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Insulin pump therapy maintenance

Insulin pump therapy maintenance

Herbal extract for hair growth you are disconnected Insuln more than an hour, you may Non-GMO marinades to replace your missed insulin. Bode BW, Garg SK. If insulin injection therapy is used, the pre-meal blood sugar and anticipated food intake are also used to help calculate the mealtime insulin dose injected.

Video

The Basics of Insulin Pump Therapy

Insulin pump therapy maintenance -

Main Content. Insulin Pump Therapy How to use this learning module 1. Good habits to manage your blood glucose 2. About insulin pumps 2. Comparing insulin pumps and injections 3. Insulin pump advantages 4.

Insulin pump challenges 5. Diabetic ketoacidosis and insulin pump therapy 6. Tips for choosing an insulin pump 7. Starting insulin pump therapy 8.

A day on insulin pump therapy Insulin Pump Therapy Program IPTP Frequently Asked Questions Some pumps can "talk" to glucose monitors. They can save both your insulin-dose information and your blood sugar levels over several days. How to live with an insulin pump Choosing an insulin pump Some people say that choosing which insulin pump to use is actually harder than deciding to switch to a pump in the first place.

Get recommendations. Get information about the pumps you're interested in. There are a number of insulin pump companies, and each pump is slightly different. Ask companies to send you information. Insulin pump companies also have websites where you can get all kinds of information.

Your local hospital may have open houses a few times a year so that pump makers can show their products and tell you how they work. Examine the pumps. Try the pump. Deciding where to wear the pump Hooking your insulin pump on a waistband or belt may be the obvious choice.

Look for clothing with inside pockets. Some clothes have pockets for phones or music players, with a hole you can slip a catheter through.

Some clothing companies make clothing especially for insulin pump users. If you have tubing, you can cut a small hole in a pocket to slip your catheter through.

Sew a baby sock to the inside of your clothing. This creates a pocket to hold your pump in place. Clip the pump inside your clothing. For example: Wear trouser socks, and slip the pump inside the top of one sock.

Clip the pump into your bra, either between your breasts or under your arm. Wear spandex shorts or shapewear under your clothes, and clip your pump inside one of the legs. Check with your pump maker. Sleeping with your pump shouldn't be a problem. If you wear pyjamas, you can clip your pump to your nightshirt or pyjama bottoms.

You don't need to worry about accidentally rolling onto your pump and changing your insulin dose. It's very hard to do that.

You can clip the pump to your headboard or to the side of your bed while you sleep. Or set it on your nightstand. The tubing should be long enough.

Some people just set the pump next to them while they sleep. Caring for the infusion site The infusion site is the area on your body where you attach the infusion set, if your insulin pump uses one. Take care to avoid infection. Infusion sites can get infected. It's important to know how to place the catheter correctly and to keep the area clean.

Replace your infusion set every 2 or 3 days or as often as your doctor tells you to. Choose a new infusion site carefully. Insert a new infusion set at least 2. away from where the last one was.

Moving your infusion sites around may help your tissue absorb insulin properly over the years. For example, you might trade off between your belly, your hip, and your thigh. Keep the infusion set at least 2. away from your belly button and any scars you may have.

Scar tissue can make it hard for the pump to get the insulin into your tissue. Help the infusion set stay attached to your skin.

You can buy special skin preparations to help your infusion set stick better to your skin. These products can also help keep your skin from being irritated by the infusion set's tape. If your skin is very sensitive, you can try paper tape, such as Micropore. During sports or other sweaty activities, spray some antiperspirant on the skin around your infusion site to help keep it drier.

Your insulin pump company may have other products you can buy to help your set stay in place. Don't wear your infusion set under a waistband or a tight seam that might rub against the tape and loosen it. Use an adhesive remover. If you don't like one type of infusion set, try another.

A number of companies make infusion sets. Avoiding blood sugar problems Here are some ways to avoid or manage low and high blood sugar when you have an insulin pump. Check your blood sugar often. You can help prevent low or high blood sugar by checking your blood sugar often.

People whose blood sugar levels don't vary much may not be able to sense when they have low blood sugar. Pumps use only rapid-acting insulin. So if something goes wrong with the pump and you don't get enough insulin, your blood sugar may rise. Know what to do if you have low or high blood sugar.

Get in the habit of keeping good records. Check your infusion set and your pump often. Ask your diabetes team about a continuous glucose monitor CGM.

Some insulin pumps include a CGM or work with one. Travelling with an insulin pump Planning ahead can help make your travels easier when you use an insulin pump. Always carry a backup kit.

Carry prescriptions for all of your medicines and supplies. If you are travelling out of the country, ask your doctor to use generic names for your medicines.

It's a good idea to carry a letter from your doctor that states that you use an insulin pump. That way there's no question that it's a piece of equipment that you need to have with you. If you're flying, pack your backup supplies in your carry-on bag.

Don't put your supplies in checked luggage. Stay up to date with airport security rules. Here are some guidelines: When you get ready to go through security, tell the security officer that you have diabetes and are carrying diabetes supplies with you.

