CeQur Patch: A Wearable Insulin Delivery System for Diabetes Management
The CeQur patch is a disposable, wearable insulin delivery device that adheres directly to the skin and delivers insulin without tubing, providing either continuous basal insulin with bolus capabilities or bolus-only insulin delivery for people with diabetes. 1, 2
Types and Features of CeQur Patches
CeQur offers different patch pump options:
- CeQur Simplicity™: A 3-day insulin delivery patch designed specifically for mealtime insulin requirements 3
- PAQ®: A wearable 3-day insulin delivery device that provides set basal rates and bolus insulin on demand 4
Key features include:
- Patch design: Adheres directly to the skin without tubing (tubeless system) 1
- Duration: Typically worn for 2-3 days before replacement 1
- Insulin delivery options:
- Some models provide both basal and bolus insulin delivery
- Others deliver bolus insulin only (used with separate basal insulin injections) 1
- Dosing increments: Some models deliver bolus insulin in 2-unit increments 1
- Control mechanism: Mechanically controlled by the patient 5
Clinical Benefits
The CeQur patch offers several advantages for diabetes management:
- Improved glycemic control: Studies show significant HbA1c reductions of approximately 16 mmol/mol (1.5%) after 12 weeks of use 4
- Simplified insulin administration: Eliminates the need for multiple daily injections 4
- Increased treatment adherence: The patch format may enhance treatment adherence compared to traditional insulin pens 3
- Patient satisfaction: Users report higher satisfaction and preference for the patch over syringes and pens 5
- Discreet insulin delivery: Less visible than traditional insulin pumps or injection devices 5
Target Population
CeQur patches are suitable for:
- Type 2 diabetes: Particularly beneficial for patients transitioning from multiple daily injections to insulin pump therapy 4, 6
- Type 1 diabetes: Can be used as an alternative to traditional tubed insulin pumps 1
Practical Considerations
When considering CeQur patch use:
- Skin reactions: Some patients may experience mild to moderate catheter site reactions or skin irritation 4
- Cost and accessibility: May be more accessible than traditional insulin pumps but still faces hurdles to broad adoption 6
- Patient selection: Best suited for patients who desire simplified insulin delivery but can safely manage the technology 1
Comparison to Other Insulin Delivery Methods
The CeQur patch offers advantages over traditional methods:
- Versus syringes/pens: More convenient, less intrusive, and preferred by patients 5
- Versus traditional pumps: More discreet, potentially less expensive, and simpler to use 6
Safety Considerations
Important safety aspects include:
- Insulin deficiency risk: Like all pump systems, disconnection or failure could lead to insulin deficiency within hours 1
- Monitoring requirements: Regular blood glucose monitoring remains essential 3
- Backup plan: Patients should maintain alternative insulin delivery methods in case of device failure
The CeQur patch represents an important advancement in insulin delivery technology, offering a middle ground between multiple daily injections and traditional insulin pumps, with potential benefits for treatment adherence and glycemic control in people with diabetes.