Transcript Diabetes Update - Colorado Kids With Diabetes

Clarification of Pump Orders from
Barbara Davis Center
Diabetes Resource Nurse
Winter/Spring 2013
Example of an update to
insulin orders during
the school year – See
Handout
Pump Order: Basal Rates
Pump Insulin Dosing Orders (Insuin-toCarb Ratios and High BG
Correction)
Bolus for carbohydrates should occur immediately before lunch
BDC Insulin Pump:
Active Insulin Curve: 3
Standard
Start Time
00
02
21
Total
Note: This area indicates the
pump basal settings – to be
managed by parent.
Units per Hour
0.2
0.2
0.25
:4.95
Pump Orders: Carbohydrate Dose
Indicates that from midnight to 10am
the carbohydrate bolus is 1 unit of
Insulin to 20gms of carbs and from
10am to midnight the ratio is 1unit for
every 30gms of carbohydrates
Carbohydrate Bolus
Time
00
10
Ratio
20
30
Pump Orders: Insulin Correction
Indicates that for every 1 unit of
insulin the student’s blood glucose
will drop 120 mg/dl. This would
then be the correction factor to
use if the pump malfunctioned and
insulin needed to be given by
syringe or insulin pen. Ex: BG 240,
would give 1 unit to drop BG to
target range of 120.
Correction Bolus
Time
00
Sensitivity
120
Pump Orders: Target Ranges
Indicates Target Ranges: for
example from 7am to 9pm,
the target range is 120-150
Targets
Time
00
07
21
Range
120-150
100-120
120-150
REMINDERS
Please refer to your Diabetes Resource
Nurse in your area for clarifications and
concerns.
 School staff and UAPs should not call
BDC or other health care providers –
communication should be made by the
School Nurse

Communication with BDC

To Reach RN on call:
303-724-2323

Care Plan Line:
303-724-6245