3 years ago1,000+ Views
If you have been diagnosed with diabetes, you may feel overwhelmed by all the new information you have learned and will continue to learn about managing your diabetes. You already know your main goal should be to get your blood glucose (sugar) levels under control in order to increase your chances of a complication-free life. Many people know this, but need to know how to achieve good diabetes management, while balancing the day-to-day demands of diabetes with other life demands. An insulin pump can help you manage your diabetes. By using an insulin pump, you can match your insulin to your lifestyle, rather than getting an insulin injection and matching your life to how the insulin is working. When you work closely with your diabetes care team, insulin pumps can help you keep your blood glucose levels within your target ranges.  People of all ages with type 1 diabetes use insulin pumps and people with type 2 diabeteshave started to use them as well.

How They Work

Insulin pumps deliver rapid- or short-acting insulin 24 hours a day through a catheter placed under the skin. Your insulin doses are separated into: - Basal rates - Bolus doses to cover carbohydrate in meals - Correction or supplemental doses Basal insulin is delivered continuously over 24 hours, and keeps your blood glucose levels in range between meals and overnight. Often, you program different amounts of insulin at different times of the day and night. When you eat, you use buttons on the insulin pump to give additional insulin called a bolus. You take a bolus to cover the carbohydrate in each meal or snack. If you eat more than you planned, you can simply program a larger bolus of insulin to cover it. You also take a bolus to treat high blood glucose levels. If you have high blood glucose levels before you eat, you give a correction or supplemental bolus of insulin to bring it back to your target range.

Placing the Pump

Knowing how an insulin pump works is one thing. But you may be wondering where you are supposed to put it. You can buy a pump case or it can be attached to a waistband, pocket, bra, garter belt, sock, or underwear. You can also tuck any excess tubing into the waistband of your underwear or pants. When you sleep, you could try laying the pump next to you on the bed. You could even try wearing it on a waistband, armband, legband, or clip it to the blanket, sheet, pajamas, stuffed toy, or pillow with a belt clip. Showering and bathing are other instances when you should know where to put your insulin pump. Although insulin pumps are water resistant, they should not be set directly in the water. Instead, you can disconnect it. All insulin pumps have a disconnect port for activities, such as swimming, bathing, or showering. Some pumps can be placed on the side of the tub, in a shower caddy, or in a soap tray. There are also special cases you can buy. You can hang these cases from your neck or from a shower curtain hook. No matter what you may think, you can still have fun when you are using an insulin pump. When you exercise or play sports, you can wear a strong elastic waist band with a pump case. You can also wear it on an armband where it is visible. Women can tape the insulin pump to the front of their sports bra. Some coaches do not allow any devices to be worn because getting the pump knocked into you or falling on it can be painful. In this case, you may just need to take the insulin pump off.

When You Have to Disconnect

When you disconnect your pump, you are stopping all delivery (basal and bolus) by the pump. Here are some important tips to remember when disconnecting your pump. 1. It is important for you to remember that if you stop your pump while it is in the middle of delivering any bolus -- it will NOT be resumed. You may need to program a new one. 2. Be sure to bolus to cover the basal rate you will miss. If your blood glucose level is under 150, you can wait an hour to bolus. 3. Do not go longer than one to two hours without any insulin. 4. Monitor your blood glucose every three to four hours. Now that you know how the insulin pump works and how to wear it, take a look at some of the facts to see if this is right for you.
yeah it is really great. Me, myself am a volunteer and go with little kids on their 1 week long school trips (for example a swimming week or skiing, or whatever) since teacher can not take full responcability. I get so many experiences working on what I do. I also run a unformal organization in Slovenia, with teens and students with type 1 diabetes so it's quite fun! And I am really glad your nephew has such a great parents and in general family support :) @JPBenedetto
oh yeah, btw I was a research subject of that tehnology (one of many in the world, but one of few in Europe) and I had a bad experience with it (mind: this was at really early stages, so the tehnology wasn't up to date yet, and everything didn't work as it should haha). A few Slovenes, few Germans and few people from Israel were there. But now I am glad I was a part of it, because it really made the difference in a lot of diabetics (especially childrens) lifes.:) @JPBenedetto
@rodiziketan - I just followed your collection! Small world, the T1 family! They use a completely free tech group called NightScout to keep him monitored between bg checks. The CGM sends his readings to "the cloud" then that info is sent to a pebble watch, pc, smart phone, etc. The raw data even tells them if his bg is trending up or down. NightScout has spread like wildfire from the US to even the newest family in Bulgaria! Oh, we really must talk! 😊💜
I am a type 1 diabetic, you can check my collection All related to Diabetes, where you can find some facts and my personal story :) @JPBenedetto
@rodiziketan - My 3 year old nephew was diagnosed with T1 at 17months old. Little guy has a pump and a cgm which work great...they have his bg's controlled well enough that his A1C has improved steadily! But as you know D is a relentless & dangerous disease...with never a time-out. Have you heard of NightScout? May I ask what your connection to D is? What a GREAT CARD!!! 💜XO
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