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Home | Articles | Diabetes and Endocrinology | Insulin Pumps

Insulin Pumps

Last updated 3rd December 2020

Last updated on 23rd October 2014 by Calum Murray

Introduction

  1. Insulin pumps are a small portable device that delivers short acting insulin continuously to the user in the sub-cutaneous tissues.
  2. The insulin is delivered via a small cannula and tubing which is changed every 2-3 days. This is usually sited on the user’s abdomen.
  3. The cannula and tubing can become blocked; therefore it is extremely important that ketone levels are assessed in any user who has blood glucose >13mmol/l without any preceding factors such as a hypo or a meal. 

Operations and Procedures

  1. The insulin pump may be removed for short procedures (total time off pump <60min) such as for an MRI/CT scan.
  2. If longer duration procedure is required and the patient cannot remain on the pump then the patient will require a VRII

Radiology

  1. The insulin pump MUST be removed BEFORE entering the MRI/CT suite. Failure to do so will result in pump failure

Minor Surgery

  1. Insulin pumps may be used and generally involve continuation of a basal rate for fasting and during the procedure
  2. This must be discussed with the anaesthetist and blood glucose must be monitored half-hourly during the procedure
  3. Boluses may resume once the patient is eating and drinking well

Major Surgery

  1. The patient should come off the pump and be managed with IV insulin

Hypoglycaemia Flowchart

Hyperglycaemia Flowchart