I was sent in to see a patient with very poor control on an insulin pump. When I reviewed his log sheets, I kept seeing 7 unit boluses at almost every meal. I asked the patient why he kept giving himself 7 units…
and how he came up with that number for so many boluses. He then told me that he entered the carbs and glucose reading into the pump and then it calculated the dose he should take. The pump recommended that he take 12 or 15 units, he said, “but it won’t let me give it.” A look into his pump settings revealed that his max bolus was at 7 units.
All pumps come with factory settings and often a patient can skip by a screen unless there is someone guiding their training. Once a patient is educated on the use of his insulin pump, it is crucial that you continue to follow up with the patient and to check their blood glucose logs. Insulin pumps for many patients can be confusing with all the menus and buttons. After the first couple of weeks it is important to follow up with the patient to make sure he has a good understanding of all the features and alarms that are offered.
Amber, RD, LD/N, CDE
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