Insulin (medication) cover meals (bolus also known as mealtime or prandial insulin). Maintaining the basal rate and the bolus rate is a continuous balancing act that people with insulin-dependent diabetes must manage each day. This is normally achieved through regular blood tests, although continuous blood sugar testing equipment (Continuous Glucose Monitors or CGMs) are now becoming available which could help to refine this balancing act once widespread usage becomes common. A long-acting insulin is used to approximate the basal secretion of insulin by the pancreas, which varies in the course of the day. NPH/isophane, lente, ultralente, glargine, and detemir may be used
Insulin pump being injected, or if the cannula becomes bent or kinked in the body, preventing delivery. Therefore, pump users typically monitor their blood sugars more frequently to evaluate the effectiveness of insulin delivery. Use of insulin pumps is increasing because of: In 1963 Dr. Arnold Kadish designed the first insulin pump to be worn as a backpack. A more wearable version was later devised by Dean Kamen in 1976. Kamen formed a company called "AutoSyringe" to market the product, which he sold to Baxter Health Care in 1981. The insulin pump was first endorsed in the United Kingdom in 2003, by