Untethered regimen

Untethered Regimen is a method of managing Type 1 diabetes that combines the use of both an Insulin pump and long-acting Insulin injections. This regimen is often used by individuals who require a more flexible approach to their diabetes management.

Overview

The untethered regimen, also known as the "untethered method" or "hybrid pumping," was first described by Dr. Steve Edelman in 2004. It involves using an insulin pump for bolus insulin doses during meals and snacks, while also taking a long-acting insulin injection once or twice a day for basal insulin coverage. This method allows individuals to disconnect from their insulin pump for extended periods without worrying about high Blood sugar levels.

Benefits

The untethered regimen offers several benefits over traditional insulin pump therapy. It provides greater flexibility, as individuals can disconnect from their pump for activities such as swimming, contact sports, or intimate moments without worrying about their blood sugar levels. It also reduces the risk of Diabetic ketoacidosis (DKA) if the pump fails or the infusion set becomes dislodged.

Considerations

While the untethered regimen offers many benefits, it also has some considerations. It requires more injections than traditional pump therapy, and individuals must remember to take their long-acting insulin at the same time each day. It may also be more expensive, as it requires both pump supplies and insulin injections.

See Also

• Insulin pump
• Insulin therapy
• Type 1 diabetes