General questions

What is an insulin pump?

An insulin pump is designed to deliver insulin continuously under the surface of the skin. It may also be referred to as continuous subcutaneous insulin infusion or CSII. A pump helps keep blood glucose levels as close to normal as possible. A landmark scientific study showed that maintaining blood glucose levels at or near normal levels greatly decreases the likelihood of complications from diabetes.1

1Diabetes Control and Complications Trial Research Group. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. New Engl J Med. 1993;329:977-986.

General questions

Can I use the Accu-Chek Combo system while undergoing an MRI or x-ray?

No. You should never use your insulin pump near electromagnetic fields such as x-ray, computer tomography or MRI. Disconnect and remove your pump and leave it outside these areas. If you do not follow this instruction your pump can be damaged and quit operation.

General questions

Can I get a loaner pump when I travel?

Yes. If you are traveling outside of the country, you may be eligible for a loaner. In an emergency, you can usually receive a replacement pump within 24 hours. Please call the Accu-Chek hotline for details.

General questions

WHAT PENS AND INSULIN DOSERS DO THEY WORK WITH?

See current compatibility chart.

General questions

IS THERE DEAD SPACE IN PEN NEEDLES?

There is no dead space in the pen needles. The design of the pen needles has accounted for the residual volume in the cannula as part of the delivered dose.

General questions

IS COBALT UTILIZED IN THE STERILIZATION PROCESS (question received from doctor treating allergic to cobalt.?

The sterilization process uses cobalt-60 (a radionuclided cobalt) and does not add any cobalt to the product; The sterilization process is simply an exposure to the gamma rays emitted by the cobalt which kills bacteria.

This type of sterilization process is approved by the FDA for food sterilization of chicken, fruit and spices.

However, our cannula is made from Type 304 Stainless steel. This grade of stainless is composed of many substances including carbon, manganese, chromium, nickel and others in various percentages. This does not DIRECTLY add cobalt into the material BUT it could be contained in the nickel at a residual level of about ~0.2%. The amount of nickel in 304 stainless is about 10% so the potential amount of cobalt in the need would be about 0.02%. The cobalt which may be contained in the nickel is simple cobalt, not cobalt-60.

So the answer is there is no cobalt from the sterilization process but there could be a very small amount in the needle due to the nickel.

One other thing to consider with this patient could be a nickel sensitivity as well.

General questions

CAN PEN NEEDLES BE DISPENSED IN QUANTITIES LESS THAN A BOX OF 100?

The pen needles should be dispensed as a box of 100. The package is not intended to be broken. Plans will pay for the box of 100; the pharmacist needs to enter it so that it reads as a 30 day supply, realized that the patient will not get if refilled for another 60 days or so.