Background and Aims

Background
Use of insulin pumps in T2DM patients require lot of efforts in elderly T2DM patients and that too in India. Financial and social support is must in elderly patients with frailty.Mrs AK is 73 over last two years and happily using it without severe hypoglycaemia. Mrs SD is 67 year old with one year of successful Insulin pump use.

Aims
To empower the use of insulin pumps in T2DM patients especially elderly patients in India.

Methods

Method
AK a 73 yrs teacher used pump for 2 years. She has Ischemic Heart Disease. She was hospitalized with fracture of D10 vertebra due to fall in house because of hypoglycaemia. She had lot of variability in glucose levels with MDI regimen. She has been monitoring her glucose by SMBG even on insulin pump She got AGP done once in Feb 2019. She was dependent on her husband for injection shots during MDI because of her essential tremors.

Another lady Mrs SD is a 67 year old lady with T2DM since 1993. She was having very high insulin requirement on MDI almost 120 units a day. She was admitted with severe hypoglycaemia with unconsciousness in October 2018.She is using Insulin Pump very effectively over last one year. The video recordings of both the patient is available with English subtitles.

Results

She has good glycaemic control and quality of life and independence over 2 years. Mrs SD used Insulin Pump effectively last one year

Conclusions

Insulin Pumps and accessories must be made affordable in India.