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In this section About Diabetes Newly diagnosed type 1 diabetes Type 1 diabetes toolkit Diabetes speed bumps Living with diabetes Online learning Diabetes technology Social support School resources News Helpful diabetes links Contact Diabetes.

Pump therapy: dose adjustment. Pump therapy: dose adjustment Dose adjustment when using an insulin pump: Our goal is to help you learn to make rate and ratio adjustments independently Insulin requirements regularly change. We sure appreciate your participation and enthusiasm! Want to learn more pumps, sensors, and calculations?

Enroll in our Technology Toolkit. Due to technical difficulty during our July 21st course, we are re-recording session 1 and adding a new date for session 2. We apologize in advance for the inconvenience and we appreciate your patience. Join Coach Beverly for an overview of the complex world of insulin pumps and continuous glucose monitors.

This webinar will discuss the features of available technologies, basic functions and how to integrate these into our practice. We will discuss the benefits, considerations and critical information to share with clients and providers.

Tech — Insulin Pump Calculations; From basal to square bolus. Determining basal and bolus rates for insulin pumps can seem overwhelming. Included is a discussion on DKA recognition and an explanation of the safe use of technology in the hospital setting.

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Sign up below! Accreditation : Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider , and Commission on Dietetic Registration CDR , Provider DI Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.

The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE. Email Address Sign Me Up! Diabetes Education Services offers education and training to diabetes educators in the areas of both Type 1 and Type 2 Diabetes for the novice to the established professional.

Read our disclaimer for full disclosure. Main Website Online University Conferences Online Store Student Login. Free Med PocketCards. Ready to get certified? Get our Free CDCES Coach App. Home Exam Prep Start Your Journey 10 STEPS TO SUCCEED Pass the Diabetes Certification Exams CDCES or BC-ADM — Which Certification is Right for me?

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Your job is to weed through the particulars, pluck out the most important elements and choose the BEST answer. Answer 1 is correct. When someone is on an insulin pump, the basal insulin is being delivered 24 hours a day.

If blood sugars are dropping in-between meals or through the night, too much basal insulin is the usual culprit. People with this problem might complain of having to eat frequently throughout the day to prevent or treat hypoglycemic events.

The goal of insulin therapy is to take the least amount of insulin needed to manage blood sugars. Over insulinization leads to weight gain and hypoglycemia. Answer 2 is incorrect. This is best accomplished by decreasing the insulin delivered.

Answer 3 is incorrect. These low blood sugars are occurring over 3 hours after eating and taking bolus insulin to cover for carbs. If AR was taking too much insulin to cover carbs, we would expect a low blood sugar closer to the meal time. Since it is 3 hours post-meal and bolus, basal insulin is more suspect.

However, if we reduce the basal rate between 6 am to 10 pm and the person is still getting low blood sugars three hours post-meal, we could certainly reconsider adjusting the insulin-to-carb ratio. Finally, Answer 4 is incorrect. We can only base our answer on the information provided in the question.

We had over people take this practice test question. We sure appreciate your participation and enthusiasm! Want to learn more pumps, sensors, and calculations? Enroll in our Technology Toolkit.

Due to technical difficulty during our July 21st course, we are re-recording session 1 and adding a new date for session 2. We apologize in advance for the inconvenience and we appreciate your patience.

Join Coach Beverly for an overview of the complex world of insulin pumps and continuous glucose monitors. This webinar will discuss the features of available technologies, basic functions and how to integrate these into our practice.

We will discuss the benefits, considerations and critical information to share with clients and providers. Tech — Insulin Pump Calculations; From basal to square bolus. Determining basal and bolus rates for insulin pumps can seem overwhelming. Included is a discussion on DKA recognition and an explanation of the safe use of technology in the hospital setting.

Sign up for Diabetes Blog Bytes — we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. Sign up below! Accreditation : Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider , and Commission on Dietetic Registration CDR , Provider DI Although reasonable efforts were made to confirm the accuracy of the information, Alberta Health Services does not make any representation or warranty, express, implied or statutory, as to the accuracy, reliability, completeness, applicability or fitness for a particular purpose of such information.

Alberta Health Services expressly disclaims all liability for the use of these materials, and for any claims, actions, demands or suits arising from such use. ca Network.

It looks like your browser does not have JavaScript enabled. Please turn on JavaScript and try again. Main Content. Insulin Pump Therapy How to use this learning module 1. Good habits to manage your blood glucose 2.

About insulin pumps 2. Comparing insulin pumps and injections 3. Insulin pump advantages 4. Insulin pump challenges 5. Diabetic ketoacidosis and insulin pump therapy 6.

Tips for choosing an insulin pump 7. Starting insulin pump therapy 8. A day on insulin pump therapy Insulin Pump Therapy Program IPTP Frequently Asked Questions IPTP Questionnaire.

Alberta Health Services expressly disclaims all liability for the use of these materials, and for any claims, actions, demands or suits arising from such use. ca Network. It looks like your browser does not have JavaScript enabled. Please turn on JavaScript and try again. Main Content. Insulin Pump Therapy How to use this learning module 1.

