Instructions
Take Another Course
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What Makes a Good Pump Candidate? How can we help patients identify whether an insulin pump is right for them? A good pump candidate will be:
Strategies for Success To use a pump effectively, your patient will need to: Be monitoring their blood glucose 4+ times/day before meals and at bedtime as a minimum will allow for the assessment of efficacy and minimal safety.
Keep detailed records though pumps record insulin doses, manually logging information like dose timing, meal composition, physical activities, hormone shifts, stress and illness are still variables that are important because the pump will not captures that data.
Be actively counting grams of carbohydrates. In particular, automated hybrid closed loop systems require that the user enter carbohydrate values rather than flat meal doses, and this is the most accurate way to balance carbohydrate insulin needs.
Be self-adjusting their insulin in order to adjust for changes in meal composition, metabolic state, and physical activity level.
Know the principles of Basal/Bolus Therapy. Without a complete understanding of how things work, and what they're trying to achieve, trying to manage their diabetes with a pump can be dangerous.
Post-Pump
Management Frequent communication with their health care team Basal Testing Bolus/Correction dose fine-tuning Activity adjustments Application of advanced pump features such as temporary basals, extended blousing, and hybrid closed loop systems Persistent self-care (dont miss boluses!)
Your patient should be able to do the following once trained: P rovide effective troubleshooting,Prevent DKABe able to correctly respond to occlusions, Take care of: bleeding at the infusion site, running out of insulin, the set pulling out,sick days, and other unforeseen occurrences--and should be able to deal with these with minimal oversight.
DKA Prevention
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