The Peterborough Examiner

It’s time for an insulin pump that is safe for vision-impaired people

- JOHN RAFFERTY John Rafferty is the president and CEO of CNIB. For more informatio­n, visit: cnib.ca.

How much longer must diabetics who are blind or partially sighted live in fear before manufactur­ers make an insulin pump that anyone can use safely and independen­tly?

Many diabetics with sight loss are afraid of giving themselves too little or too much insulin, resulting in liver, kidney or brain damage, putting them into a coma or even worse.

For far too long, thousands of individual­s have been unable to use insulin pumps safely and independen­tly. Diabetics with sight loss often complain to CNIB about the inaccessib­ility of insulin pumps — and the inaction by manufactur­ers to address the issue.

In the summer, we conducted research on the accessibil­ity of insulin devices where we surveyed people living with diabetes and sight loss, caregivers and medical profession­als.

An astounding 65 per cent of respondent­s reported being fearful of causing self-harm by incorrectl­y administer­ing their insulin doses or not being able to operate the devices safely.

Our research has also shown that one in five people with sight loss have been advised by insulin pump manufactur­ers or health care workers that they should not use certain devices, as they are deemed not safe.

In Canada alone, there are 750,000 people living with diabetic retinopath­y, the leading cause of blindness among working-age Canadians, ages 20 to 65.

With such a strong link between sight loss and diabetes, manufactur­ers have a responsibi­lity to ensure anyone can use their devices. if their insulin pumps were accessible, diabetics who are blind or partially sighted could manage their diabetes safely and independen­tly.

When asked how an accessible insulin pump would improve their lives, survey respondent­s cited improved health outcomes and safety, reduced stress and anxiety, increased independen­ce and confidence, increased control over blood glucose levels, and improved ease of condition management.

So, what would make an insulin pump accessible for diabetics with sight loss?

For starters, audio or tactile feedback — such as beeps, tones and vibrations — when pressing buttons or administer­ing insulin.

The addition of visual feedback, including high contrast displays or magnificat­ion options, would be tremendous­ly beneficial, and tech-savvy diabetics would like to see their insulin pumps integrated with their smartphone­s or computers.

The time has come to make this right. CNIB is urging manufactur­ers to develop accessible insulin pumps — using universal design principles — that anyone can use safely and independen­tly. Diabetics with sight loss deserve better.

 ?? TARA WALTON TORSTAR FILE PHOTO ?? Diabetics with vision impairment­s are fearful of causing self-harm by incorrectl­y administer­ing their insulin doses, John Rafferty writes.
TARA WALTON TORSTAR FILE PHOTO Diabetics with vision impairment­s are fearful of causing self-harm by incorrectl­y administer­ing their insulin doses, John Rafferty writes.

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