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You Have Diabetes! New Diagnosis

You Have Diabetes! New Diagnosis. Scared 15 year old… What are your fears? Who are your stakeholders?. Insulin Pump Therapy. Objectives. Explore the benefits of pump therapy Discuss Smart Pump features Experience pumping. Diabetes Treatment Evolution.

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You Have Diabetes! New Diagnosis

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  1. You Have Diabetes! New Diagnosis Scared 15 year old… • What are your fears? • Who are your stakeholders?

  2. Insulin Pump Therapy

  3. Objectives • Explore the benefits of pump therapy • Discuss Smart Pump features • Experience pumping

  4. Diabetes Treatment Evolution

  5. The Pump Mimics Normal Insulin Action • Better simulates normal basal/bolus insulin delivery • User may increase, decrease, or stop insulin • Closest thing to working & thinking like a pancreas!

  6. Barriers • Attached to device • Loss of privacy • Expense • Risk of site infections • DKA Benefits • Customized basal rates • Temp basal options • Bolus options • IOB feature • ezBG and ezCarb does the math for you • Sickday management • Decreased TDD • Stop insulin delivery

  7. Ways to determine starting insulin dose • Current TDD on injections • Current TDD – 25 to 50% • Weight ÷ 4 X 0.9 Your Total Daily Dose Your Wt÷ 4 = ___ X 0.9 = _____units Example: 150÷ 4 = 38 X 0.9 = 34 units Wolpert H, ed. Smart Pumping: A Practical Approach to Mastering the Insulin Pump. Alexandria, VA: American Diabetes Association; 2002. Walsh, J. Pumping Insulin Torrey Pines San Diego 2000

  8. Determining Your Basal Rate • 50% of TDD is Basal Need • Basal Rate is divided over 24 hrs TDD ÷ 2 = ____ ÷ 24hrs = __.___ Wolpert H, ed. Smart Pumping: A Practical Approach to Mastering the Insulin Pump. Alexandria, VA: American Diabetes Association; 2002. Walsh, J. Pumping Insulin Torrey Pines San Diego 2000

  9. Tools to Glucose Control Value of 1 unit of insulin Sensitivity Factor (SF) Lowering of glucose per unit of insulin Insulin to Carb Ratio (I:CHO) Grams of carbohydrates per unit of insulin

  10. Easy Math - 1800/500 Rules 1800 ÷ by TDD =SF 500 ÷ by TDD = I : CHO SF = I:CHO = 1 :

  11. Starting your pump • Set up a Basal Rate, an Insulin to Carbohydrate Ratio, & Insulin Sensitivity Factor. • Review ezCarbs & ezBG features • Insertinfusion set

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