People going through security screening with insulin pumps must also have insulin with them. And the insulin must be clearly labelled. Tell the officer that you are wearing an insulin pump. Explain that the pump can't be removed because it is inserted into your skin.

Pump manufacturers say that airport metal detectors won't damage your pump. But if you're worried, tell the officer that you would like a pat-down and visual examination instead of going through the detector.

Be sure the clock on your pump is set correctly. When you travel into a different time zone, don't forget to change the clock on your pump. Exercising with an insulin pump You can disconnect your pump during sports.

Exercising with your pump disconnected If you need to disconnect your pump for sports: Give yourself a bolus to cover the basal rate you will miss while you're disconnected.

Talk to your doctor about whether to do this before you disconnect. Some people will be able to wait an hour before they give themselves a bolus. Don't stop your pump while it's in the middle of delivering a bolus. See 'Insulin pen injectors' above. Before drawing up insulin, it is important to know the dose and type of insulin needed.

If more than one type of insulin is combined in one syringe, the person drawing up the insulin should calculate the total dose before drawing up the insulin. Some people, including young children and those with difficulty seeing or other disabilities, may need assistance.

Devices to magnify the syringe markings and simplify the drawing up process are available. One type of insulin, called U insulin, requires a special U syringe; this syringe makes it easier to measure the right dose.

If you use this type of insulin, your doctor or pharmacist can show you how to use the U syringe. It is very important to use this specially marked syringe only for U insulin. Using a U syringe with other insulins or using a U syringe with U can potentially result in dangerous errors in insulin dose.

Injection technique — The following is a description of subcutaneous insulin injection:. It is not necessary to clean the skin with alcohol unless the skin is dirty. Keep the skin pinched to avoid injecting insulin into the muscle. Depending upon your body type, you may not need to pinch up a fold of skin.

Hold the syringe and needle in place for 5 to 10 seconds. If blood or clear fluid insulin is seen at the injection site, apply pressure to the area for five to eight seconds.

The area should not be rubbed, because this can cause the insulin to be absorbed too quickly. Needles and syringes should only be used once and then thrown away.

Needles and syringes should never be shared. Used needles and syringes should not be included with regular household trash but should instead be placed in a puncture-proof container also known as a sharps container , available from most pharmacies or hospital supply stores.

Alternatively, a puncture-proof container such as an old liquid laundry detergent bottle, which can be closed with a screw cap, can be used. Check your local rules concerning disposal of these containers.

Injecting through clothing — Some people wonder about the safety of injecting insulin through their clothing. While it may be possible to do this, it's best to seek guidance from your health care provider if you are interested in using this technique.

Inhaled insulin — One formulation of inhaled insulin brand name: Afrezza is available for clinical use in the United States. Once inhaled, it begins to work quickly, similar to rapid-acting insulin, and is therefore considered a prandial mealtime insulin. Inhaled insulin has not been shown to lower glycated hemoglobin A1C levels to the usual target level of less than 7 percent in most studies.

In addition, lung function testing is required before starting it and periodically during therapy. Insulin pump. General principles — Insulin can be continuously administered by an insulin pump, rather than through multiple daily injections with a pen injector or needle and syringe.

An insulin pump may be recommended based on your preference and willingness and ability to use it. The pump stores rapid-acting insulin in a cartridge. Pumps are programmed to give a small dose of rapid-acting insulin every few minutes through the day and night basal insulin.

Before a meal, the pump needs to deliver a larger dose bolus of insulin, to prevent your blood sugar level from going too high after eating. Most pumps deliver insulin through a long spaghetti-like catheter, the end of which you insert under the skin.

The catheter is taken out and re-inserted approximately every two to three days. You will be taught how to do this relatively painless and quick procedure. Other pumps are entirely self-contained, with a small catheter built right into the small, disposable pump unit that needs to be replaced every few days.

For these "patch" pumps, insulin delivery is controlled by another device or compatible smartphone that you need to carry with you. The pump can be taken off for up to one hour without impacting blood sugar control; if it is taken off for longer periods of time, insulin injections may be needed to control the blood sugar.

If available and affordable, people using multiple daily insulin injections or an insulin pump generally use a continuous glucose monitoring CGM device, which provides more information about blood sugar levels than traditional fingersticks and a glucose meter.

These devices allow you to make better informed decisions about insulin dosing based on your blood sugar trends. If you do not use CGM, you may need to check your blood sugar levels four to seven times daily before meals, bedtime, sometimes two to three hours after meals, and occasionally in the middle of the night while your doses are being adjusted.

In addition, testing is recommended when low blood sugar is suspected; before, during, and after exercise; and before driving or engaging in a dangerous activity. After doses are programmed initially in the pump, testing at least four times per day, including before meals, is required as you must direct the pump to give pre-meal insulin based upon your blood sugar level and amount and type of food you plan to eat.

