TE TEXAS CH CHILDREN’S ’S HOSPITAL NE NEW SCHOOL ORDE DERS Presented b by y Rebecca M a M. H Hutchinson B BSN, R RN, C CDE
Di Diabete tes Te Technolo ology gy DEPARTMENT NAME
DIABET DIAB ETES MAN ES MANAGEMENT EMENT DEVIC DEV ICES ES • Insulin pumps Ø Infusion sets and reservoirs Ø changed every 1-3 days Ø Basal rate – small amount of background insulin delivered continuously at a preset rate Ø Temp rate – adjust basal rate for a pre-determined period of time Ø (exercise, illness, stress, menstrual cycle) Ø Bolus – dose of insulin delivered when needed Ø (meal and/or correction) Ø Extended – feature used for certain meals such as high-fat DEPARTMENT NAME
INSULIN PUMP INSULIN PUMP MODEL MODELS DEPARTMENT NAME
OMNIPOD OM POD (T (TUB UBEL ELES ESS PUM PUMP) P) • PDM PDM – contr controls all of ols all of the the pod’ pod’s ope s operations and pr rations and programmin ramming (star g (starts pod, ts pod, deli de liver bolus dose r bolus doses) s) • not w not wate aterpr proof oof • me mete ter usin r using f g freestyle style strips strips • use uses 2 AAA batte s 2 AAA batterie ries • Po Pod d – small de small device vice that holds up to 200 units of that holds up to 200 units of rapid actin rapid acting insulin g insulin • applie applied to f d to fatty atty tissue tissue and is w and is wate aterpr proof oof; 3 da ; 3 day max w y max wear ar • https://www https://www.m .myomnipod.com/le omnipod.com/lear arnin ning-center/ center/videos/ videos/ • www www.m .myomnipod.com omnipod.com DEPARTMENT NAME
TANDEM TA (TUB (TUBING ING PUMP) UMP) • De Device ce – programmed t to d o delivers i s insu sulin • Rechar argeab able/touchscreen/wat ater r resistan ant/De Dexcom G5 & & G G6 r receiver • Re Reservoir – hol olds u s up t to 3 o 300 u units of s of r rapid a acting i g insu sulin • chan anged ed every 1 y 1-3 d days ys/at attac ached t to i insulin pu pump • Infusi sion on se set – con onnects i s insu sulin p pump t to bod o body ( (fatty t tissu ssue) • chan ange e every 1 y 1-3 d days ys • T-si simulator or App on on sm smart ph phone • https://www s://www.t .tandemdiabe betes.c .com om/ • http https://www ://www.t .tandemdiabe betes.c .com om/su /suppor ort/p /prod oduct- tr traini ning DEPARTMENT NAME
MEDTRONIC MEDT NIC (TUB UBING ING PUM UMP) • De Device – pr program ammed t to d deliver i insulin • AA AA Ba Batte ttery; 6 630g & g & 6 670G w G wate terproof; u used a d at th t the C CGM GM r receiver r • Re Reservoir – holds u up t p to 3 300 u units o of r rapi apid ac acting i g insulin • changed e d every 1 1-3 3 da days; a atta ttached to d to in insulin lin p pump • Inf Infus usio ion n se set – connects i insulin pu pump t p to b body ( y (fat atty y ti tissue) • ch change every 1 1-3 da days • Int Integra rated d Medtronic C CGM DEPARTMENT NAME
MEDTRONIC MEDT NIC 630 & 670G 630 & 670G • ht https://www www.medtronicdiab abetes.com/customer-su suppor ort/min inim imed- 630g 630g-sy syst stem-su suppor ort • https ps://www www.medtronicdiab abetes.com/customer-su suppor ort/min inim imed- 670g 670g-sy syst stem-su suppor ort DEPARTMENT NAME
ANIMAS AN AS PI PING (NO (NO LONG NGER ER AVAIL AILAB ABLE) E) • De Device – pr program ammed t to d delivers i insulin • AA l lithium bat attery; y; w wat aterpr proof; D Dexcom G G4 r receiver • Re Reservoir – holds u up t p to 2 200 u units o of r rapi apid ac acting i g insulin • chan anged e every 1 y 1-3 3 da days • Infusion s set – connects i insulin pu pump t p to b body ( y (fat atty t y tissue) • chan ange e every 1 y 1-3 3 da day • Di Discont ntinue nued DEPARTMENT NAME
CGMS CG CO CONTI TINUOUS GL S GLUCO COSE SE M MONITO TORI RING G SYSTEM SY STEM Ø Sensor – changed every 6-7 days Dexcom G5 & Guardian, 10 days Dexcom G6 Ø Transmitter- reusable (X3 months Dexcom; up to 1 year on Guardian) Ø Receiver – specific insulin pumps, smart phone, smart watch, Dexcom receiver DEPARTMENT NAME
DEXCOM CGMS (CONTINUOUS GLUCOSE MONITORING SYSTEM) DEPARTMENT NAME
MED MEDTRONIC GUAR ARDIAN AN CO CONNECT CT (C (CGMS) MS) DEPARTMENT NAME
CALCU CAL CULATI TING ICR CR/CF /CF (I (INSU SULIN TO O CAR ARB RATIO O AN AND COR ORREC ECTION FACTOR OR) ) DEPARTMENT NAME
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