These patients may include those with adherence issues, those who may have questionable absorption of long-acting insulin, patients who require a more physiologic insulin delivery, and those with needle aversion. An insulin pump is a small wearable electronic device that helps regulate insulin and blood glucose (sugar) levels. Also, make sure the plug is properly inserted into the EZ Fill between fills. Infusion site: The infusion site is the place on the body where the V-Go is attached, specifically the end of the V-Go where the needle is inserted under the skin. In addition, there was a lack of consistency when taking patient blood pressures (eg, time of day, stress level, location in the clinic, and study investigator variances) leading researchers unable to draw conclusions based on these measures. The V-Go, which weighs approximately 1 ounce when filled with insulin, is designed to release a set basal rate throughout the day once the needle is injected, while also allowing patients to provide on-demand bolus insulin with meals or as correction. Device may be submerged to a depth of three feet, three inches, for 24 hours. V-Go should be removed before any magnetic resonance imaging (MRI) testing. Consult your doctor or healthcare professional if you have questions regarding your specific bolus dosing needs. Then discard the EZ Fill after 30 fills. One of the V-Gos great advantages is that boluses can be given at any time of day because the device is always there. In the V-Go group, patients started with an average TDD of 73.7 units, and had a final average TDD of 47.3 units. See Section 2 (Part 3) Step 8C. Count to about 25 seconds when you push the plunger down to make sure the V-Go is filled with insulin. A more common problem than infection is skin irritation. this version. Active Comparator: VGo with Rapid Acting Insulin. Once patients were identified by a registered nurse or clinical pharmacist and the patients provider agreed that additional therapy should be initiated or that their patient would benefit from insulin administration with a V-Go, the patient underwent their first meeting with a researcher. Accessibility Last medically reviewed on March 10, 2022. Each time before placing a new vial into the EZ Fill, check to make sure the insulin vial is not expired and that it will not expire during the time period that the vial will be used in the EZ Fill, Each push of the bolus delivery button provides 2 Units, The V-Go may be filled with Humalog for up to 24 hours prior to use if refrigerated or if left at room temperature, The V-Go may be filled with NovoLog for up to 5 days prior to use if refrigerated. Can I swim, scuba dive, shower, or bathe while wearing the V-Go? They can also correct your blood sugar levels after eating by delivering additional insulin (known as bolus) to match the amount of carbohydrates you are going to eat or to correct high blood glucose levels. The device is 2.4 inches long, 1.3 inches wide, and half an inch thick and weighs between 0.7 and 1.8 ounces. When pushed, you will hear a click, and the needle will insert. Does not use tubing. What are the advantages of using an insulin pump? Step 2: Wash your hands There were no serious adverse drug events reported during the study period. The company recommends using either Humalog or Novolog. Contact your doctor or healthcare professional for the best way to treat infection and irritation, especially if the inflamed site appears bigger than a dime. Bolus: A bolus is an amount of insulin delivered at one time. Presented at ACCE. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Step 8: Dispose of the EZ Fill, Section 2 (Part 3): Applying and Using the V-Go Basal rate: The basal rate is the amount of insulin delivered at a preset rate by the V-Go over 24 hours.
