INSULIN PUMP THERAPY

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "INSULIN PUMP THERAPY"

Transcription

1 INSULIN PUMP THERAPY Information Leaflet Your Health. Our Priority.

2 Page 2 of 5 Insulin management plan for pregnant women using insulin pump therapy If at any point, you are not able to control your blood glucose levels adequately (between mmol/l), pump therapy may have to be discontinued and an intravenous insulin infusion used for the safety of your baby. Antenatal care During the antenatal period the Diabetes Team will advise you regarding the changes to your insulin pump regimen. If you are admitted to hospital during the pregnancy you can continue to use the pump so long as you are able to manage it and can perform the required blood glucose testing. Steroids during antenatal period Increase the basal rate by 50% when commencing steroid treatment. The basal rate can be increased or reduced in 10% increments if required, using the temporary basal rate. Correction bolus doses may be given at hourly intervals. Calculate the correction dose to assume that 1 unit of insulin will reduce the blood glucose by 2.5 mmol/l. Bolus doses may need to be increased as well. Labour and delivery During induction of labour you can continue using the pump so long as blood glucose levels stay between 4.0 and 8.0 mmol/l. During induction you will be able to have a light diet. During this period, avoid using the dual wave or extended bolus features on your pump. For insulin doses of 5 units or more, the dose should be split in 2 halves. One half should be taken before eating and the second half when you have finished eating. Once in established labour, the midwife will commence an intravenous variable rate insulin infusion and when this is running you will be asked to stop the pump and remove the cannula. After delivery or caesarean section As soon as you are able to eat and drink normally the midwife will ask you to re-site your pump cannula and after it has been running for 1 hour, the insulin infusion will be discontinued.

3 Page 3 of 5 The body s demand for insulin in the first 24 hours after delivery usually reduces. Therefore, your basal rate should be at your pre-pregnancy rate minus 10% and be reassessed within the initial 24 period. Return to using your normal insulin/carbohydrate ratio (e.g. 1 unit of insulin per 10g of carbohydrate). You can now use the dual wave or extended features on your pump. Breast-feeding If breast-feeding, the basal rate may need reducing by a further 10-20% of your already reduced pre-pregnancy rate. The insulin to carbohydrate ratio should be adjusted back to pre-pregnancy ratio (e.g. 1 unit of insulin to 10g carbohydrate). If for any reason you have to discontinue insulin pump therapy and go back to a basal bolus regime, the formula below is a guide to calculating your basal bolus doses. Changing back to a basal bolus regimen from using pump therapy Estimate your average Total Daily Dose (TDD) of insulin. Your Pump can tell you the TDD for a number of days previously. Add 10% to this total. e.g. 40 units per day + 10% 40 x 10 = Therefore, = 44 units Approximately, one third of this total should be your long acting insulin and the remainder divided up to give 3 meal doses of rapid acting insulin. e.g = Therefore, take 15 units of long acting insulin. 29 units are remaining = 9.66 units Therefore, approximately 10 units of rapid acting insulin should be taken with each meal. Supervisors of midwives Need extra information, support or advice? Contact a supervisor of midwives by ringing the main switchboard at Stepping Hill Hospital: A supervisor of midwives is available 24 hours a day.

4 Page 4 of 5 Supervisors are concerned with ensuring the safety and well-being of mother and baby and with the provision of high quality midwifery care. Contact us Antenatal Clinic Diabetes Specialist Midwife Triage Department

5 Page 5 of 5 If you would like this leaflet in a different format, for example, in large print, or on audiotape, or for people with learning disabilities, please contact: Patient and Customer Services, Poplar Suite, Stepping Hill Hospital. Tel: Our smoke free policy Smoking is not allowed anywhere on our sites. Please read our leaflet 'Policy on Smoke Free NHS Premises' to find out more. Leaflet number MAT127 Publication date April 2014 Review date April 2017 Department Antenatal Clinic Location Women s Unit, Stepping Hill Hospital

Insulin Pump Therapy during Pregnancy and Birth

Insulin Pump Therapy during Pregnancy and Birth Approvals: Specialist Group: Miss F Ashworth, Dr I Gallen, Dr J Ahmed Maternity Guidelines Group: V1 Dec 2012 Directorate Board: V1 Jan 2013 Clinical Guidelines Subgroup: July 2011 MSLC: V1 Nov 2012 Equality

More information

UNDERGOING TERMINATION OF PREGNANCY AFTER 12 WEEKS

UNDERGOING TERMINATION OF PREGNANCY AFTER 12 WEEKS UNDERGOING TERMINATION OF PREGNANCY AFTER 12 WEEKS Information Leaflet Your Health. Our Priority. Page 2 of 5 The staff at Stepping Hill Hospital will support you as much as we can during this sad time.

