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Putting Your Patients on the Pump

ISBN-10: 1580404979
ISBN-13: 9781580404976
Edition: 2nd 2013
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Book details

List price: $24.95
Edition: 2nd
Copyright year: 2013
Publisher: American Diabetes Association
Publication date: 8/27/2013
Binding: Paperback
Pages: 128
Size: 6.00" wide x 8.75" long x 0.75" tall
Weight: 0.792
Language: English

Acknowledgments
Foreword
Introduction
Insulin Pump Therapy Advantages and Disadvantages
Benefits
Myths
Challenges
Pump and Infusion Set Options and Selection
Pump Features
Insulin Pump Options and Selection
Infusion Set and Tubing Options
Customer Service and Other Practical Considerations
Pump Candidate Basics
Profile of an Appropriate Candidate
Contraindications: Red Flags
Steps for Helping the Patient Determine and Achieve Readiness
Are YOU Ready?
Getting the Patient Ready
Goals and Objectives
Carbohydrate Counting
Hyperglycemia
Hypoglycemia
Infusion Set Insertion
Optional Saline Trial
Lifestyle Issues and Wearing the Pump
Patient Support System
Ordering the Pump and Supplies
Pump Start-Up
Pump Start Basics: Patient and Prescriber Responsibilities
Pump Start Guidelines for the Patient
Pump Start Guidelines for the Clinician
Determining Target Blood Glucose Values
Determining Starting Basal Rate
Calculating Insulin-to-Carbohydrate Ratios
Calculating the Correction Factor
Calculating a Meal Bolus
Identifying, Managing, and Preventing Hyperglycemia
Identifying, Managing, and Preventing Hypoglycemia
Follow-up Instructions
Additional Considerations
Pump Therapy Management (Keeping Patients on the Pump)
Record Keeping
Using Pump Data
Using Blood Glucose Meter Data
Using Continuous Glucose Monitor Data
Basal Rate Adjustment
Additional Basal Rates and Establishing Basal Patterns
Temporary Basal Rates
Insulin-to-Carbohydrate Ratio Adjustment
Correction (Sensitivity) Factor Adjustment
Infusion Site and Tubing Concerns
Emergency Supplies
Troubleshooting
Other Considerations in Pump Therapy Management
Use of Duration of Insulin Action "Insulin on Board" or "Active Insulin" Feature
Dining Out and Special Meals: Bolus Options
Alcohol
Exercise and Physical Activity
Intimacy/Sexual Activity
Managing Sick Days and Medical Procedures
Stress
Travel
Weight Change
Menses, Peri-menopause, and Menopause
Pregnancy
Pediatrics: Infants, Toddlers, Children, Teenagers
Type 2 and Type 1.5 (LADA) Diabetes
Older Adults and Special Needs Patients
Forms and Resources
Healthcare Professional Guidelines, Checklists, and Forms
Patient Guidelines, Checklists, and Forms
Insulin Pump Therapy Resources
Tips from Pump Experts and Case Studies
Tips for Healthcare Professionals from Healthcare Professionals
Pump Tips for Patients from Patients
Case Studies/Success Stories
What Lies Ahead: insulin Pumps of the Future
Index

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