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[IP] Tips for the Parents of Young Children Using an Insulin Pump
Tips for the Parents of Young Children Using an Insulin Pump
by Francine Ratner Kaufman, MD, and Mary Halvorson, RN, MSN, CDE
1. Give the meal-time bolus as the meal is being eaten, or just after it has
been completed. This way the administration of insulin can be matched with
what your child consumes, rather than what it is anticipated that he/she
will eat. We recommend using rapid-acting analogues in the pump, such as
Novolog or Humalog.
2. Use the Silouhette or Tender catheter that is inserted at a 33- to
45-degree angle rather than the straight (soft-set)-it functions better in
those with little fat.
3. Place the catheter in the upper hip or backside rather than the abdomen.
4. Use a secure, well-fitting belt device to hold the pump.
5. Empower your child to give simple answers to questions about the pump.
6. Monitor the blood-glucose level often-at least four to six times per
day-and correct abnormal blood-sugar levels.
7. Check for ketones, either in the blood or urine, when the blood glucose
has been elevated for three to four hours beyond your child's target range.
8. Don't put your child to sleep with an elevated blood-glucose level until
you are assured that it has been corrected. An elevated blood-sugar level
could be an indication that the delivery of insulin is not occurring.
9. Be sure your child remains comfortable with using the pump. Praise him or
her for doing a good job, and do not put value judgments on glucose levels.
Appreciate the advantages that the pump has to offer.
10. Be prepared to give disconnection doses when it is in your child's best
interest not to wear the pump.
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