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Are You A Candidate For An Insulin Pump?. Who is A Candidate. People of all ages with a diagnosis of Type 1 diabetes Type 2 diabetes Insurance companies and Medicare may dictate if a person is a candidate . Requirements When Wearing A Pump. Checking Blood sugars every 3-4 hours
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Who is A Candidate People of all ages with a diagnosis of • Type 1 diabetes • Type 2 diabetes Insurance companies and Medicare may dictate if a person is a candidate
Requirements When Wearing A Pump • Checking Blood sugars every 3-4 hours • Learning how to use the pump • Knowing how to count carbohydrates • Changing your site every 48-72 hours • Troubleshooting the pump • Wearing the pump on a daily basis
Advantages of an Insulin Pump • Eliminates multiple Insulin Injection with a syringe • Pumps deliver insulin more accurately • May improve A1c • May result in fewer large swings in BG levels • More flexible about when and what you eat
Advantages • May improve your quality of life • May reduce severe hypoglycemia • Eliminates Unpredictable Effects of intermediate or long-acting insulin • Pumps may allow you to exercise without having to eat large amounts of carbohydrates
Disadvantages • Risk of Infection • May need to check blood sugar more frequently • Wearing a pump can be bothersome during various times of the day
Disadvantages • Starting on a pump may take work and patience • It may take several months to get comfortable with the pump • May be expensive • May put you at increase risk of DKA
What Is A Insulin Pump? • Programmable device that holds insulin • May or may not require tubing • Are the size of a pager • Require insertion under the skin with a needle • A cannula remains under skin for 2-3 days and is the port for the insulin
How Insulin Pumps Work? Insulin Pumps require short acting insulin and are delivered as • Basal/continuous rates • Bolus doses to cover food • Correction or supplemental doses
Basal Rates • Insulin that is delivered continuously over 24 hours • Different amounts can be programmed throughout the day • Fast acting insulin is used and eliminates the need for lantus/levemir
Bolus Doses • Cover carbohydrates in meals • Are set up as a ratio or correction • Can be programmed at different times of day • Can bring you back into your target range
Take the Behavioral Diabetes Institute’s Pump Quiz • Helps you learn more about your feelings about the pump • Provides you with interviews of people with similar concerns • Provides you with a discomfort score • Highlights your major concerns
To Pump, or Not To Pump http://behavioraldiabetesinstitute.org/