Dr Sheharyar Quraishi, Consultant Endocrinologist and Diabetologist talks about which people wit Diabetes are eligible under the UK NHS for an Insulin Pump. He talks about screening tests and hypo awareness, mental health issues and HbA1c levels being all factors which may be considered.
Transcript (auto-generated)
This transcript was generated automatically and may contain errors.
The NICE criteria would recommend that patients who would have an HP1C of more than 69 would be eligible for it, but you need to go through a lot of eligibility criteria, i.e. patients should have had treatment on injectable therapy for a number of years before it's deemed that it's not effective. Patient should not have any underlying mental health issues. They should have had an up-to-date retinopathy screen and they should have had a CELEX screen. And other than that, if they have not, if they've had that pre-screening done and the Hb1c remains suboptimal, then they would be eligible for an insulin pump. The most common criteria would be patients with hyperglycemic unawareness, which essentially means if the blood sugar is low and they can't feel it's going low, they're having too many lows. And now that pumps have been licensed to be used in pregnancy for optimization, if a female wants to have a child, they want to control the average HbA1c to be on the low side. Um, and there are many other indications, uh, like gastroparesis essentially means delayed emptying through the stomach of the food absorption, neuropathy, insulin allergy, uh, lipohypertrophy, lipodystrophy, we essentially mean bumps where the injection goes. And these days there are in smaller, smaller subgroup of type two diabetes patients. there is an indication that there is benefit from using insulin pumps.
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