Getting Ready. - HCP You will need to place a new V-Go back on after the test procedure is over. Funding: The author(s) received no financial support for the research, authorship, and/or publication of this article. Unless opened or damaged, contents are sterile, Before using contents, read the Instructions for Patient Use. Patients were required to have uncontrolled blood sugars with an A1C of 8% or greater. 5. 2 Insulin is not included with a V-Go prescription. government site. Get Label RSS Feed, To begin use, the V-Go is filled with insulin using their EZ Fill device. View NDC Code(s)NEW! Here's a quick overview of what V-Gos can offer: A V-Go is a disposable insulin delivery device that gives you a continuous amount of insulin throughout the day and night. Your pancreas releases insulin in response to changes in your blood sugar level. Thats why its important to work closely with your doctor or a diabetes educator to understand whether an insulin pump is right for you. The right pump for you depends on what type of diabetes you have, your insurance status, and your age. If this is the case, slowly pull the plunger up completely and repeat the filling process for the V-Go. When traveling with the EZ Fill, with an insulin vial attached, it should be refrigerated at all times. Glucose is the bodys most important source of energy. Water activities below 3 feet, 3 inches (1 meter), such as scuba diving. It looks like the V-Go has not filled completely. After approximately 3 months of treatment, the mean A1C change seen was a reduction of 2.4% while the average reduction in insulin TDD was 55 units, or a 46% decrease. always start with a V-Go that has been completely filled with insulin, All Drug Insulin is needed by the body to regulate the production and use of glucose. A savings card may also be available to you, lowering the cost of V-Go to $75. You dont need to give yourself multiple insulin injections every day. It may be more expensive than daily insulin injections. However, it is important that you check to make sure the device is secure after going underwater or if you have engaged in physical activity. It includes safety information and answers to frequently asked questions. Use the same precautions that you would when traveling with other insulin supplies. If you have not created a plan already, consult your doctor or healthcare professional for guidance. Type 2 diabetes mellitus affects over 29.1 million Americans, diagnosed and undiagnosed. (2019). Heres a quick summary before discussing the specific details. You must treat low blood sugar levels immediately. Replace this V-Go with a new V-Go before your next meal. The cost of V-Go will vary based on an individuals insurance coverage. The clinical pharmacist participating in the study had an established collaborative practice agreement with the physicians at the Alegent Creighton Dundee Clinic, which allowed independent medication management under supervision of clinic physicians. Patient Results for the MDII GroupInsulin TDD. The study investigators chose to use an A1C goal of > 8% because it was felt that despite patients with an A1C between 7% and 8% being possible candidates for initiation of insulin, there are other classes of antidiabetic medications that have been shown to lower A1C by approximately 1% that researchers thought may be more appealing to patients and would not require as much attention or sacrifice to get an A1C to goal. In conclusion, this study helped show that the V-Go is a viable option for insulin delivery and blood glucose management in patients with uncontrolled type 2 diabetes mellitus. Valeritas designed the device to be convenient and easy to use for people with Type 2 diabetes who use multiple daily injections. This product may be covered by your insurance. (current), Fill the V-Go with insulin using the EZ Fill, Attach the V-Go to a selected site (skin area), Push in the needle button to deliver the preset basal rate, Bolus dose at meals as prescribed by your doctor or healthcare professional, At the end of the 24-hour period, retract the needle and remove the V-Go from your body, Discard the device after use (the V-Go is 100% disposable), Repeat these steps for the next 24-hour period using a new V-Go, A separate prescription of a U100 fast-acting insulin is required for use with the V-Go (see, V-Go 20 requires two (2) vials of insulin, V-Go 30 and 40 require three (3) vials of insulin. There were limitations to this study present. This is done by using the glucose (sugar) in the blood as quick energy. Pump use can also decrease the number of needle sticks a person gets per day by eliminating the need for multiple injections. It uses a preset basal rate for between-meal and nighttime insulin. ADA Consumer Guide Home V-Go V-Go Zealand Pharma The V-Go is a tubeless insulin delivery system indicated for adults with type 1 or type 2 diabetes who require insulin.
Evaluation of Clinical Outcomes With the V-Go Wearable Insulin Delivery Lajara R, Nikkel C. Poster presented at: the International Society for Pharmacoeconomics and Outcomes Research 22nd Annual International Meeting; May 2017; Boston, MA. ), More about getting RSS News & Updates from DailyMed. The .gov means its official. As you push the plunger down, check to make sure insulin enters the V-Go. The device sticks to your skin with adhesive and a small needle .
Check that the V-Go is securely in place if it has been exposed to water or gone under water to the depth of 3 feet, 3 inches (1 meter). A prescription is required for this item. The V-Go is meant to be removed and replaced every 24 hours.3 Due to its recent integration into type 2 diabetes treatment, the V-Go has had few studies comparing it to other methods of standard basal-bolus insulin delivery. Everyones health journey is different, so our health coaches can offer support and advice thats tailored just for you. With a larger patient population, it is possible that more trends may be noted and more conclusions drawn. This allows you to administer the dose over 2 to 3 hours. recognize and manage low blood glucose.
Top Insulin Pump Comparisons - Integrated Diabetes Services Check for skin irritation, such as redness or swelling, after removing the adhesive. V-Go If the V-Go will not remain secure, replace with a new V-Go. And this certainly isn't because your diabetes management makes Miss Manners uncomfortable in flight. Monday through Friday: 8:00am - 4:30pm EST. The device is placed on either the patients stomach or the back of their arm.