More information

DIABETES AND INSULIN PUMP THERAPY TOP TIPS FOR TRAVELLING

DIABETES AND INSULIN PUMP THERAPY TOP TIPS FOR TRAVELLING DIABETES AND INSULIN PUMP THERAPY TOP TIPS FOR TRAVELLING Information Leaflet Your Health. Our Priority. Page 2 of 6 People with diabetes who use an insulin pump can still enjoy foreign travel. However

More information

TYPE 1 DIABETES - SICK DAY RULES

TYPE 1 DIABETES - SICK DAY RULES TYPE 1 DIABETES - SICK DAY RULES Information Leaflet Your Health. Our Priority. Page 2 of 6 Introduction People with diabetes don t get ill any more often than other people, but illness and infections

More information

TYPE 2 DIABETES MELLITIS (INSULIN AND/OR METFORMIN) CARE OF WOMEN IN BIRTHING SUITE

TYPE 2 DIABETES MELLITIS (INSULIN AND/OR METFORMIN) CARE OF WOMEN IN BIRTHING SUITE TYPE 2 DIABETES MELLITIS (INSULIN AND/OR METFORMIN) CARE OF WOMEN IN BIRTHING SUITE DEFINITION Type 2 Diabetes is characterised by insulin resistance and relative impairment of insulin secretion leading

More information

University College Hospital. Sick day rules insulin pump therapy

University College Hospital. Sick day rules insulin pump therapy University College Hospital Sick day rules insulin pump therapy Children and Young People s Diabetes Service Children whose diabetes is well controlled should not experience more illness or infections

More information

BLOOD KETONE TESTING

BLOOD KETONE TESTING BLOOD KETONE TESTING Information Leaflet Your Health. Our Priority. Page 2 of 5 What are ketones? Maintaining good blood glucose control is important. When there is not enough insulin in the body, or when

More information

NEONATAL ABSTINENCE SYNDROME (NAS)- THE CARE YOUR BABY MAY NEED

NEONATAL ABSTINENCE SYNDROME (NAS)- THE CARE YOUR BABY MAY NEED NEONATAL ABSTINENCE SYNDROME (NAS)- THE CARE YOUR BABY MAY NEED Information Leaflet Your Health. Our Priority. Page 2 of 8 Welcome to Stepping Hill Hospital Women's Unit The aims of this leaflet are to:

More information

Calculating Insulin Dose

Calculating Insulin Dose Calculating Insulin Dose First, some basic things to know about insulin: Approximately 40-50% of the total daily insulin dose is to replace insulin overnight, when you are fasting and between meals. This

More information

BLADDER CONTROL DURING PREGNANCY AND AFTER THE BIRTH OF YOUR BABY

BLADDER CONTROL DURING PREGNANCY AND AFTER THE BIRTH OF YOUR BABY BLADDER CONTROL DURING PREGNANCY AND AFTER THE BIRTH OF YOUR BABY Information Leaflet Your Health. Our Priority. Page 2 of 8 Contents Stress incontinence... 3 Pelvic floor exercises... 3 Urgency and frequency...

More information

LISTENING TO YOUR BABY S HEARTBEAT DURING LABOUR (FETAL HEART MONITORING)

LISTENING TO YOUR BABY S HEARTBEAT DURING LABOUR (FETAL HEART MONITORING) LISTENING TO YOUR BABY S HEARTBEAT DURING LABOUR (FETAL HEART MONITORING) Information Leaflet Your Health. Our Priority. Page 2 of 7 Introduction This leaflet will give you information on how Midwives

More information

Gestational Diabetes. A Guide to Insulin in Pregnancy

Gestational Diabetes. A Guide to Insulin in Pregnancy Gestational Diabetes A Guide to Insulin in Pregnancy Why do I need insulin? It is important for your baby that your blood glucose stays below 5.5 mmols before breakfast and below 7 two hours after meals

More information

GESTATIONAL DIABETES (DIET/INSULIN/METFORMIN) CARE OF WOMEN IN BIRTHING SUITE

GESTATIONAL DIABETES (DIET/INSULIN/METFORMIN) CARE OF WOMEN IN BIRTHING SUITE GESTATIONAL DIABETES (DIET/INSULIN/METFORMIN) CARE OF WOMEN IN BIRTHING SUITE DEFINITION A disorder characterised by hyperglycaemia first recognised during pregnancy due to increased insulin resistance

More information

MANAGING DIET ON AN INSULIN PUMP.

MANAGING DIET ON AN INSULIN PUMP. Patient Information MANAGING DIET ON AN INSULIN PUMP. Dietetic Department Therapy Services Shrewsbury and Telford NHS Trust 1 Food Bolusing on a pump (ADJUSTING YOUR INSULIN WITH YOUR DIET) Hopefully you

More information

Your blood sugar will be checked on arrival to Endoscopy and monitored whilst you are there.

Your blood sugar will be checked on arrival to Endoscopy and monitored whilst you are there. GASTROSCOPY TABLET CONTROLLED DIABETES (Including injectable medication which is not insulin) MORNING APOINTMENT Take your tablets as normal on the day before the test. On the day of the test: Omit your

More information

ROYAL HOSPITAL FOR WOMEN

ROYAL HOSPITAL FOR WOMEN ROYAL HOSPITAL FOR WOMEN LOCAL OPERATING PROCEDURE CLINICAL POLICIES, PROCEDURES & GUIDELINES Approved by Quality & Patient Safety Committee 17 April 2014 INSULIN INFUSION PROTOCOL INSULIN DEXTROSE INFUSION

More information

Insulin pump therapy aiming for better blood glucose control in people with type 1 diabetes

Insulin pump therapy aiming for better blood glucose control in people with type 1 diabetes Insulin pump therapy aiming for better blood glucose control in people with type 1 diabetes The Guy s and St Thomas NHS Foundation Trust insulin pump service is provided by a multidisciplinary team consisting