Good habits to manage your blood glucose 2. About insulin pumps 2. Comparing insulin pumps and injections 3. Insulin pump advantages 4. Insulin pump challenges 5. Diabetic ketoacidosis and insulin pump therapy 6. Tips for choosing an insulin pump 7. Starting insulin pump therapy 8. A day on insulin pump therapy Insulin Pump Therapy Program IPTP Frequently Asked Questions IPTP Questionnaire.

Insulin Pump Therapy 2. Lower within-subject variability of insulin detemir in comparison to NPH insulin and insulin glargine in people with type 1 diabetes. Bergenstal RM,Tamborlane WV, Ahmann A, et al. Effectiveness of sensor-augmented insulin-pump therapy in type 1 diabetes.

N Engl J Med. Their thoughts and opinions are their own. The system requires a prescription from a healthcare professional. The sensor is intended for single use and requires a prescription. WARNING: Do not use SG values to make treatment decisions, including delivering a bolus, while the pump is in Manual Mode.

However, if your symptoms do not match the SG value, use a BG meter to confirm the SG value. Failure to confirm glucose levels when your symptoms do not match the SG value can result in the infusion of too much or too little insulin, which may cause hypoglycemia or hyperglycemia.

Pump therapy is not recommended for people whose vision or hearing does not allow for the recognition of pump signals, alerts, or alarms. The system requires a prescription. A confirmatory finger stick test via the CONTOUR ® NEXT LINK 2. All therapy adjustments should be based on measurements obtained using the CONTOUR ® NEXT LINK 2.

Always check the pump display to ensure the glucose result shown agrees with the glucose results shown on the CONTOUR ® NEXT LINK 2. Do not calibrate your CGM device or calculate a bolus using a blood glucose meter result taken from an Alternative Site palm or from a control solution test. It is not recommended to calibrate your CGM device when sensor or blood glucose values are changing rapidly, e.

Therefore this device should not be used in anyone under the age of 7 years old. This device should also not be used in patients who require less than a total daily insulin dose of 8 units per day because the device requires a minimum of 8 units per day to operate safely. Pump therapy is not recommended for people whose vision or hearing does not allow recognition of pump signals and alarms.

Pump therapy is not recommended for people who are unwilling or unable to maintain contact with their healthcare professional.

Both systems require a prescription. Insulin infusion pumps and associated components of insulin infusion systems are limited to sale by or on the order of a physician and should only be used under the direction of a healthcare professional familiar with the risks of insulin pump therapy.

Pump therapy is not recommended for people who are unwilling or unable to perform a minimum of four blood glucose tests per day. Insulin pumps use rapid-acting insulin.

If your insulin delivery is interrupted for any reason, you must be prepared to replace the missed insulin immediately. Insertion of a glucose sensor may cause bleeding or irritation at the insertion site.

Consult a physician immediately if you experience significant pain or if you suspect that the site is infected. The information provided by CGM systems is intended to supplement, not replace, blood glucose information obtained using a blood glucose meter.

A confirmatory fingerstick using a CONTOUR®NEXT LINK 2. Always check the pump display when using a CONTOUR®NEXT LINK 2. Do not calibrate your CGM device or calculate a bolus using a result taken from an Alternative Site palm or a result from a control solution test.

Under some conditions of use the pump can suspend again, resulting in very limited insulin delivery. Prolonged suspension can increase the risk of serious hyperglycemia, ketosis, and ketoacidosis. See important safety information and the appropriate user guides for additional important details.

En Español. Insulin pump therapy. An advanced option for diabetes management. What is insulin pump therapy? How does an insulin pump work? A pump delivers insulin to the body through a thin, flexible tube called an infusion set. What components are used as part of an insulin pump system?

Several pieces work together to deliver continuous doses of insulin. Roll over the components below for more information.

An infusion set is either placed inside of or comes preloaded with an insertion device and, with a push of a button, it is inserted quickly and easily. A plastic cartridge that holds up to units of insulin and is locked into the pump.

Φ Smart devices sold separately. Find a list of compatible devices. What are the benefits of insulin pump therapy? People can experience many positive changes in their life when switching to pump therapy.

Fewer injections. When using multiple daily injections, people often take shots several times a day. More convenience. Pumps can be programmed to deliver basal insulin at different rates throughout the day Change your mealtime insulin based on the food you choose to eat.

Mealtime dosing. The bolus calculator eliminates complex math and tracks active insulin. Tracking active insulin can help avoid stacking and going low. More stable blood sugar. May help you achieve better glucose control with fewer highs and lows §. Accurate insulin delivery.

Who can wear an insulin pump? Ask your healthcare professional about insulin pump therapy if you: Take 3 or more insulin injections per day Take other medications in addition to insulin to manage your diabetes Would like better management of your diabetes.

Wearing the pump Insurance FAQs. Different ways to wear an insulin pump There are many ways a pump can be worn. Does insurance cover an insulin pump? Frequently asked questions How much does an insulin pump cost? Your out-of-pocket cost varies depending on your insurance. We also offer financial assistance and monthly payment programs.

If you would like to receive an insurance coverage check at no cost, call to speak to a Diabetes Therapy consultant. Will an insulin pump interfere with my daily activities? Insulin pumps can be easily worn on or under your clothes very securely.

The pump can also be detached for activities like swimming, showering, and exercise so you can continue to live your life. An insulin pump can be expensive. What happens if I break it? Many insulin pumps are warranty-protected for a period of time.