Published
Another free resource on metabolic syndrome:
The Metabolic Syndrome: Time for a Critical Appraisal: Joint statement from the American Diabetes Association and the European Association for the Study of Diabetes. R Kahn, J Buse, E Ferrannini, M Stern
Diabetes Care 2005 9;28(9):2289-304
http://www.biocritique.com/viewref.cfm?messageid=04436fee-fdd0-4517-9496-4fca430911c1
Requires free registration.
an insulin pump consists of a reservoir (essentially, a large syringe) containing rapid-acting insulin, a battery-powered pump, and a computer chip controller. the pump delivers insulin via an infusion set (catheter tubing and a needle or soft cannula).
the pump closely mimics a healthy pancreas. it delivers rapid-acting insulin as a continuous infusion of small amounts (the basal dose) and can be programmed to release a bolus of additional insulin to compensate for carbohydrates consumed during meals or for high blood glucose levels. patients can choose to receive a bolus of rapid-acting insulin before, during, or after the meal; other options include the square-wave bolus (a bolus released evenly over a set period of time, usually 30 minutes to two hours).
because the pump allows for more efficient insulin absorption, most people need 25% less insulin when using the pump than when using injections. 1 whoever prescribes the insulin pump should calculate the patient's initial dosage. typically, 50% of the initial dosage is delivered at the basal rate and 50% is reserved for boluses. but patients must also learn how to verify the accuracy of their basal and bolus doses through frequent blood glucose monitoring and meticulous record keeping. for a beginning pump user, the basal rate can be calculated according to either body weight or total combined daily dosage of longer- and shorter-acting insulins given via injections.
http://www.nursingcenter.com/prodev/ce_article.asp?tid=408052
VickyRN, MSN, DNP, RN
49 Articles; 5,349 Posts
excellent free resource (article is free, ce credit will cost money):
metabolic syndrome: a growing epidemic
http://www.netce.com/courseoverview.php?courseid=320