More information

Diabetes Management Tube Feeding/Parenteral Nutrition Order Set (Adult)

Diabetes Management Tube Feeding/Parenteral Nutrition Order Set (Adult) Review Due Date: 2016 May PATIENT CARE ORDERS Weight (kg) Known Adverse Reactions or Intolerances DRUG No Yes (list) FOOD No Yes (list) LATEX No Yes ***See Suggestions for Management (on reverse)*** ***If

More information

Diabetes and pregnancy - Antenatal care

Diabetes and pregnancy - Antenatal care All of our publications are available in different languages, larger print, braille (English only), audio tape or another format of your choice. Information for you Tha gach sgrìobhainn againn rim faotainn

More information

Diabetes in Pregnancy: Management in Labour

Diabetes in Pregnancy: Management in Labour 1. Purpose The standard management of labour applies to women with diabetes, and includes the following special considerations: Timing of birth. Refer to guideline: Diabetes Mellitus - Management of Pre-existing

More information

Introduction to Insulin Pump Therapy

Introduction to Insulin Pump Therapy Introduction to Insulin Pump Therapy What is an insulin pump and how does it work? An insulin pump is a small electronic device which provides a continuous infusion of very fast acting insulin (Novorapid

More information

Continuous Subcutaneous Insulin Infusion (CSII)

Continuous Subcutaneous Insulin Infusion (CSII) IMPORTANCE OF FOCUS CSII (Insulin pumps) have been used for more than 35 years. In the U.S. in 2005, the level of insulin pump penetration was estimated at 20 to 30% in patients with type 1 diabetes mellitus

More information

My Sick Day Plan for Type 1 Diabetes on an Insulin Pump

My Sick Day Plan for Type 1 Diabetes on an Insulin Pump My Sick Day Plan for Type 1 Diabetes on an Insulin Pump When you are sick, your blood sugar levels may be harder to keep under control. Your blood sugar may go too high or too low. Use this guide to help

More information

Diabetes Monitoring Diary

Diabetes Monitoring Diary Diabetes Monitoring Diary For those Counting Diabetes Service My targets: Before breakfast Before other meals Before bed... mmol/l... mmol/l... mmol/l Correcting high blood glucose levels: Information

More information

Insulin Pumps. with Diabetes

Insulin Pumps. with Diabetes Insulin Pumps with Diabetes Continuous subcutaneous insulin infusion (with an insulin pump) is an alternative to multiple daily injections for people with type 1 diabetes Streetwise What is an insulin

More information

Insulin Pump Therapy for Type 1 Diabetes

Insulin Pump Therapy for Type 1 Diabetes Insulin Pump Therapy for Type 1 Diabetes Aim(s) and objective(s) This guideline has been developed to describe which patients with Type 1 Diabetes should be referred for assessment for insulin pump therapy

More information

Inpatient Guidelines: Insulin Infusion Pump Management

Inpatient Guidelines: Insulin Infusion Pump Management Inpatient Guidelines: Insulin Infusion Pump Management Developed by the Statewide Diabetes Clinical Network Steering Committee July 2012 Clinical Access and Redesign Unit Table of Contents Purpose...4

More information

Breastfeeding for mothers with diabetes

Breastfeeding for mothers with diabetes 906700-WZZ1643 19/12/2013 16:22 Page 1 We continually strive to improve the quality of information given to patients. If you have any comments or suggestions regarding this information booklet, please

More information

User guide Basal-bolus Insulin Dosing Chart: Adult

User guide Basal-bolus Insulin Dosing Chart: Adult Contacts and further information Local contact Clinical pharmacy or visiting pharmacy Diabetes education service Director of Medical Services Visiting or local endocrinologist or diabetes physician For

More information

This guideline is for the management of Adult patients with Diabetes Mellitus using insulin pump therapy during admission to hospital

This guideline is for the management of Adult patients with Diabetes Mellitus using insulin pump therapy during admission to hospital CLINICAL GUIDELINE FOR THE MANAGEMENT OF ADULT PATIENTS DIABETES MELLITUS USING INSULIN PUMP THERAPY (Continuous Subcutaneous Insulin Infusion (CSII)), DURING ADMISSION TO HOSPITAL 1. Aim/Purpose of this

More information

Are you ready to pump?

Are you ready to pump? The decision to use an insulin pump is not an easy one. There is a lot involved with managing diabetes using a pump. Take some time to make this decision. Talk about it with your family and your health

More information

Basal Rate Testing Blood sugar is affected at any time by 1) basal insulin 2) food (carbohydrate) intake 3) bolus insulin (meal time and correction)

Basal Rate Testing Blood sugar is affected at any time by 1) basal insulin 2) food (carbohydrate) intake 3) bolus insulin (meal time and correction) Basal Rate Testing Blood sugar is affected at any time by 1) basal insulin 2) food (carbohydrate) intake 3) bolus insulin (meal time and correction) 4) activity and 5) other factors such as stress and

More information

DIABETES PACKET. To ensure your child s well-being, please provide the school with the following supplies:

DIABETES PACKET. To ensure your child s well-being, please provide the school with the following supplies: NSG-203A NORTH ROYALTON CITY SCHOOLS 6579 Royalton Road North Royalton, Ohio 44133 DIABETES PACKET Dear Parent/Guardian: You have indicated that your child has Diabetes. Please complete the attached SCHOOL