PDF For more information about the V-Go Insulin Patch Pump, visit V-Go Insulin Pump A Solution to Insulin Underuse Patient Results for the V-Go GroupInsulin TDD. Hyperglycemia and diabetic ketoacidosis (DKA): Notify your doctor or healthcare professional of any serious hypoglycemia or hyperglycemia. The V-Go device is convenient and easy to operate (see Section 3 for indication). Enrolled but don't have your online account yet? The V-Go insulin delivery system is classified under medical supplies and devices. Lets look at some of the key advantages. V-Go is a once-daily insulin wearable, patch-like, device that helps provide blood sugar control for everyday lifestyles. Press the bolus delivery button to deliver 2 Units of insulin when the next bolus dose is needed. A persons out-of-pocket cost may be much more expensive. Step 3: Select and prepare the infusion site V-Go is reimbursed by many commercial insurances. If you have private health insurance, an insulin pump may be covered. If your levels are abnormally high after normal V-Go use as prescribed by your doctor or healthcare professional, you should remove the V-Go and replace it with a new one. The final 2 questions assessed overall QOL and a subjective rating of disease state severity. On a 0-100 scale (higher number = lower subjective QOL). They are, an artificial pancreas or closed loop system, subsidised by the National Diabetes Service Scheme (NDSS). Areas within a 1-inch circle around the belly button or surgical scars. Abigail Winter, PharmD, MPA, University of Kansas School of Pharmacy, 1010 N Kansas, 2331-H, Wichita, KS 67214, USA. Initially, investigators were hoping to target a much larger patient population with uncontrolled type 2 diabetes at this internal medicine clinic. With insulin pumps, meal and correction . This spring-driven patch pump is worn on the skin to provide a preset basal rate and on-demand bolus dosing. Step 6: Store the EZ Fill and unfilled V-Go devices after each day's V-Go filling session If the needle still will not retract into the V-Go, dispose of the V-Go in a sharps container. Light from the back will help you see the viewing window. Hypoglycemia: Hypoglycemia or low blood sugar occurs when blood glucose levels drop below normal (approximately 70 mg/dL). FDA Safety Recalls, Be sure that you have properly attached the V-Go to a flat surface on your body. Thoroughly clean the site with an alcohol swab. Precautions There is no batteries, tubes, or programming needed! You play the most important role in managing your care, including: An insulin pump is an alternative to giving yourself multiple daily insulin injections. The V-Go comes in 3 options and your doctor or healthcare professional will select the option you need. Using insulin infusion sets in CSII for longer than the recommended usage time leads to a high risk for adverse events. The V-Go is magnetic resonance (MR) unsafe. At this time, baseline measures were also evaluated. In addition, the effect on insulin requirement for these patients was assessed with secondary comparisons of weight, blood pressure, prevalence of hypoglycemic events, and quality of life before and after 3 months of intensified insulin therapy with regular monitoring by a clinical pharmacist at an internal medicine clinic. Can I wear the V-Go for longer than 24 hours for example, if I sleep an extra hour on the weekend? Those with type 2 diabetes may need insulin if other diabetes medications do not provide them with proper blood sugar control. At the time of this second meeting, patients were prescribed the necessary products correlating to the chosen regimen. Glucose: Glucose, a sugar, is a main way the body takes in carbohydrates. That may result in the loss of insulin effectiveness. reported a 1.98% decrease in A1C after 27 weeks and lower daily insulin use with the V-Go. Federal government websites often end in .gov or .mil. If you have any questions regarding the operation of the V-Go or EZ Fill, speak to a Valeritas Customer Care Representative 24/7 at 1-866-881-1209. For some of the patients, a call or visit from a clinical pharmacist they had never met led to hesitancy, even though it was explained that the pharmacist had worked in communion with the patients physician and under a collaborative practice agreement.
How Does an Insulin Pump Work: Types and How to Use It - Healthline Press down on the raised bump of the needle button with one firm quick motion. Having a few small bubbles is normal and harmless. Patients were asked to complete 4 blood glucose readings per day for 1 week prior to initiating the chosen therapy, and were asked to follow this routine for at least 3 months.
Valeritas V-Go - Diabetesnet.com In short, V-Go is an insulin pump specifically for type 2 diabetes patients. Do not discontinue therapy without the advice of your doctor or healthcare professional. Patients were included if they had an A1C of greater than 7.0% and were divided into 5 different patient groups based on their antidiabetic medication regimens prior to initiation of insulin administration with the V-Go.
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