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Clarification of Pump Orders from Barbara Davis Center Diabetes Resource Nurse Winter/Spring 2013

Clarification of Pump Orders from Barbara Davis Center Diabetes Resource Nurse Winter/Spring 2013. Example of an update to insulin orders during the school year – See Handout. Pump Order: Basal Rates. Pump Insulin Dosing Orders (Insuin-toCarb Ratios and High BG Correction)

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Clarification of Pump Orders from Barbara Davis Center Diabetes Resource Nurse Winter/Spring 2013

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  1. Clarification of Pump Orders from Barbara Davis CenterDiabetes Resource NurseWinter/Spring 2013

  2. Example of an update to insulin orders during the school year – See Handout

  3. Pump Order: Basal Rates Pump Insulin Dosing Orders (Insuin-toCarb Ratios and High BG Correction) Bolus for carbohydrates should occur immediately before lunch BDC Insulin Pump: Active Insulin Curve: 3 Standard Start Time Units per Hour 00 0.2 02 0.2 21 0.25 Total :4.95 Note: This area indicates the pump basal settings – to be managed by parent.

  4. Pump Orders: Carbohydrate Dose Indicates that from midnight to 10am the carbohydrate bolus is 1 unit of Insulin to 20gms of carbs and from 10am to midnight the ratio is 1unit for every 30gms of carbohydrates Carbohydrate Bolus Time Ratio 00 20 10 30

  5. Pump Orders: Insulin Correction Indicates that for every 1 unit of insulin the student’s blood glucose will drop 120 mg/dl. This would then be the correction factor to use if the pump malfunctioned and insulin needed to be given by syringe or insulin pen. Ex: BG 240, would give 1 unit to drop BG to target range of 120. Correction Bolus Time Sensitivity 00 120

  6. Pump Orders: Target Ranges Targets Time Range 00 120-150 07 100-120 21 120-150 Indicates Target Ranges: for example from 7am to 9pm, the target range is 120-150

  7. REMINDERS • Please refer to your Diabetes Resource Nurse in your area for clarifications and concerns. • School staff and UAPs should not call BDC or other health care providers – communication should be made by the School Nurse

  8. Communication with BDC • To Reach RN on call: 303-724-2323 • Care Plan Line: 303-724-6245

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