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