Position Statement on the management of continuous subcutaneous insulin infusion (CSII): The Italian Lazio experience. (26th October 2015)

• Record Type: Journal Article
• Authors: Maurizi, Anna R.; Suraci, Concetta; Pitocco, Dario; Schiaffini, Riccardo; Tubili, Claudio; Morviducci, Lelio; Giordano, Renato; Manfrini, Silvia; Lauro, Davide; Frontoni, Simona; Pozzilli, Paolo; Buzzetti, Raffaella
• Is Part Of: Journal of diabetes. Volume 8:Number 1(2016:Jan.)
• Page Start: 41
• Page End: 44
• Publication Date: 2015-10-26
• Subjects: continuous subcutaneous insulin infusion -- diabetes management -- insulin pump therapy -- multidisciplinary insulin pump team; 持续皮下胰岛素输注 -- 糖尿病管理 -- 胰岛素泵治疗 -- 多学科胰岛素泵团队; Diabetes -- Periodicals; 618.3646005
• DOI: 10.1111/1753-0407.12321
• Languages: English
• ISSNs: 1753-0393

Abstract

Abstract: This document has been developed by a group of Italian diabetologists with extensive experience in continuous subcutaneous insulin infusion (CSII) therapy to provide indications for the clinical management of CSII in diabetic patients (both type 1 and type 2) based on delivery mode operating in Italy. Although the potential benefits of pump therapy in achieving glycemic goals is now accepted, such results cannot be obtained without specific knowledge and skills being conveyed to patients during ad hoc educational training. To ensure that these new technologies reach their full effectiveness, as demonstrated theoretically and clinically, a careful assessment of the overall therapeutic and educational process is required, in both qualitative and quantitative terms. Therefore, to ensure the cost‐effectiveness of insulin pump therapy and to justify reimbursement of therapy costs by the National Health System in Italy, in this article we present a model for diabetes and healthcare centers to follow that provides for different levels of expertise in the field of CSII therapy. This model will guarantee the provision of excellent care during insulin pump therapies, thus representing the basis for a successful outcome and expansion of this form of insulin treatment in patients with diabetes while also keeping costs under control.