Insulin Pump Therapy 3

What is the process for initiating patients on the pump?

Five Steps:
  1. Identify candidates
  2. Initiate pump prescription
  3. Calculate starting doses
  4. Start patient on pump
  5. Follow-up

 

What is the process for initiating patients on the pump?

Candidate selection

Indications Include:

  • Elevated A1C
  • Glycemic variability
  • Recurrent hypoglycemia
  • Nocturnal
  • Activity induced
  • Hypoglycemia unawareness
  • Recurrent DKA
  • Dawn phenomenon
  • Pregnancy and/or pre-pregnancy
  • Gastroparesis
  • Patient quality of life
  • Meal flexibility
  • Busy lifestyle
  • Athletes
  • Tighter control
Assess for:

  • Willingness to monitor BGs
  • Quantify food intake
  • Comply with medical follow-up
  • Responsible / Psychologically stable
  • Adequate vision or hearing

 

What is the process for initiating patients on the pump?

Initiate pump prescription

Preparations for Initiating Pump Orders

  • Discuss therapy with interested patients
  • Have Medtronic review payer considerations
    - A1C - BG Journals - Other labs (as needed)
  • Draw labs needed for insurance approval
  • Write prescriptions:
  • Pump
  • Initial pump settings
  • Vial(s) of rapid-acting insulin
  • Test strips / lancets
  • Glucose Tablets
  • Glucagon Emergency Kit
  • Ketone Strips

 

What is the process for initiating patients on the pump?

Follow-up ensures patient success

Supporting and fine-tuning settings is especially important during the first few weeks after starting a patient on a pump.

 

Follow-up Ensures Patient Success

 

In summary, initiating patients on pump therapy is really about a team with the patient in the center. It is not just the healthcare provider and staff trying to take care of everything. By incorporating educators and the Medtronic team to enhance efficiency, you can create a seamless flow and, most importantly, ensure the safety of the patient transitioning to pump therapy.