> Insulin pumps
What is Insulin Pump Therapy.
Continuous Subcutaneous Insulin Infusion (CSII). It is an electronic device about the size of a pager, which delivers insulin continuously via a small plastic cannula under the skin. Additional amounts of insulin are given using a bolus button when eating carbohydrate or to correct high blood sugar levels.
Wearing your pump
When you first start wearing your pump it can feel a little strange. It can take some time to work out the best place to put it. The pump can be attached to any belt, waistband or just carried in your pocket. You must however make sure it is secure. If it falls out of your pocket, it may break or pull out your cannula. There are a number of different cases and belts available.
Remember you need to wear the pump most of the time. You can "come off" your pump for short periods. This is usually no longer than an hour at a time. If you need to remove the pump for longer periods, you will need to speak to your diabetes team. When you come off your pump, you will need to disconnect at your cannula site. This is quite easy to do and you will be shown how to do this. You can leave your pump running after it has been disconnected. Place it in a clean Tupperwear box or something similar, lined with kitchen paper. Always put your pump in a safe place, where possible lock it away. Your insulin will automatically begin infusing once you have reconnected.
For most activities, where the pump is off for less than an hour, it is not necessary to make any adjustments to your insulin dose. If, however it is longer than an hour, you may have to give a correctional bolus. Discuss this with your diabetes nurse.
Sick day rules
You may need to make changes to your insulin dose when you are ill. This is managed differently with an insulin pump. Blood sugars are often much more difficult to keep under control when you are not very well. Discuss with your diabetes team how to manage your pump and any changes that may be required to your insulin dose when you are ill. Here are some general guidelines to help you.
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