More information

ORAL ANTICOAGULANTS - RIVAROXABAN (XARELTO) FOR ATRIAL FIBRILLATION

ORAL ANTICOAGULANTS - RIVAROXABAN (XARELTO) FOR ATRIAL FIBRILLATION ORAL ANTICOAGULANTS - RIVAROXABAN (XARELTO) FOR ATRIAL FIBRILLATION Information Leaflet Your Health. Our Priority. Page 2 of 6 What Are Anticoagulants And What Do They Do? This information leaflet has

More information

Gestational Diabetes Mellitus (GDM)

Gestational Diabetes Mellitus (GDM) Gestational Diabetes Mellitus (GDM) Tena koutou katoa, Kia orana, Talofa lava, Malo e lelei, Fakaalofa lahi atu, Taloha Ni, Ni Sa Bula Vinaka, Greetings and Welcome to National Women's Gestational Diabetes

More information

UNIVERSITY OF SOUTHERN QUEENSLAND

UNIVERSITY OF SOUTHERN QUEENSLAND UNIVERSITY OF SOUTHERN QUEENSLAND What are the experiences of children aged 2 12 years with type 1 diabetes, adolescents aged 13 17 years with type 1 diabetes, and that of their parents when making the

More information

Anneli, Martina s daughter In better control with her pump since 2011 MY CHILD HAS TYPE 1 DIABETES

Anneli, Martina s daughter In better control with her pump since 2011 MY CHILD HAS TYPE 1 DIABETES Anneli, Martina s daughter In better control with her pump since 2011 MY CHILD HAS TYPE 1 DIABETES Many parents whose child is diagnosed with Type 1 diabetes wonder: Why is this happening to my child?

More information

Insulin Dose Adjustment REAL-Time CGMS Guidelines for Subjects on Pump Therapy

Insulin Dose Adjustment REAL-Time CGMS Guidelines for Subjects on Pump Therapy Insulin Dose Adjustment REAL-Time CGMS Guidelines for Subjects on Pump Therapy In addition to using the blood sugar logs to adjust your insulin doses every week, you should also use your continuous glucose

More information

Anneli, Martina s daughter In better control with her pump since 2011 MY CHILD HAS TYPE 1 DIABETES

Anneli, Martina s daughter In better control with her pump since 2011 MY CHILD HAS TYPE 1 DIABETES Anneli, Martina s daughter In better control with her pump since 2011 MY CHILD HAS TYPE 1 DIABETES Many parents whose child is diagnosed with Type 1 diabetes wonder: Why is this happening to my child?

More information

INSULIN PUMPS INFUSION SETS BRANDS OF PUMPS ADVANTAGES I INSULIN PUMP PHYSIOLOGIC INSULIN SECRETION. Daniel L. Metzger, MD, FAAP, FRCPC

INSULIN PUMPS INFUSION SETS BRANDS OF PUMPS ADVANTAGES I INSULIN PUMP PHYSIOLOGIC INSULIN SECRETION. Daniel L. Metzger, MD, FAAP, FRCPC INSULIN PUMPS PHYSIOLOGIC INSULIN SECRETION Daniel L. Metzger, MD, FAAP, FRCPC INSULIN PUMP INFUSION SETS BOLUS BASAL Breakfast Bed Dinner Snack Lunch Breakfast BRANDS OF PUMPS ADVANTAGES I ANIMAS MINIMED

More information

New Zealand Diabetes Management Plan Insulin pump therapy [to be used in conjunction with Action Plan]

New Zealand Diabetes Management Plan Insulin pump therapy [to be used in conjunction with Action Plan] New Zealand 2015-16 Diabetes Management Plan Insulin pump therapy [to be used in conjunction with Action Plan] Name of child: First name (please print) Family name (please print) Date of birth: Name of

More information

GESTATIONAL DIABETES. Diabete Gestazionale (Lingua Inglese)

GESTATIONAL DIABETES. Diabete Gestazionale (Lingua Inglese) GESTATIONAL DIABETES Diabete Gestazionale (Lingua Inglese) CONTENTS DEFINITION 03 WHAT CAUSES AND HOW TO MANAGE GESTATIONAL DIABETES 04 HOW TO CONTROL DIABETES 06 CORRECT LIFESTYLE 08 DURING AND AFTER

More information

Optimizing Insulin Therapy. Calculating Insulin to Carbohydrate Ratios and Correction/Sensitivity Factors

Optimizing Insulin Therapy. Calculating Insulin to Carbohydrate Ratios and Correction/Sensitivity Factors Optimizing Insulin Therapy Calculating Insulin to Carbohydrate Ratios and Correction/Sensitivity Factors Introduction Diabetes management, and particularly self-management, has come a long way. Unfortunately,

More information

Gestational Diabetes

Gestational Diabetes Gestational Diabetes What is it? How do we treat it? A Gestational Diabetes Information Booklet Supported by Gestational diabetes is having too much glucose (sugar) in your blood when you re pregnant.

More information

Is what you know about INSULIN PUMP THERAPY. This educational resource is provided by Medtronic MiniMed, Inc.

