TALK DIABETES 2015 1 November 13, 2015 Pumping Insulin 101 Bonnie Stone-Hope RN, CDE, BA.
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Transcript of TALK DIABETES 2015 1 November 13, 2015 Pumping Insulin 101 Bonnie Stone-Hope RN, CDE, BA.
![Page 1: TALK DIABETES 2015 1 November 13, 2015 Pumping Insulin 101 Bonnie Stone-Hope RN, CDE, BA.](https://reader036.fdocuments.us/reader036/viewer/2022062409/5697bf911a28abf838c8ea01/html5/thumbnails/1.jpg)
TALK DIABETES 2015
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November 13, 2015
Pumping Insulin 101
Bonnie Stone-Hope RN, CDE, BA
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Objectives
What is an insulin pump?Why choose an insulin pump?What are disadvantages of pump therapy?Which insulin pumps are available in Canada?Process to obtain an insulin pump.Assistive Devices Program in Ontario.
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What is an Insulin Pump?
- Medical device used by people with diabetes- Offers an alternative to MDI- Worn externally, delivers a continuous amount
of rapid insulin 24 hours a day.- 3 components- pump, reservoir, and infusion
set 1) pump has a battery and controls 2) reservoir (cartridge) holds insulin 3) infusion set, thin tube in skin
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Pump delivers 2 types of insulin doses: - Basal insulin delivered continuously
over 24 hours to keep blood glucose levels stable between meals.
- Bolus insulin doses delivered by a push of a button on the pump, when eating or to correct high blood glucose levels.
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Example of pump start orders
• Start insulin pump with basal rate of 0.7 units per hour
• Carbohydrate ratio of 15 grams for all meals• Insulin sensitivity of 1 units of insulin drops 2.5
mmol/L.• Insulin on board = 4 hours• Blood glucose target is 5.0 to 7.0 mmol/L.
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Objectives
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Why choose an insulin pump?
- Increased flexibility in lifestyle- Predictable insulin delivery- Precise insulin delivery- Tight blood glucose control- Reduce risk of severe hypoglycemia- Help manage “dawn phenomenon”
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Disadvantages of Pump Therapy
- Increased risk of skin infections- Risk of DKA (diabetic ketoacidosis) due to
pump malfunction or absorption problems- Cost of supplies- Checking blood glucose at least 4 x daily
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Pumps available in Canada
In alphabetical order:Animas Ping Insulin PumpAnimas Vibe Insulin Pump
Omnipod Insulin Pump (GSK)Medtronic Veo Insulin Pump
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ANIMAS PING
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ANIMAS VIBE
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MEDTRONIC VEO PUMP
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Process to obtain a Pump
- Family physician sends referral to specialist- Client assessed, if pump is a good option,
pump orders written- DEMC at HDH for a pre-pump appointment- Client attends CHO-counting class, followed
by 1:1 with RD- 3 hour appointment to start on pump
therapy- Daily contact to make pump adjustments
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Assistive Devices Program
Criteria for funding:- Type 1 diabetes unable to achieve good
blood glucose control with MDI- Commitment to ongoing blood glucose
monitoring- Must attend diabetes education program
registered with ADP
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Assistive Devices Program
- Funding of pump is 100% total cost of pump
- Annual grant of $2400 per year to help cover cost of supplies
- Paid to recipient in 4 cheques of $600 every 3 months
- Renewal form sent every year, to be signed by specialist
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