ACCU-CHEK ® Combo - ACCU-CHEK Insulin Pumps

Site Rotation
• Essential to successful insulin pump therapy
• Change site location with every cannula
change
• Plan your rotation pattern to ensure sites have
time to heal
Benefits of Site Rotation
• Lower infection risk
• Optimized insulin absorption
• Reduced potential for fatty tissue overgrowth
• Reduced potential for scarring
• Reduced variability in blood sugar levels
Site Rotation Frequency
• Immediately
- Pain, irritation or bleeding at the infusion site
- Two correction boluses fail to reduce high
blood sugar level
- Ketones are present in your blood or urine
- Blood appears in the infusion set tubing or
around the cannula
• Every 24-48 hours
- Steel cannula
- Pregnancy
• Every 48-72 hours
- Soft cannula
Note: Do not change your infusion set before
going to bed since your blood glucose must be
measured 1 to 3 hours after insertion.
Preparation and Start-Up
Infusion Set Change
• If your blood glucose level is unexplainably high or
your pump sounds an occlusion alarm, check for
clogs and leaks
• If in doubt, change your entire infusion set
Potential Consequences of Poor Site Rotation
Front View Side View
• Increased risk of infection
• Unpredictable insulin absorption
• “Pump bumps” found at the point of insertion
• Scar tissue
• Lipohypertrophy—enlargement in the infusion site area
- Can result in poor insulin absorption and increased
insulin use
- Infusion sites outside of the lipohypertrophy area
may
absorb insulin differently. Frequent blood sugar monitoring
is recommended.
Tip: Write the date on the infusion set adhesive dressing
as a reminder to change your infusion set.
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