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 9: Tips and Case Studies Available to Purchase
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Published:2024
"Tips and Case Studies", Putting Your Patients on the Pump, Nicholas B. Argento, MD, FACE, Karen M. Bolderman, RD, LDN, CDCES
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In this chapter, we offer tips for provider success and case studies with commentary that provide examples of common challenges with pump therapy, both open-loop and hybrid closed-loop systems.
In general, be open-minded about who makes a good pump candidate. A well-educated college professor–type person with diabetes may be far less appropriate than a person with diabetes who has no more than an eighth-grade education but understands their diabetes, is motivated to improve their care and lessen their frustration with erratic control, and welcomes technology. Virtually ANYONE can improve on a pump, especially a closed-loop pump, if they devote the necessary time and effort, are trained and appropriately supported, and understand that the pump is a tool that requires attention and good technique, and is not a cure. It’s the level of diabetes knowledge and the ability to problem-solve and troubleshoot diabetes challenges that are more important than the number of years of formal education.
