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• Change your infusion set/site every 2 - 3 days or as directed by your healthcare professional. • Change your infusion set early in the day. This will allow you to take action more quickly if your insulin is not infusing properly through the catheter. If your insulin is not infusing properly, your BG levels will be higher than usual. • Rotate your sites. Each set change should be at least an inch or two (2.5cm - 5cm) from the last one. • Make sure you are working in a clean area when you do a set change. • Wash the site you plan to use. Changing a set after bathing or showering helps make sure the insertion area is clean but do allow the skin to dry for at least 10 minutes before inserting a new infusion set. • Inspect the sterile packages before you open them. Do not use if the packaging is damaged. • Once you open the package, keep the contents inside the package to keep them sterile. Do not place the contents directly on the table. • Make it a habit to inspect your site twice a day. If you notice signs of infection, report them to your healthcare professional as soon as possible. • Change your set/site any time if there is discomfort, if there is bleeding or if you notice signs of infection. Signs of infection include: redness, warmth, pain or discomfort at the site, unexplained high BG, swelling, drainage or unpleasant odour Test Your Knowledge: How often should I change my infusion set/site? Taking good care of infusion sites can help prevent infections. True False What is the most commonly recommended site location? 22 My Insulin Pump <strong>Workbook</strong> Animas UK & Ireland
GETTING READY FOR YOUR PUMP START APPOINTMENT 1. Time/Date: ____________________ Location: __________________ 2. The night before your pump start: If you are using NPH ® /Lantus ® /Levemir ® insulin, take ______ units of insulin at ____(time) the night before your pump start. Check with your healthcare professional for specific instructions. 3. The morning of your pump start: Take Humalog ® /NovoRapid ® /Apidra ® insulin for your food and any high BG. Do NOT take any long acting or intermediate acting insulin the morning of your pump start. Check with your healthcare professional for specific instructions. 4. Eat your usual breakfast on the morning of your pump start. Remember to cover the carbs with short or rapid-acting insulin that your healthcare professional has prescribed. 5. Bring these items with you the day of your pump start: �1 unopened vial of Humalog ® , NovoRapid ® or Apidra ® insulin �BG metre, lancets and strips �BG logs �Glucose tablets or another treatment for hypoglycaemia 7. Other items you need: �Ketone test strips �Carbohydrate counting book �Glucagon Emergency Kit 8. Additional Information (to be provided by your healthcare professional): Levemir ® is a registered trademark of Novo Nordisk Inc. Animas UK & Ireland My Insulin Pump <strong>Workbook</strong> 23
Page 1 and 2: My Insulin Pump Workbook A division
Page 3 and 4: Table of Contents Section 1: Introd
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: Section 2: STARTING ON INSULIN Fina
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

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