If insulin injection therapy is used, the pre-meal blood sugar and anticipated food intake are also used to help calculate the mealtime insulin dose injected.

Some insulin pumps communicate with CGMs, receiving glucose readings every five minutes. They can automatically adjust the basal rate of insulin delivery and deliver extra insulin to help correct for high blood sugars depending on the CGM results called a partial "artificial pancreas," "automated insulin delivery" [AID], or "hybrid closed-loop" system figure 5.

These devices can improve or maintain glucose control with less risk of hypoglycemia low blood sugar. The following devices, combining an insulin pump with CGM, are available or will become available in the future:. The insulin pump can be programmed to stop insulin delivery for up to two hours at a preset glucose value "low glucose suspend" feature or to reduce or stop insulin infusion if the system "predicts" that your blood sugar will soon go too low "predictive low glucose suspend" feature.

These features reduce the frequency and duration of hypoglycemia that may occur while you are sleeping. Some systems will also deliver extra insulin to help correct for hyperglycemia high blood sugar when there is insufficient insulin on board.

You need to manually direct delivery of insulin doses prior to meals. Use of these systems has been associated with less hypoglycemia low blood sugar and more blood sugar readings in the target range. An investigational bihormonal system uses two commercially available pumps, with one delivering insulin and the other glucagon.

These systems are also fully automated, in that the delivery of the insulin and glucagon is determined completely automatically by an algorithm that is, in turn, dependent on CGM results.

These devices have not yet been approved and are not commercially available. The insulin pump has advantages and disadvantages; it may be helpful to talk with a person who uses a pump before deciding to try it.

Most pump manufacturers have a list of people willing to speak with prospective pump users. It may also be possible to use a trial pump for a few days before committing to it.

Advantages — Insulin pumps have the advantage of increasing flexibility in the timing of meals and other day-to-day events. This can be of great benefit for children or adults whose schedule varies from one day to the next.

People who use an insulin pump do not require multiple daily injections; most people who use the pump change their injection insulin infusion site every 48 to 72 hours. Another major advantage of an insulin pump is that there is less variation in the amount of insulin absorbed compared with when insulin is given with a needle and syringe or pen.

This can help reduce day-to-day variations in blood sugar levels. Insulin pumps can deliver smaller amounts of insulin at a time than injection therapy.

The greatest advantage is for people with type 1 diabetes having blood glucose readings that are too low hypoglycemia and too high hyperglycemia. The use of an insulin pump with CGM in an automated system can help reduce hypoglycemia and increase time in the target range. Disadvantages — The cost of an insulin pump and supplies is greater than the cost of insulin syringes and needles or pens, although most insurance carriers cover some portion of the expenses.

Some people develop pump-associated problems, including skin irritation or infection at the infusion site or pump malfunction. You must take care to monitor your blood sugar levels carefully; stopping insulin, even for a short time, can lead to a significant increase in blood sugar. Some people find the pump awkward, unpleasant, or embarrassing although others find that they are able to adjust to it fairly easily.

However, you can disconnect the pump for brief periods, if desired. FACTORS AFFECTING INSULIN ACTION. Dose of insulin injected — The dose of insulin injected affects the rate at which your body absorbs it. For example, larger doses of insulin may be absorbed more slowly than a small dose.

With larger doses of insulin, the insulin may peak later or last longer than with small doses. This could mean that your blood sugar level is higher than expected within a few hours after eating but then becomes low. Injection technique — In general, we recommend the use of short insulin needles 4 or 5 mm to minimize tissue damage and reduce the likelihood of inadvertently injecting into muscle.

The angle and depth of an insulin injection are important, as mentioned above. See 'Needle and syringe' above. Site of injection — Clinicians usually recommend changing your injection site to minimize tissue irritation.

However, it is important to keep in mind that insulin is absorbed at different rates in different areas of the body.

For some types of insulin, the insulin is absorbed fastest from the abdominal area, slowest from the leg and buttock, and at an intermediate rate from the arm.

This may vary with the amount of fat under the skin; the more fat, the more slowly insulin is absorbed figure 2. Because of variations in absorption, it is reasonable to use the same general area for injections at a particular time of the day.

A theapy of pages on the Anti-inflammatory remedies for kidney health of Saskatchewan's website have been tjerapy translated in French. These translations are identified Herbal extract for hair growth a yellow box in the right or left rail that resembles the link below. The home page for French-language content on this site can be found at:. Renseignements en Français. Translations are made available to increase access to Government of Saskatchewan content for populations whose first language is not English. Contributor Disclosures. Please pmup the Pomegranate fruit salad recipes Herbal extract for hair growth Inulin end maintenancee this page. Type 1 Anti-inflammatory remedies for kidney health mellitus is a chronic medical condition that occurs when the pancreas, pjmp organ in the abdomen, produces very little or no insulin figure 1. Insulin is a hormone that helps the body to use glucose for energy. Glucose is a sugar that comes, in large part, from foods we eat. Insulin allows glucose to enter cells in the body where it is needed and stores excess glucose for later use.

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