Tag Archives: insulina

COVID-19 and DIABETES

Although today the data are certainly not encouraging in general, I wanted in part to reassure T1D patients and family members with respect to the published images and tables that report a 35.5% mortality in Italy for subjects with DIABETES as co-morbidity. Today during the videoconference of the Istituto Superiore della Sanita I made an intervention asking specifically to clarify if there was an analysis available that differentiates between Type 1 Diabetes and Type 2 Diabetes. It has been confirmed to me that these are statistics related Type 2 Diabetes where the majority of patients are over 65 years of age and often have other co-morbidities.

Even among the 17 (data of 17 March) deceased patients who were under the age of 50 and in particular among the 5 deaths between 31 and 39 years of age, the subject with diabetes was affected by T2D and not T1D. Mortality among males is much higher than that of females, for reasons yet to be determined, but Type 1 Diabetes is not currently an increased risk factor. However, the rules of my previous posting on metabolic control and trying to keep an immune system in good condition, including diet and avoid smoking, apply, since hyperglycemia poor metabolic control can affect the immune system capability to fight infections in general.

Also today, in response to my comment / question, I have been told that an important emerging figure is the very high level of inflammation in the blood detected in these patients with Type 2 Diabetes, as detected for example by the very high levels of PCR (c reactive protein) detected in these subjects.

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Fonte delle immagini: Istituto Superiore della Sanità

NOTE: Omega 3 or Vitamin D if one takes them already for any reason there is no reason to suspend, but of course there are no specific randomized, controlled, prospective studies for COVID-19 and there is no rigorous research that indicates their possible use in curative terms for COVID-19. So keep staying at home and following the directions of the CDC in this direction.

Camillo Ricordi

Diabete e bambino. Cosa succede quando mangiamo? La vera storia del cibo dalla bocca agli zuccheri, grazie al lavoro di Fata Insulina.

Da Padre a padre, dico grazie all'autore per aver fatto sorridere la mia bambina. Ci ha relagato uno sprazzo di magia

Ho pianto nel vedere la mia bimba felice  di leggere di una bimba come lei
©Riproduzione riservata
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Vuoi parlare con le migliaia di amici che hanno già sperimentato le soluzioni proposte su DeeBee.it? Vuoi fare qualche domanda su un argomento specifico per conoscere le opinioni ed i suggerimenti di chi ci è già passato? Vuoi suggerire tu qualcosa dicendo la tua?
Non devi fare altro che iscriverti nel gruppo Nightscout Italia ed otterrai risposta ad ogni tua domanda! Nel nostro gruppo affrontiamo ogni tematica inerente il diabete (non solo tecnologia ma anche leggi, sport, alimentazione, accettazione, gestione quotidiana, L104, ecc., sia per adulti che per bambini).
Enjoy!

Solo, the patch pump that no longer leaves the OmniPod on its own

In 2019 the choice of insulin pumps in Italy will be expanded by the introduction of the Accu-Chek Solo (Micropump system) made by Roche. The device was awarded a CE mark in July 2018 and is approved for use by patients from 2 years of age. The pump is based on the design by Medingo. Ltd which was approved by the FDA in 2009 and purchased by Roche a year later.
Unlike the more well known OmniPod, the Solo has a semi disposable unit which is controlled via Bluetooth using a touchscreen handheld device with an intergrated Aviva Accu-Chek glucometer.

The part that attaches to the body is:

• An adhesive patch ( the pump holder) which has a plastic grafted inlay where the pump base and reservoir sit, this lasts up to 3 days.

• A pump base that contains the minimotor (with a piston system similar to that contained in conventional infusion pumps, and therefore different than the OmniPod system) and electronic components. It can be used for up to 4 months. The disposable reservoir part is inserted into this.

• The insulin reservoir, this can contain between 80 and 200 units of insulin and is replaced every three days. It is made of transparent material so that it is easy to see both the level of insulin as well as the presence of air bubbles.

It can be applied in four possible areas of the body: abdomen, legs, upper buttocks and arms.

Even though it looks very similar to its “cousin” the Omnipod there are a few important details that make the two quite different.

• The Solo micropump has two lengths of cannula available, a 6 mm and 9 mm these are made of soft teflon.

• The dispensing of insulin can take place by not only using the Personal Diabetes Manager, but also by pressing two buttons on the sides of the patch pump, thus avoiding inconveniences in case of loss or defect of the PDM (see below). By simultaneously pressing the two side buttons, after the audible confirmation, you can dispense insulin quickly in what is called a, “quick bolus”. Each time you press the buttons, it delivers insulin as needed, from as little as 0.20 to 2 units at a time.

• The pump part is water resistant but must not be immersed in water. It needs to be removed when having a bath or swimming. In these circumstances only the pump holder should be left on the body.

• The minimum basal rate is 0.0U / h (compared with 0.05U / time OmniPod), and the minimum bolus is 0.01U (0.05U compared with the OmniPod)

The Handheld Device

This is called the Personal Diabetes Manager (or “PDM”) it has a 4-inch colour display which can be locked preventing any accidental operation of the device. The display on the status screen allows you to see the time and date, the insulin level in the reservoir and the current basal rate. The battery is charged just like an ordinary smartphone, it features a display which confirms the bolus delivery and an integrated blood glucose meter port.
(The picture below shows the comparison in size between the remote control of Accu-Chek Insight and that of the Solo micropump).

Introducing a new Accu-Chek Italian User Group

With the imminent arrival in the Italian market, we reveal a new Facebook group dedicated to the new addition to the Roche family: This will be a place where members can exchange information, ideas and views on the new pump. As with all the other DeeBee groups, this will be a digital closed group , to protect the privacy of its members, please visit the group, we are waiting!

Diabete e bambino. Cosa succede quando mangiamo? La vera storia del cibo dalla bocca agli zuccheri, grazie al lavoro di Fata Insulina.

Da Padre a padre, dico grazie all'autore per aver fatto sorridere la mia bambina. Ci ha relagato uno sprazzo di magia

Ho pianto nel vedere la mia bimba felice  di leggere di una bimba come lei
©Riproduzione riservata
Print Friendly, PDF & Email

Vuoi parlare con le migliaia di amici che hanno già sperimentato le soluzioni proposte su DeeBee.it? Vuoi fare qualche domanda su un argomento specifico per conoscere le opinioni ed i suggerimenti di chi ci è già passato? Vuoi suggerire tu qualcosa dicendo la tua?
Non devi fare altro che iscriverti nel gruppo Nightscout Italia ed otterrai risposta ad ogni tua domanda! Nel nostro gruppo affrontiamo ogni tematica inerente il diabete (non solo tecnologia ma anche leggi, sport, alimentazione, accettazione, gestione quotidiana, L104, ecc., sia per adulti che per bambini).
Enjoy!