Insulin Pump Workbook - The Diabetes Education Network

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Reasons for high blood glucose levels 1. Increased insulin requirements • Infection • Illness • Stress • Inflammation at insertion site • Reduced exercise • Hormonal (pregnancy / menstruation) • Steroids 2. Infusion set • Insertion into hardened area • Infusion set left in too long • Infusion set dislodged • Infusion set blocked • Blood in infusion set • Empty cartridge • Large air bubble in tubing • Infusion set leaking • <strong>Pump</strong> failure 3. Insufficient insulin delivery • Basal rate too low • Forgot to give bolus • Bolus too small for amount of carbohydrates / under calculated carbohydrate content of food • Excessive carbohydrates after hypoglycaemia • Rebound following hypoglycaemia • <strong>Pump</strong> stopped 24
Managing Illness and Diabetic Ketoacidosis (DKA) When you are ill, your body becomes more resistant to the insulin you are taking so you will always require more. In addition, you will produce stress hormones that will cause your glucose levels to rise. Think back to times when you have been ill. What were the causes How did you manage it What will be different now you on the pump 25
Page 1 and 2: Insulin Pump Workbook Local Phone N
Page 3 and 4: About This Workbook Welcome to this
Page 5 and 6: What are your expectations about pu
Page 7 and 8: Possible Reasons to Convert to an I
Page 9 and 10: Benefits of Insulin Pump Therapy -
Page 11 and 12: Blood Glucose Monitoring Measuring
Page 13 and 14: Calculating Your Insulin to Carbohy
Page 15 and 16: What Insulin Will be Used in My Pum
Page 17 and 18: Infusion Site Management • It is
Page 19 and 20: What blood glucose level would you
Page 21 and 22: Help from Others Any of the above t
Page 23: Causes of High Blood Glucose Levels
Page 27 and 28: What should I do if I’m ill and m
Page 29 and 30: Blood Sugar above 14 Check pump and
Page 31 and 32: Checking Your Insulin to Carbohydra
Page 33 and 34: Checking Your Basal Rate Basal rate
Page 35 and 36: Example 2 What changes would you ma
Page 37 and 38: Using Temporary Basal Rates Do you
Page 39 and 40: Advanced Bolus Options Another adva
Page 41 and 42: Pump Failure My pump is not working
Page 43 and 44: Travel What will be different the n
Page 45 and 46: Admission to Hospital What do I do

Insulin Pump Workbook - The Diabetes Education Network

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