Bakgrund: Diabetes typ 1 är en av världens snabbast växande folksjukdom vilket innebär att fler patienter med en insulinpump kommer söka vård i framtiden. Eftersom diabetes typ 1 medför en del olika komplikationer har patienten ett stort ansvar i sin egenvård. För att sjuksköterskan ska kunna underlätta egenvården och arbeta hälsofrämjande krävs det kunskap om hur det är att leva med en insulinpump och hur patienten upplever detta hjälpmedel kring sin egenvård. Syfte: Vuxna patienters upplevelse av att leva med en insulinpump (av typen closed loop). Metod: Metoden som användes var en litteraturöversikt av kvalitativa vetenskapliga artiklar som tagits fram genom systematisk artikelsökning i flera databaser. Resultat: Höga förväntningar kan leda till besvikelser av oväntade hinder i insulinpumpsbehandlingen. Trots det upplever majoriteten av patienterna en flexiblare vardag och minskad psykisk börda kring insulinpumpen. Dock kan oro och rädsla upplevas för att insulinpumpen ansvarar för en livsviktig uppgift, som är insulinadministrering. Sjuksköterskans och vårdens stöd har stor betydelse men kan ibland inte räcka till. Konklusion: Upplevelserna kring en insulinpump har av majoriteten upplevts positivt. Anledningen till negativa upplevelser har varit höga förväntningar och brist på information av vården. / Background: Diabetes type 1 is the world's fastest growing public disease, which means that more patients with an insulin pump will seek care in the future. Since type 1 diabetes entails a number of different complications, the patient has a great responsibility in his self-care. In order for the nurse to be able to facilitate self-care and work to promote health, knowledge is required about what it is like to live with an insulin pump and how the patient experiences this aid in their self-care. Aim: Adult patient`s experience of living with an insulin pump (of the type closed loop). Method: The method was a literature review of qualitative scientific articles produced through a systematic article search in several databases. Findings: High expectations can lead to disappointments due to unexpected obstacles in insulin pump therapy. Despite that, the majority of patients experience a more flexible everyday life and reduced mental burden around the insulin pump. However, anxiety and fear can be experienced because the insulin pump is responsible for a vital task, which is insulin administration. The support of the nurse and the spring are of great importance, but sometimes cannot be enough. Conclusion: The experiences of an insulin pump have been experienced positively by the majority. The reason for negative experiences has been high expectations and a lack of information about care.

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Title: Mountain tourism for diabetics with an insulin pump Objectives: The aim of this study is to find out whether it is suitable for patients with type 1 diabetes mellitus treated with an insulin pump to undergo physical activity in the form of mountain tourism, as the more intense physical aktivity affects blood glucose levels and whether patients are able to work with advanced insulin pump functions. Methods: The work is conceived as an observational study of the Medtronic educational project. One day mountain hike trip of a distance about 30 km was attended by 40 patients (men and women) with diabetes aged 15-25 years. Non-invasive methods were used. The data was obtained by monitoring insulin pump probes, glucometers and continuous monitoring, which were further evaluated using the CareLink Pro software. Results: Physical activity in the form of mountain tourism is suitable for patients with DM1 treated on an insulin pump. 80% of the probands did not have a risk status of hypoglycaemia, and even though the determined normoglycemia for research was performed by a larger number of adults as opposed to children, this FA has a demonstrable effect on blood glucose levels. It also brings positive benefits for patients because they learn how to work better with advanced insulin pump functions....

<p>Since the late 1970s, biomedical researchers have heavily invested in the development of portable insulin pumps that allow people with Type 1 Diabetes (T1D) to carry several days-worth of insulin to be injected on an as-needed basis. That means fewer needles and syringes, making regular insulin injections less time consuming and troublesome. As insulin pump use has become more widespread over the past twenty years among people with T1D, the social and cultural effects of using these medical devices on their everyday experiences have become both increasingly apparent for individuals yet consistently absent from social and cultural studies of the disease.</p><p><br></p><p>In this dissertation, I explore the technological, medical, and cultural networks of insulin pump treatment to identify the role(s) these biomedicalized treatment acts play in the structuring of people, their bodies, and the cultural values constructed around various medical technologies. As I will show, insulin pump treatment alters people’s bodies and identities as devices become integrated as co-productive actors within patient-users’ biological and social systems. By analyzing personal interviews and digital media produced by people with T1D alongside archival materials, this study identifies compulsory patterns in the practices, structures, and narratives related to insulin pump use to center chapters around the productive (and sometimes stifling) relationship between people, bodies, technologies, and American culture.</p><p><br></p><p>By analyzing the layered and intersecting sites of insulin pump treatment together, this project reveals how medical technologies, health identities, bodies, and cultures are co-constructed and co-defined in ways that bind them together—mutually constitutive, medically compelled, cultural and social. New bodies and new systems, I argue, come with new (in)visibilities, and while this new technologically-produced legibility of the body provides unprecedented management of the symptoms and side-effects of the disease, it also brings with it unforeseen social consequences that require changes to people’s everyday lives and practices. </p>