Insulin pumps backed by NICE

Insulin pump therapy has been approved for patients with type-1 diabetes, according to preliminary NICE guidance.

Both children and adults with difficult to control type-1 diabetes could be eligible for continuous subcutaneous insulin infusion (CSII).

Under-11s can be given the treatment if multiple-dose insulin (MDI) therapy is inappropriate.

Older patients are eligible for CSII if they find it impossible to maintain a HbA1c of 8.5 per cent or less using MDI or they suffer from recurrent and unpredictable hypoglycaemic events, says NICE.

CSII uses an external pump to continuously deliver insulin to the patient. It can be programmed to ensure insulin is delivered at higher rates at meal times, or has different basal rates in the day or night.

The NICE appraisal committee says evidence shows CSII has a valuable effect on HbA1c levels and can reduce the rate of hypoglycaemic episodes.

CSII can only be initiated by specialist teams, says NICE.

Professor Mike Kirby, a GP with an interest in diabetes, said: 'It's good news. It's been a battle to get funding for this in the past.'

Therapy eligibility

  • Type-1 diabetes patients.
  • Under-11s who have difficulty using MDI.
  • Over-11s and adults who have HbA1c >8.5 per cent.
  • Over-11s and adults with recurrent hypoglycaemia.

rachel.liddle@haymarket.com

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

NHS England pledges £30m for GPs to boost long COVID diagnosis and care

NHS England pledges £30m for GPs to boost long COVID diagnosis and care

NHS England has promised £30m for general practice to improve diagnosis and care...

Second dose COVID jabs for over-40s to be accelerated as lifting restrictions is delayed

Second dose COVID jabs for over-40s to be accelerated as lifting restrictions is delayed

Second doses of COVID-19 vaccines in England will be 'accelerated' for all over-40s...

BMA backs negligence action against GMC and hospital over doctor's suicide

BMA backs negligence action against GMC and hospital over doctor's suicide

The BMA is supporting legal action over alleged negligence and under the Human Rights...

GPs recognised in Queen's birthday honours

GPs recognised in Queen's birthday honours

GPs are among those who have been recognised in the Queen's birthday honours.

UK COVID-19 vaccination programme tracker

UK COVID-19 vaccination programme tracker

GPs across the UK are playing a leading role in the largest-ever NHS vaccination...

The healthcare crisis in Myanmar - how UK GPs can help

The healthcare crisis in Myanmar - how UK GPs can help

Dr Jim Brockbank from Myanmar UK GP Health Action provides an update on how the military...