At the same time, the bolus calculator, taking into account the activity of the insulin, reduced the number of corrections, and reduced the dose of the corrected insulin.8. In line with the conditions of the patients using double wave, square wave, good effect, no significant adverse reactions.9. Questionnaire survey, it is found that the bolus wizard is not widely used are: complicated operation, cumbersome, carbohydrates and other parameters are difficult to estimate, non endocrine department doctor awareness rate is low, patients for the wrong lose insulin injection of worry.Conclusion: Insulin pump therapy can rapidly improve blood sugar control, so that blood sugar standards. bolus calculator to track the active insulin, effectively avoid the excess of insulin, so that after the meal 2H(before a meal) to improve blood sugar compliance rate, blood glucose control is more stable. But its operating steps are more, the difficulty of estimating carbohydrate quantity is insufficient, which limits its use in clinical practice.