Is what you know about INSULIN PUMP THERAPY. This educational resource is provided by Medtronic MiniMed, Inc. Is what you know about INSULIN PUMP THERAPY MYTH or? This educational resource is provided by Medtronic MiniMed, Inc. You have to know a lot about technology to learn to use a pump Interacting with your

More information

Continuous Subcutaneous Insulin Infusion (CSII) pump therapy

Continuous Subcutaneous Insulin Infusion (CSII) pump therapy Continuous Subcutaneous Insulin Infusion (CSII) pump therapy GHPI1267_04_15 Department: Diabetes team Review due: April 2018 www.gloshospitals.nhs.uk 21 BETTER FOR YOU BETTER FOR YOU 1 Introduction This

More information

TERMINATION OF PREGNANCY- MEDICAL

TERMINATION OF PREGNANCY- MEDICAL TERMINATION OF PREGNANCY- MEDICAL Information Leaflet Your Health. Our Priority. Page 2 of 8 You have been offered a medical termination of pregnancy using mifepristone. You will have been given some verbal

More information

Surgery and Procedures in Patients with Diabetes

Surgery and Procedures in Patients with Diabetes Surgery and Procedures in Patients with Diabetes University Hospitals of Leicester NHS Trust DEFINITIONS Minor Surgery and Procedures: expected to be awake, eating and drinking by the next meal, total

More information

TREATING HYPOGLYCAEMIA IN CHILDREN AND YOUNG PEOPLE WITH TYPE 1 DIABETES

TREATING HYPOGLYCAEMIA IN CHILDREN AND YOUNG PEOPLE WITH TYPE 1 DIABETES TREATING HYPOGLYCAEMIA IN CHILDREN AND YOUNG PEOPLE WITH TYPE 1 DIABETES Information Leaflet Your Health. Our Priority. Page 2 of 5 What is Hypoglycaemia? Hypoglycaemia (Hypo) means a low blood glucose

More information

Insulin pump therapy: a practical guide to optimising glycaemic control

Insulin pump therapy: a practical guide to optimising glycaemic control Insulin pump therapy: a practical guide to optimising glycaemic control Dr Emma G Wilmot MB ChB, BSc (Hons), MRCP (UK), PhD, Specialist Registrar, Diabetes Department, Queens Medical Centre, Nottingham,

More information

Information for Patients

Information for Patients Information for Patients Guidance for Diabetic Persons having bowel preparation for a flexible sigmoidoscopy or a colonoscopy or a combined gastroscopy and colonoscopy This guidance is provided to assist

More information

World Health Day Diabetes and RMNCAH in Africa: R for Reproductive Health

World Health Day Diabetes and RMNCAH in Africa: R for Reproductive Health World Health Day Diabetes and RMNCAH in Africa: R for Reproductive Health Managing diabetes and reproductive health in developing contexts. The 2016 World Health Day theme to scale up prevention, strengthen

More information

Insulin Pump Therapy

Insulin Pump Therapy CHILDREN S SERVICES Insulin Pump Therapy These guidelines are not intended for starting a patient on an insulin pump. They are intended to give staff not part of the diabetic team information regarding

More information

Carbohydrate Ratio Correction Target Correction Factor

Carbohydrate Ratio Correction Target Correction Factor Information Needed to Get Started How many grams of carbs the child is eating Blood glucose (BG) taken before eating Important numbers from primary caregiver: Carbohydrate Ratio Correction Target Correction

More information

ALVIN INDEPENDENT SCHOOL DISTRICT Diabetes Medical Management Plan

ALVIN INDEPENDENT SCHOOL DISTRICT Diabetes Medical Management Plan ALVIN INDEPENDENT SCHOOL DISTRICT Diabetes Medical Management Plan of Plan: School Year (must be current): This plan should be completed by the student s personal health care team and parents/guardian.

More information

Form Diabetes Care Plan

Form Diabetes Care Plan Form 504.1.5 Diabetes Care Plan Diabetes Care Plan Diabetes Care Plan For: School: Effective Dates: Date of Birth: Grade: Homeroom Teacher: Place photo of student here. Contact Information Parents/Guardians

More information

Diabetes How to manage illness

Diabetes How to manage illness York Teaching Hospital NHS Foundation Trust Diabetes How to manage illness For adults with Type 1 diabetes on a basal bolus insulin regime For more information, please contact: Diabetes and Endocrinology

More information

Lead Clinician(S) (DATE) Approved by Diabetes Directorate on: Approved by Medicines Safety Group on: This guideline should not be used after end of:

Lead Clinician(S) (DATE) Approved by Diabetes Directorate on: Approved by Medicines Safety Group on: This guideline should not be used after end of: Guideline for members of the diabetes team and dietetic department for advising on insulin dose adjustment and teaching the skills of insulin dose adjustment to adults with type 1 or type 2 diabetes mellitus

More information

Riley Hospital for Children General Diabetes Medical Management Information- Injections

Riley Hospital for Children General Diabetes Medical Management Information- Injections Riley Hospital for Children General Diabetes Medical Management Information- Injections 1. HEALTH CARE SUPERVISION All school support staff, including: secretaries, cafeteria staff, custodians and bus

More information

Funding of New Zealand Medical and Scientific Insulin pump and consumables approved

Funding of New Zealand Medical and Scientific Insulin pump and consumables approved 08 August 202 Funding of New Zealand Medical and Scientific Insulin pump and consumables approved PHARMAC is pleased to announce that the approval of an agreement with New Zealand Medical and Scientific

More information

TYPE 2 DIABETES SEQUENTIAL INSULIN STRATEGIES

TYPE 2 DIABETES SEQUENTIAL INSULIN STRATEGIES TYPE 2 DIABETES SEQUENTIAL INSULIN STRATEGIES Non-insulin regimes Basal insulin only (usually with oral agents) Number of injections 1 Regimen complexity Low Basal insulin +1 meal-time rapidacting insulin

More information

Your diabetes: Understanding your blood glucose test results. Information for patients Diabetes Service. HbA1c. Large Print. What is the HbA1c test?

