Modern insulin pumps are complex, multifaceted devices that continue to advance and evolve. A pump—particulary with integrated continuous glucose monitoring—is a powerful tool when prescribed to appropriate and motivated individuals, and can help people achieve their best possible level of glycemic control.
This comprehensive, fully updated edition guides practitioners through all aspects of initiating and maintaining effective pump therapy. Topics include:
Pump therapy advantages and disadvantages
Pump, infusion set, insulin options, and selection
Pump candidate basics
Getting the patient ready
Pump start-up
Pump therapy management
Case studies and guidelines
Chapter 4: Getting the Patient Ready Available to Purchase
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Published:2024
"Getting the Patient Ready", Putting Your Patients on the Pump, Nicholas B. Argento, MD, FACE, Karen M. Bolderman, RD, LDN, CDCES
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It may seem like a simple concept to “get the patient ready” for pump therapy, but as the healthcare professional (HCP) pump prescriber, it is also your responsibility to make sure the patient is prepared to achieve and maintain success with pump therapy.
Formal pump training of the patient has three stages: prepump education, pump start-up, and pump therapy follow-up and management. Prepump education might be spread over a few weeks but can be faster, depending on the patient and their current level of diabetes education, and much of it could be done via group classes or, more often, review of online or written materials. The usual pump start-up (see Chapter 5), that is, the first day the patient uses the pump, will vary in time depending on the patient and system used. Pump follow-up and management can range from a few weeks to several months.
When planning the prepump education, consider both the learning style of each patient as well as their general diabetes knowledge. Pump manufacturer Certified Diabetes Care and Education Specialists (CDCESs) may offer pump information appointments or classes in a medical practice, and it behooves you to ask about this option. Education via on-demand or live web encounters is a viable alternative, as is self-review of pump information before the start-up.
