1. Helping Belton ISD Students Succeed What Every BISD Staff Needs to Know About: Helping Belton ISD Students Succeed What Every BISD Staff Needs to Know About: Insulin Injection with Insulin Pump Belton ISD Health Services 2012-2013 Medication Administration

2. Insulin Injection with Insulin Pump Refer to BISD Diabetes Care Training for a comprehensive understanding of Diabetes Care for Students If you have been assigned by your principal to be an Unlicensed Diabetes Care Assistant(UDCA), you will receive additional training and be given a chance to demonstrate your knowledge and skills in administering Insulin with an Insulin Pump

3. What is an Insulin Pump?  Battery operated device about the size of a pager that delivers insulin into the body via a thin plastic tube: an infusion set (reservoir filled with insulin)

4. What is an Insulin Pump?  Computer chip helps student control insulin delivery by punching a keypad

5. Components Pump Insulin Reservoir Tubing/Need le/catheter

6. Worn 24 hour s a Day Site changes every 2-3 days

7. Insulin Pump Therapy Based on what body does naturally Gives small amounts of insulin all the time. That is called the basal rate (basal insulin) Gives extra doses to cover each meal or snack (bolus insulin)

8. Basal Rate Basal rate is set. It is the amount of insulin that is being continually given automatically.

9. Meal Bolus Meal Bolus changes. The amount of insulin given depends upon how many carbohyrdrates are going to be eaten. Buttons on the pump must be pushed.

10. Determine # of Carbs BISD Nutrition Website provides this information or check food labels. 12 grams 15 grams 30 grams TOTAL= 72 grams

11. 1.Press B. 2. ENTER BG screen: Use arrow to enter blood glucose value and then press ACT. If blood glucose is high, screen will read “check for occlusion.” Press ACT. Screen will read “BG to update sensor”, No will be highlighted. Press ACT. 3.ENTER FOOD screen: Use arrows to enter # of carbs being consumed. Press ACT. 4.ESTIMATE DETAILS screen: Confirm bolus (insulin amount__.___) and press ACT 5.SET BOLUS screen: Confirm bolus (insulin amount__.___) and press ACT 6.BOLUS DELIVERY screen: Insulin bolus starts counting up & beeps when completed Insulin Bolus

12. Here is an example of when you might need to give insulin with a pump because the student’s blood glucose is high. This is called giving a correction bolus of insulin. Student has a headache and checks her blood sugar. Blood sugar is 323. You want the blood sugar to return to the target range. Follow the directions for high blood sugar. (Check ketones, drink water) Enter the blood sugar into the pump and follow the directions it gives for the units of insulin to give as a bolus. Correction Bolus

13. How to Suspend and Remove the Insulin Pump Suspend and remove pump if student’s becomes unconscious and a severe blood blood sugar is suspected. Do this after glucagon is given and 911 is called.