Type 1 Diabetes Insulin Pump Guidelines 2016

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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