Type 1 Diabetes Insulin Pump Guidelines 2016
By Kate Mundy and Lynne McCleary
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Type 1 Diabetes Insulin Pump Guidelines 2016 - Kate Mundy
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ISBN: 978-1-4835847-5-1
About the Author – Kate Mundy
My decision to become a diabetes educator came from my own personal experiences living with Type 1 Diabetes and navigating health services. In 2012, I joined the Medicare Local team as a diabetes educator, gained my credentialing and now I work in private practice with AH Diabetes.
I have had Type 1 diabetes for 12 years and have been using an insulin pump for 9 years. I wrote this booklet for my patients and their families after noticing that, like I, they were ill equipped to self-manage their insulin pumps when pump therapy was initiated.
The booklet is designed to give people the tools they need to troubleshoot and self-manage their insulin pump, in conjunction with their diabetes team. It covers everything from selecting an appropriate pump, to sick day management and advanced pumping options. It is also aimed at GP’s with an interest in diabetes management to better acquaint themselves with insulin pumps and to better support their patients in achieving success.
CONTENTS
Introduction
Why would I want to use an insulin pump?
Advantages and disadvantages of pump therapy
Want to pump – what now? Choosing a pump
Choosing an infusion set
Basic Functions of an insulin pump
Targets when using an insulin pump
Monitoring when using an insulin pump
Ketones and Diabetes Ketoacidosis (DKA)
Record keeping and Continuous Glucose Monitoring (CGM)
Managing high BGL’s on a pump
Sick day planning and Hospitalisation
Hypoglycaemia
Alcohol
Managing exercise on a pump
Pump Care
Disconnection, pump failure or pump holiday
My insulin injection regime
Infusion sites, skin care and infection
Insulin pumping and travel
Are you ready to start pumping?
Self-assessment questionnaire
Start day
Frequently asked questions
Advanced pump settings
Performing a basal test
Maximising your bolus’s effectiveness
References
My insulin pump setting record
Answers to self-assessment
ABRREVIATIONS
BGL – Blood Glucose Levels
IPT – Insulin Pump Therapy
MDI – Multiple Dose Injection
CGM – Continuous Glucose Monitoring
IOB – Insulin on Board
CHO – Carbohydrates
TBR – Temporary Basal Rate
DKA – Diabetic Ketoacidosis
HYPO – Hypoglycaemia
I: CHO – Insulin to Carbohydrate Ratio
ISF – Insulin Sensitivity Factor
CF – Correction Factor
JDRF – Juvenile Diabetes Research Foundation
WHY WOULD I WANT TO USE AN INSULIN PUMP?
So you are considering an insulin pump to manage your Type 1 Diabetes? That’s great! Like anything, an insulin pump does have pros and cons. This section will examine both, so that you can make the best decision for you.
It must be noted that an insulin pump is only as good as the person using it. It’s no magic wand and still requires hard work and consistency on the user’s part.
PEOPLE WHO ARE WELL SUITED TO PUMP THERAPY
• Those who need a varying dose of basal (Levemir/Lantus) insulin throughout the day. e.g. People who need larger doses in the mornings