Document Type

Poster

Associated Faculty

Dr. Valerie Herbert

Sponsoring Academic Department

School of Nursing

Publication Date

2024

Abstract/ Summary

Chronic conditions like Type 2 Diabetes require personalized treatment plans based upon patient status and require a higher level of vigilance to prevent critical levels of glucose in the body. With this in mind, optimizing glycemic control through insulin delivery methods is vital to avoiding hyperglycemic crises. These authors pose the question: In adults with Type 2 Diabetes Mellitus, what is the effect of manually administered insulin versus automatic insulin pumps on a patient's hemoglobin A1C (HbA1C) levels? A thorough review of studies was conducted using the following databases: Nursing Reference Center Plus, PubMed, and CINAHL. The search terms included: Type 2 DM, Type 2 Diabetes, Insulin Pump, A1C, Insulin Injection, Insulin Therapy, Peer Reviewed; the search excluded academic sources published before 2019. 10 articles in total met the inclusion criteria. Through thorough review of studies evaluating glycemic management using insulin pumps and manual injection, groups receiving insulin pump therapy experienced significant reduction in A1C levels. This significant reduction as compared to manual injections can be due to the continuous monitoring of glucose and prompt adjustments that are possible with a wearable device. Additionally, barriers to treatment compliance are mitigated with insulin pump utilization. Limitations to this review include cost-effectiveness of the respective treatments, analysis of long-term glucose management using each treatment, and comprehensive patient education regarding Type 2 Diabetes Mellitus management. These findings underscore a significant advantage of insulin pump usage for the management of Type 2 Diabetes as compared to manual insulin injection with regards to A1C levels.

Version

pre-print (i.e. pre-refereeing)

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