Running an insulin pump service

John Pickup, Siobhan Pender, Julia Kidd and Nardos Yemane

in Insulin Pump Therapy and Continuous Glucose Monitoring

Published on behalf of Oxford University Press

ISBN: 9780199568604
Published online May 2011 | e-ISBN: 9780199607440 | DOI:

Series: Oxford Diabetes Library

Running an insulin pump service

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  • Endocrinology and Diabetes


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• Patients are selected for continuous subcutaneous insulin infusion (CSII) because they meet clinical criteria (e.g. disabling hypoglycaemia and/or elevated HbA1c on multiple daily insulin injections [MDI]), general requireents (e.g. willing and able to perform pump procedures), and have no obvious contraindications, for example, unwilling or unable to perform pump procedures • A sequential approach to treatment by CSII is recommended where patients first undergo a pre-pump assessment (including renewed diabetes education, optimization on MDI, for at least adults), with only those not achieving good control being offered a trial of pump therapy • Basal insulin rates are about 50% of the total daily dose and meal boluses are set by the insulin: carbohydrate ratio and a correction factor based on the insulin sensitivity factor for the individual • Dietitians play a crucial role in the pump service in teaching carbohydrate counting, preventing weight gain, treating and avoiding hypoglycaemia, and promoting healthy eating • CSII is typically started as an outpatient; education and training are vital

Chapter.  5374 words.  Illustrated.

Subjects: Endocrinology and Diabetes

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