User Manual

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Chapter 7
Insulin pump therapy follow-up
We hope that you are now comfortable using the pump and your blood glucose values have improved through insu-
lin pump therapy. Diabetes management requires much more than blood glucose control. You need to take care of
your complete physical and mental health. This includes seeking treatment for any condition both directly related to
and not related to diabetes. The following recommendations apply to general diabetes as well as insulin pump therapy
follow-up. Remember, your healthcare professional is your best resource for successful diabetes management.
Recommended follow-up
Everyday:
➠ Check BG 4-6 times a day and always before bed
➠ Test before driving and have a fast-acting
carbohydrate with you when you drive
➠ If your BG is above 250 mg/dl (13.9 mmol/L) twice in a
row, take an injection and change the infusion set
Every Month:
➠ Review DKA prevention guidelines
➠ Check 3:00AM BG at least once during the month
➠ Check 2-hour post-meal BG for all meals on a given day
Every 3 Months:
➠ Visit your healthcare professional, even if you feel well
and your BG values are within target range
➠ Review your BG log and insulin pump settings with your
healthcare professional
➠ Make sure you have an HbA1c test done
Laboratory Tests:
➠ Test for HbA1c four or more times a year
➠ Test for cholesterol, HDL, LDL, triglyceride yearly
➠ Test for microalbuminuria yearly
Every Visit:
➠ Blood pressure check
➠ Foot exam
➠ Review goals for BG, meal plan and exercise
Annually:
➠ Dilated eye exam by a qualified opthalmologist
➠ Annual flu shot
➠ Regular dental visits
➠ Nerve function tests
➠ EKG test over age 35
➠ Prostate exam for men, breast exam for women
➠ Diabetes education review
➠ Replace Glucagon Emergency Kit
(with new prescription from healthcare professional)
mp6024875_012_a.book Page 89 Monday, June 23, 2003 10:54 AM