Building Competency in Diabetes Education THE ESSENTIALS

BASAL-BOLUS INSULIN THERAPY | 12-80

needs and tailor therapy in the context of age-related issues (144). A patient’s functional ability, not chronological age, should help guide treatment decisions (145). • Staff who perform self-care tasks for residents with type 1 diabetes should have diabetes education and training, understand glucose monitoring and treatment of type 1 diabetes, and be aware of predisposing risk factors for hypoglycemia or severe hyperglycemia (142). No matter what or where the health-care setting is, people with pumps and or CGM devices and staff caring for them will need access to qualified specialists who are familiar with diabetes and insulin pump therapy. Diabetes teams need to discuss ‘pump plans’ and ‘back up insulin plans with pump patients regarding hospitalizations and or transition to long-term care facilities. Pump resources available for educators: • American Association of Diabetes Educators (2011) Insulin Pump Therapy: Best practices in choosing and using infusion devices. Available online: http://www.diabeteseducator.org/export/sites/aade/_resources/pdf/research/12-30-11- AADE_Insulin_WhitePaper_Print.pdf • Statement by the American Association of Clinical Endocrinologists consensus panel on insulin pump management. Available online: https://www.aace.com/files/insulinpumpmanagement.pdf • Walsh, J and Roberts, R (2017) Pumping Insulin. 6 th edition. Torrey Pines Press: San Diego. • Scheiner, G. (2011). Think like a pancreas: A practical guide to managing diabetes with insulin. Da Capo Press: Philadelphia.