Your diabetes: Understanding your blood glucose test results. Information for patients Diabetes Service. HbA1c. Large Print. What is the HbA1c test? Your diabetes: Understanding your blood glucose test results This leaflet explains about the different ways your diabetes blood glucose control is measured. Knowing the level of glucose in your blood is

More information

Diabetes and Insulin Pumps. Amy S. Pullen Pharm.D ISHP Spring Meeting April 2012

Diabetes and Insulin Pumps. Amy S. Pullen Pharm.D ISHP Spring Meeting April 2012 Diabetes and Insulin Pumps Amy S. Pullen Pharm.D ISHP Spring Meeting April 2012 Objectives Describe the different types of insulin used in diabetes Identify the types of insulin that are compatible with

More information

Diabetes Management and Treatment Plan for School (For the insulin pump student)

Diabetes Management and Treatment Plan for School (For the insulin pump student) Lafayette School Corporation Health Services Diabetes Management and Treatment Plan for School (For the insulin pump student) Effective Dates: This plan should be complete by the student s personal health

More information

WHAT CAN I DO TO REDUCE MY RISK OF DEVELOPING THE COMPLICATIONS OF TYPE 1 DIABETES?

WHAT CAN I DO TO REDUCE MY RISK OF DEVELOPING THE COMPLICATIONS OF TYPE 1 DIABETES? Christian In better control with his pump since 2012 WHAT CAN I DO TO REDUCE MY RISK OF DEVELOPING THE COMPLICATIONS OF TYPE 1 DIABETES? Many people with Type 1 diabetes worry about potential long-term

More information

ORAL ANTICOAGULANTS RIVAROXABAN (XARELTO) FOR PULMONARY EMBOLISM (PE)

ORAL ANTICOAGULANTS RIVAROXABAN (XARELTO) FOR PULMONARY EMBOLISM (PE) ORAL ANTICOAGULANTS RIVAROXABAN (XARELTO) FOR PULMONARY EMBOLISM (PE) Information Leaflet Your Health. Our Priority. Page 2 of 6 What Are Anticoagulants And What Do They Do? This information leaflet has

More information

Insulin pump therapy aiming for better blood glucose control in people with diabetes

Insulin pump therapy aiming for better blood glucose control in people with diabetes Insulin pump therapy aiming for better blood glucose control in people with diabetes Your doctor has suggested that you may benefit from using an insulin pump to improve your blood glucose (sugar) control.

More information

ORAL ANTICOAGULANTS - RIVAROXABAN (XARELTO) FOR DEEP VEIN THROMBOSIS (DVT)

ORAL ANTICOAGULANTS - RIVAROXABAN (XARELTO) FOR DEEP VEIN THROMBOSIS (DVT) ORAL ANTICOAGULANTS - RIVAROXABAN (XARELTO) FOR DEEP VEIN THROMBOSIS (DVT) Information Leaflet Your Health. Our Priority. Page 2 of 6 What Are Anticoagulants And What Do They Do? This information leaflet

More information

Glycaemic Control in Adults with Type 1 Diabetes

Glycaemic Control in Adults with Type 1 Diabetes Glycaemic Control in Adults with Type 1 Diabetes Aim(s) and objective(s) This document aims to provide guidance on good clinical practice in managing glycaemic control in adult patients with Type 1 Diabetes

More information

HIV in pregnancy: information for you. Contents. Page number

HIV in pregnancy: information for you. Contents. Page number HIV in pregnancy: information for you Published February 2005 by the RCOG Due to be reviewed in 2007 Contents Page number Key points 2 About this information 3 About HIV 4 What could it mean for my baby?

More information

Diabetes Health Care Plan

Diabetes Health Care Plan The Public Schools of Brookline School Health Services of Plan: Diabetes Health Care Plan To be completed by the student s health care team and parents/guardian. Plan will be kept with the school nurse

More information

CARBOHYDRATE COUNTING AND DOSE ADJUSTMENT OF INSULIN

CARBOHYDRATE COUNTING AND DOSE ADJUSTMENT OF INSULIN CARBOHYDRATE COUNTING AND DOSE ADJUSTMENT OF INSULIN Information Leaflet Your Health. Our Priority. Page 2 of 11 Information for children and young people with Type 1 Diabetes on Carbohydrate Counting

More information

Give insulin glargine once daily, at the same time of the day.

