Introduction to Insulin Pump Therapy
*Pump trainings are done individually or in small groups, please call to schedule a training when you receive your insulin pump.

What is it? A pump is a device about the size of a pager. It runs on batteries. Inside the pump is a cartridge of fast-acting insulin. Insulin is delivered from the pump to your body through a small plastic tube. This tube, or insertion set, is inserted by the user just below the skin (subcutaneous). The part that is under your skin is called a cannula. The set needs to be changed to a new site every 2-3 days. The pump itself is worn like you might wear a pager or cell phone.

The pump is programmed by the user to give insulin in small, consistent amounts over 24 hours as your body needs it. This is called your basal (or base) insulin.

Bolus insulin is additional insulin you tell the pump to deliver all at once. Every time you eat or drink carbohydrates, or need to correct a high blood glucose, you must bolus.

A pump does NOT check your blood glucose so you must do this several times daily.

What are the health benefits of pump therapy?

• More "normal" blood glucose levels can be achieved through more consistent, predictable, and controllable insulin delivery.
• Long-term risks of uncontrolled blood glucoses can be reduced.
• Short-term risks such as hypoglycemia can be reduced. With more "smooth" blood glucose many people report they "feel well and function better" every day.

What are the lifestyle benefits of pump therapy?

• Freedom from more rigid meal and insulin schedules.
• Your insulin is always with you.
• Changes in activity level or work schedule can be adjusted for as they happen.

What are some possible drawbacks to wearing an insulin pump?

• The pump is always with you - although you can disconnect for short times for showers and some activities.
• The pump is a mechanical device and could malfunction. You need to have a back up plan for insulin delivery and know how to take care of any pump problems.
• If insulin delivery is halted for too long for any reason your blood glucose could go very high very fast (potentially leading to DKA in the Type 1).

What training do I need to use an insulin pump?

• Decide with your health care team if and which pump is right for you.
• You need to be motivated, be willing to check your blood glucoses frequently, (6-8 times initially) and be able to take care of the pump.
• You will be asked to keep close contact with your health care team.
• Carbohydrate counting skills will be confirmed and taught as needed.
• The pump training itself will take place over 2 to 3 visits here with your trainer.

How do I compare different pumps and decide on the pump I would like to use?

• Ask your provider at SWENDO for information about all of the insulin pumps.