Although the initial installation of the insulin pump is performed by a specialist, as you are about to become a pump user, you are faced with a change of infusion site, so it is still necessary to understand some insulin pump setups and post-installation simple care and emergency situations deal with. Preparation of pump before blood glucose monitoring: Patients should have basic knowledge of diabetes and self-monitoring of blood glucose, and in the pump 1 to 3 days before meals were measured before meals, after meals, bedtime and nighttime blood glucose at 3:00 for Safety pump reference. Pre-pump blood glucose control: The doctor will use your short-acting insulin to control your blood glucose at a steady state based on your blood glucose monitoring. Determine the basic amount and before the large dose: The doctor will be based on your pump 1 to 3 days before the blood glucose monitoring results to calculate the amount of insulin for your basic and pre-meal large doses. Hygiene Preparation: Patient safety pumps should be bathing, changing clothes, skin infections, should be treated as soon as possible to prevent infection. Anchorage program site selection: often choose the abdominal part of the infusion, avoid the belt around and around the navel. In addition, in order to make insulin absorbed evenly and unimpeded, insulin infusion site from the bones, scars at least 4 to 5 cm. The new infusion site and the last site should be separated by 2 to 3 cm or more. Skin disinfection: disinfect the local skin with 75% alcohol, to be naturally dry. Infusion tubing insertion: Insulin pumps out of the pump, and the last infusion into your body requires an infusion line. The infusion tube is a slender tube of special material, one end of which is connected to the pump and the other end to an infusion needle. There are many types of infusion tubing. You can choose the one that suits you best. The infusion tubing is installed and adhesive tape is applied to the infusion site. In addition, insulin pump should also check the storage pool and infusion device connected with the Department of damp, whether there is drip. Insulin injection: Before use should check whether the failure of insulin, and insulin for 6 hours in advance at room temperature, so as to avoid the bubbles from the cold when insulin changes, there will be a bubble in the reservoir infusion of insulin will be reduced to the body. After checking no abnormalities, pumping the required amount of insulin, exhaust the air inside the syringe. Insulin pump debugging: mainly by professionals to complete. Insulin pump place: Because insulin pump smaller, size, such as BP machine, it can be fixed with a belt to carry or load clothes pocket. Often, people just think it's just a pager. If you want to hide the pump, you can also carry it close to your body: like a gun on the armpit, hanging like a cell phone on the neck, on the personal belt ... a variety of ways to choose from! After the pump care blood glucose monitoring: All insulin pump wearers, within 3 days after the installation of the pump should still be daily monitoring of blood sugar 4 to 7 times, namely: before meals, after three meals of blood sugar, if necessary, measured at midnight zero , 0:00 morning and blood glucose before going to bed, for doctors to adjust insulin reference. Three days later, the monitoring of blood glucose was reduced as appropriate. Insulin dosage: insulin pump installed, should be based on blood glucose monitoring results to adjust the insulin requirements. However, the general recovery of patients with pump fast, so the daily demand for insulin should be gradually reduced, so as to avoid hypoglycemia. Infusion site replacement pump can be in the abdomen, buttocks, thigh rotation between the selection of infusion sites. Under normal circumstances about 3 days in summer, winter, about a week to replace the infusion site. Patients should remember the following points â–² before changing the infusion site should wash their hands. â–² usually you should always check the infusion site, such as the following conditions should promptly replace the new infusion pipeline: infusion site redness, swelling, touch the fever; infusion site bleeding or other exudate leakage; lose Note the location of discomfort appear The above situation indicates that your infusion site may have been infected with the infection, should promptly contact the professionals, they will help you handle. â–² If you can not explain 2 times (the first test of high blood sugar, every 2 to 3 hours after another test of blood glucose) continued to exceed 13.3 mmol / L, urinary ketone body should be promptly checked, if the ketone body positive, promptly and you Doctor's contact. There may be two consecutive hypoglycemic tips infusion tube may be a problem. After checking if the problem is not an infusion tube, the infusion site should be promptly changed. â–² change the infusion site after 1 to 3 hours be sure to monitor blood sugar to confirm your pump is working properly. If the infusion needle inserted subcutaneously incorrect, it will lead to insulin into the body to reduce the dose, then there may be diabetic ketoacidosis (hyperglycemia and ketone body increased). â–² The best time to change infusion tubing should be in the morning because blood glucose can be better monitored during the day to better confirm if the pump is working properly. â–² avoid bedtime to replace the infusion pipe. Detach Insulin Pumps: Pumps can be used if you are exercising, swimming or showering because the pump is water-resistant; it is easy if you want to unload the pump. There is a catheter with a quick disconnect that temporarily separates the tubing , Put the pump to a safe place, after the activity can be easily reconnected. In short, you and your family with the pump should carefully read the instructions for use of insulin pump, proficiency in the operation of insulin pump technology and common fault handling.