Give insulin glargine once daily, at the same time of the day. Supplementary Table 1. Insulin Treatment Protocols. 1. Basal Bolus Regimen 1.A. Insulin Orders Discontinue oral antidiabetic drugs and non-insulin injected antidiabetic medication Starting insulin total

More information

Type 1 Diabetes Management Based on Glucose Intake www.utmem.edu/endocrinology click Patients (Revised 7/13/2007)

Type 1 Diabetes Management Based on Glucose Intake www.utmem.edu/endocrinology click Patients (Revised 7/13/2007) Type 1 Diabetes Management Based on Glucose Intake www.utmem.edu/endocrinology click Patients (Revised 7/13/2007) The following is a system of insulin therapy, diet management, and blood glucose monitoring

More information

BOLUS INSULIN DOSAGES H. Peter Chase, MD and Erin Cobry, BS

BOLUS INSULIN DOSAGES H. Peter Chase, MD and Erin Cobry, BS CHAPTER 6: BOLUS INSULIN DOSAGES H. Peter Chase, MD and Erin Cobry, BS WHAT IS BOLUS INSULIN? Bolus insulin dosages refer to the quick bursts of insulin given to cover the carbohydrates in meals or snacks

More information

Institute of Applied Health Sciences. University of Aberdeen DATABASE REVIEW. Grampian University. Hospitals NHS Trust GRAMPIAN DIABETES

Institute of Applied Health Sciences. University of Aberdeen DATABASE REVIEW. Grampian University. Hospitals NHS Trust GRAMPIAN DIABETES DATABASE REVIEW Grampian University Hospitals NHS Trust GRAMPIAN DIABETES SERVICES DATABASE Page 1 Contents Contents 2 Introduction 3 History 3 Overview of Database 3 Database Structure 4 Main Table Summary

More information

Inpatient Treatment of Diabetes

Inpatient Treatment of Diabetes Inpatient Treatment of Diabetes Alan J. Conrad, MD Medical Director Diabetes Services EVP, Physician Alignment Diabetes Symposium November 12, 2015 Objectives Explain Palomar Health goals for inpatient

More information

OFFICE OF CATHOLIC SCHOOLS DIOCESE OF ARLINGTON DIABETES MEDICAL MANAGEMENT PLAN Page 1 of 5 TO BE COMPLETED BY PARENT OR GUARDIAN

OFFICE OF CATHOLIC SCHOOLS DIOCESE OF ARLINGTON DIABETES MEDICAL MANAGEMENT PLAN Page 1 of 5 TO BE COMPLETED BY PARENT OR GUARDIAN PART I OFFICE OF CATHOLIC SCHOOLS DIOCESE OF ARLINGTON DIABETES MEDICAL MANAGEMENT PLAN Page 1 of 5 TO BE COMPLETED BY PARENT OR GUARDIAN Student School Date of Birth Date of Diagnosis Grade/ Teacher Physical

More information

CLASS OBJECTIVES. Describe the history of insulin discovery List types of insulin Define indications and dosages Review case studies

CLASS OBJECTIVES. Describe the history of insulin discovery List types of insulin Define indications and dosages Review case studies Insulins CLASS OBJECTIVES Describe the history of insulin discovery List types of insulin Define indications and dosages Review case studies INVENTION OF INSULIN 1921 The first stills used to make insulin

More information

Health Professional s. Guide to INSULIN PUMP THERAPY

Health Professional s. Guide to INSULIN PUMP THERAPY Health Professional s Guide to INSULIN PUMP THERAPY Table of Contents Introduction Presenting Insulin Pump Therapy to Your Patients When Your Patient Chooses the Pump Estimates for Starting Insulin Pump

More information

QMC campus Virtual Tour Script for DVD

QMC campus Virtual Tour Script for DVD QMC campus Virtual Tour Script for DVD Welcome to the Nottingham University Hospital NHS Trust maternity unit at Queen s Medical Centre Hospital campus This film has been made to provide you with information

More information

I HAVE JUST BEEN DIAGNOSED WITH TYPE 1 DIABETES

I HAVE JUST BEEN DIAGNOSED WITH TYPE 1 DIABETES Dominika In better control with her pump since 2012 I HAVE JUST BEEN DIAGNOSED WITH TYPE 1 DIABETES The diagnosis of Type 1 diabetes may come as a shock and may lead to many questions, such as: Why is

More information

An introduction to carbohydrate counting

An introduction to carbohydrate counting An introduction to carbohydrate counting Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

Electronic copy to all appropriate staff Intranet Notification in Staff Focus Related Trust Policies (to be read in conjunction with)

Electronic copy to all appropriate staff Intranet Notification in Staff Focus Related Trust Policies (to be read in conjunction with) Diabetes Management for Children and Young People undergoing Surgery (0-16 yrs) Clinical Guideline Register No: 10096 Status: Public Developed in response to: Updated national guidelines Contributes to

More information

School Year 20 / 20. Diabetes Health Care Plan for Southgate Schools

School Year 20 / 20. Diabetes Health Care Plan for Southgate Schools School Year 20 / 20 Diabetes Health Care Plan for Southgate Schools Diabetes Medical Management Plan, Initialized Healthcare Plan and Physician Orders Part A: Contact Information must be completed by the

More information

A list of all medications you are taking also include any vitamins, supplements, over-the-counter medicines, or herbal products

A list of all medications you are taking also include any vitamins, supplements, over-the-counter medicines, or herbal products This is your customized insulin discussion guide to bring to your next doctor s visit. WHAT TO BRING TO YOUR NEXT CHECK UP A record of your recent blood sugar readings A list of all medications you are

