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Welcome to insulin pump therapy and to the Animas ® family! At Animas UK & Ireland, we are committed to making your transition to pump therapy as easy as possible. You may have chosen pump therapy for tighter control, to decrease the occurrence and/or severity of high and low blood glucose (BG) or to help you live a more active and flexible lifestyle. Whatever the reason, having a sound knowledge base about pump therapy will help you be successful in your personal goals. This workbook was designed to enhance your understanding of the basics of pump therapy, as well as your Animas ® pump. In addition to this workbook, you will have support from your healthcare professional and your Animas ® Territory Manager and/or your pump trainer. If you need to contact your Animas ® Territory Manager for training or for any questions, call Animas UK & Ireland on 0800 055 6606 (UK) or 1800 812 715 (Ireland) and we’ll provide you with his/her name and telephone number. Good Luck! ....................................................... This workbook uses various styles: Test Your Knowledge - exercises for material covered in that section Animas ® Pump Pointer - special info and tips about pumping
Table of Contents Section 1: Introduction to Pumping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 Great Expectations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 Pre-Pump Topics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 What Pumpers Should Know . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 Pump Therapy Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Basal Rate Details . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 Bolus Dose Details . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Counting Carbohydrates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 Fibre . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 Protein and Fat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 Alcohol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 Glycaemic Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 Section 2: Starting on Insulin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Infusion Site Selection and Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 Getting Ready for Your Pump Start . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Pump Start Doses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 Troubleshooting High Blood Glucose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26 Low Blood Glucose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29 Handling Sick Days . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31 Physical Activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32 Record Keeping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35 Wearing the Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36 Insuring Your Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37 Section 3: The First Few Weeks to Months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Fine-tuning Basal Rates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38 Fine-tuning Bolus Dose Formulas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 Section 4: Advanced Pumping Features and Topics . . . . . . . . . . . . . . . . . . . . . . . .49 Insulin on Board (IOB) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50 Temporary Basal Rates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53 Multiple Basal Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53 Time Off the Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53 Appendix 1: Insulin Details . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54 Appendix 2: Infection Prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56 Appendix 3: Medical Waste . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57 Appendix 4: Pump Flow Sheets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58 Appendix 5: Diabetes Resource List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61 Animas UK & Ireland My Insulin Pump <strong>Workbook</strong> 1
Page 1: My Insulin Pump Workbook A division
Page 5 and 6: SECTION 1: INTRODUCTION TO PUMPING
Page 7 and 8: To Do Now: Go back to the list of t
Page 9 and 10: It is important to check your BG at
Page 11 and 12: What is my Basal Rate? Your healthc
Page 13 and 14: Calculating a BG Bolus Here is the
Page 15 and 16: BOLUS CALCULATION REVIEW: Steps to
Page 17 and 18: COUNTING CARBOHYDRATES Counting car
Page 19 and 20: Carbohydrate Portions are lists of
Page 21 and 22: Protein and Fat Protein and Fat can
Page 23 and 24: Section 2: STARTING ON INSULIN Fina
Page 25 and 26: GETTING READY FOR YOUR PUMP START A
Page 27 and 28: • BG Target The target range for
Page 29 and 30: High BG…. Questions to help you t
Page 31 and 32: LOW BLOOD GLUCOSE (HYPOGLYCAEMIA) A
Page 33 and 34: HANDLING SICK DAYS It may be more d
Page 35 and 36: BG levels sometimes rise during exe
Page 37 and 38: RECORD KEEPING Detailed record keep
Page 39 and 40: Swimming and Showering: • You can
Page 41 and 42: Around 5-8.5 mmol/L is reasonable,
Page 43 and 44: Evening Time: BG day 1 BG day 2 BG
Page 45 and 46: Basal Evaluation Log Use the follow
Page 47 and 48: Evaluating the Results • Expect y
Page 49 and 50: Bolus Dose Evaluation Logs Use the
Page 51 and 52: Section 4: ADVANCED PUMPING FEATURE
Page 53 and 54:
IOB has nothing to do with your bas
Page 55 and 56:
Temporary Basal Rates The Temporary
Page 57 and 58:
INSULIN STORAGE This information is
Page 59 and 60:
APPENDIX 3: MEDICAL WASTE Daily dia
Page 61 and 62:
: Animas UK & Ireland My Insulin Pu
Page 63 and 64:
APPENDIX 5: DIABETES RESOURCE LIST
Page 65 and 66:
Page 20 1. 1 to 1 1/2 hours 2. 10 3
Page 67 and 68:
My Notes: Animas UK & Ireland My In
Page 69 and 70:
Page 71 and 72:
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