More information

Policy For The Adjustment Of Insulin Dose For Patients With Diabetes By Diabetes Specialist Dietitians And Cystic Fibrosis Dietitians In NHS Grampian

Policy For The Adjustment Of Insulin Dose For Patients With Diabetes By Diabetes Specialist Dietitians And Cystic Fibrosis Dietitians In NHS Grampian Policy For The Adjustment Of Insulin Dose For Patients With Diabetes By Diabetes Specialist Dietitians And Cystic Fibrosis Dietitians In NHS Grampian Co-ordinators: Advanced Dietitian (Diabetes) Consultation

More information

The risks of obesity in pregnancy and labour Information for women

The risks of obesity in pregnancy and labour Information for women The risks of obesity in pregnancy and labour Information for women Author C Beaumont Version 2 Department Maternity Last review date April 2012 Frimley Park Hospital 1 What is body mass index (BMI)? BMI

More information

A guide to planning and managing pregnancy for women with type 1 diabetes

A guide to planning and managing pregnancy for women with type 1 diabetes A guide to planning and managing pregnancy for women with type 1 diabetes Type 1 diabetes 1300 136 588 ndss.com.au The National Diabetes Services Scheme (NDSS) is an initiative of the Australian Government

More information

Allergies: Weight: kg Diagnosis:

Allergies: Weight: kg Diagnosis: Page 1 of 4 Allergies: Weight: kg Diagnosis: Service: Attending: Patients with Type 1 diabetes must never be on supplementary insulin alone. Most patients with Type 2 diabetes should have daily regimen

More information

YOU AND YOUR ANAESTHETIC

YOU AND YOUR ANAESTHETIC YOU AND YOUR ANAESTHETIC Information Leaflet Your Health. Our Priority. Page 2 of 8 This leaflet aims to answer some of the questions you may have about your anaesthetic and contains fasting instructions.

More information

Welcome to the Wye Valley NHS Trust. A virtual tour of your local hospital maternity services

Welcome to the Wye Valley NHS Trust. A virtual tour of your local hospital maternity services Welcome to the Wye Valley NHS Trust A virtual tour of your local hospital maternity services The Maternity Tour This presentation and visual introduction is aimed to familiarise you with Hereford s maternity

More information

CATARACT SURGERY. Information Leaflet. Stockport NHS Foundation Trust. The Stockport Eye Centre. Your Health. Our Priority.

CATARACT SURGERY. Information Leaflet. Stockport NHS Foundation Trust. The Stockport Eye Centre. Your Health. Our Priority. CATARACT SURGERY Information Leaflet Stockport NHS Foundation Trust The Stockport Eye Centre Your Health. Our Priority. Page 2 of 11 Introduction You may have been told that you have a cataract and asked

More information

Development of a Multi Matrix Multi Partner Telehealth Model in Pregnancy Care in South of Tyne and Wear, UK

Development of a Multi Matrix Multi Partner Telehealth Model in Pregnancy Care in South of Tyne and Wear, UK Development of a Multi Matrix Multi Partner Telehealth Model in Pregnancy Care in South of Tyne and Wear, UK Paul Marriott, Kim Hinshaw Rahul Nayar City Hospitals Sunderland NHS Foundation Trust 2 nd July

More information

NHS Lothian- University Hospitals Division Royal Infirmary of Edinburgh St John s Hospital

NHS Lothian- University Hospitals Division Royal Infirmary of Edinburgh St John s Hospital the Management of Adult Diabetes in the Perioperative Period* ograph or NHS Lothian- University Hospitals Division Royal Infirmary of Edinburgh St John s Hospital Princess Alexandra Eye Pavilion Western

More information

Why your weight matters during pregnancy and after birth

Why your weight matters during pregnancy and after birth Information for you Published in November 2011 (next review date: 2015) Why your weight matters during pregnancy and after birth Most women who are overweight have a straightforward pregnancy and birth

More information

Insulin pump: advice for schools

Insulin pump: advice for schools Insulin pump: advice for schools Information for school staff Dr Gray s Hospital Your pupil.. has Type 1 insulin dependent diabetes. This means that the pancreas has stopped making the hormone insulin.

More information

This information explains the advice about diabetes in pregnancy that is set out in NICE guideline NG3.

This information explains the advice about diabetes in pregnancy that is set out in NICE guideline NG3. Information for the public Published: 25 February 2015 nice.org.uk About this information NICE guidelines provide advice on the care and support that should be offered to people who use health and care

More information

DEPARTMENT OF HEALTH. Rheynn Slaynt. Jane Crookall Maternity Unit Noble s Hospital, Isle of Man INDUCTION OF LABOUR INFORMATION

DEPARTMENT OF HEALTH. Rheynn Slaynt. Jane Crookall Maternity Unit Noble s Hospital, Isle of Man INDUCTION OF LABOUR INFORMATION DEPARTMENT OF HEALTH Rheynn Slaynt Jane Crookall Maternity Unit Noble s Hospital, Isle of Man INDUCTION OF LABOUR INFORMATION Mr T. Ghosh, Consultant Obstetrician & Gynaecologist NH367 INDUCTION OF LABOUR

More information

Ketones and Ketoacidosis

Ketones and Ketoacidosis Ketones and Ketoacidosis If you have diabetes and become unwell or have high blood glucose levels of 14 mmol/l or more please check for ketones If the body does not have enough insulin its energy levels

More information