Basic aspects
Learn the basics first, before moving on to more complex topics.
Understanding pump technology
π§ What is an insulin pump and how does it work?
π§ How does the pump deliver insulin continuously?
π§ Why does the pump mimic normal pancreas secretion?
π§ What components does a complete pump system have?
π§ How does the pump calculate insulin doses?
π§ What is the difference between basal and bolus?
π§ Can the pump decide doses on its own?
π§ How does the pump communicate with the CGM sensor?
π§ What technology does it use for infusion?
π§ Is the pump an artificial pancreas?
Types of available pumps
π§ What insulin pumps are available?
π§ What is the difference between tubed and patch pumps?
π§ What advantages does Medtronic have over other brands?
π§ How does the tubeless Omnipod system work?
π§ What does the Tandem t:slim X2 pump offer?
π§ Which pump integrates best with CGM?
π§ Are there pumps specifically for young children?
π§ Which pump is available for free?
π§ Which system offers the best automated control?
π§ How do you choose the right pump for you?
Pump setup and programming
π§ How are initial basal rates calculated?
π§ What tests do you perform for basal adjustment?
π§ How do you program different basal profiles?
π§ What bolus settings do you configure in the pump?
π§ How do you enter correction factors?
π§ What is active insulin and how do you calculate it?
π§ How do you set pump alarms and alerts?
π§ What parameters do you personalize for yourself?
π§ How do you save and restore settings?
π§ When do you modify pump programming?
Closed-loop systems
π§ What is a hybrid closed-loop system?
π§ How does the pump automatically adjust doses?
π§ What predictive system does the algorithm use?
π§ Can you have 100% automated control?
π§ When do you manually intervene in the automated system?
π§ What data does the pump use for decisions?
π§ How do you learn to trust automation?
π§ What limitations do current systems have?
π§ Is closed-loop control better?
π§ What DIY (Do-It-Yourself) systems exist?
Infusion set and cannula
π§ Where on the body can you place the infusion set?
π§ How often do you change the infusion set?
π§ What types of cannulas exist?
π§ How do you correctly insert the cannula?
π§ Why do you need to rotate sites?
π§ What problems can occur at the infusion site?
π§ How do you recognize a blocked cannula?
π§ Is cannula insertion painful?
π§ How do you protect the set from coming loose?
π§ What do you do if you have adhesive allergy?
Reservoir and insulin
π§ How do you fill the reservoir with insulin?
π§ How much insulin fits in the reservoir?
π§ What type of insulin do you use in the pump?
π§ How often do you change the reservoir?
π§ How do you avoid air bubbles in the reservoir?
π§ Can you reuse empty reservoirs?
π§ What do you do if the insulin gets warm?
π§ How do you check if insulin has deteriorated?
π§ Why does insulin sometimes crystallize?
π§ How do you calculate insulin requirements?
Advanced pump features
π§ What is extended bolus and when do you use it?
π§ How does dual/combination bolus work?
π§ What are temporary basal rates?
π§ How do you use the suspend feature?
π§ What is the exercise mode?
π§ How do you set reminders and alarms?
π§ What reports does the pump generate?
π§ How do you use the bolus calculator?
π§ What is the delivery limit feature?
π§ How do you customize pump screens?
Integration with other technologies
π§ How do you connect the pump to the mobile app?
π§ Can you control the pump from your phone?
π§ How do you sync data with the cloud?
π§ What platforms are compatible?
π§ Does it work with smartwatches?
π§ How do you share data with your doctor?
π§ What remote monitoring systems exist?
π§ Can you export data for analysis?
π§ How do you backup pump settings?
π§ What third-party apps are compatible?
Practical use and management
Daily insulin pump management for optimal control
Daily life with the pump
π§ How do you sleep comfortably with the pump?
π§ Where do you wear the pump during the day?
π§ How do you shower or bathe with the pump?
π§ Can you swim with an insulin pump?
π§ How do you protect the pump during sports?
π§ Is the pump visible under clothes?
π§ How do you explain the pump to others?
π§ Does the pump interfere with daily activities?
π§ How do you manage intimacy with the pump?
π§ What accessories make wearing easier?
Dosing and adjustments
π§ How do you calculate bolus for meals?
π§ When do you use extended bolus for fats?
π§ How do you correct hyperglycemia with the pump?
π§ What do you do when you forget to bolus?
π§ How do you adjust for physical activity?
π§ What do you modify when you are sick?
π§ How do you manage stressful days?
π§ What do you change during menstrual period?
π§ How do you adapt doses for travel?
π§ When do you use temporary basal rates?
Special situations and emergencies
π§ What do you do if the pump breaks down?
π§ How do you manage occlusion or alarms?
π§ When do you temporarily disconnect the pump?
π§ What emergency kit do you keep?
π§ How do you temporarily switch to pens?
π§ What do you do during medical investigations?
π§ How do you manage ketoacidosis with the pump?
π§ When do you suspend insulin delivery?
π§ What protocol do you follow during hospitalization?
π§ How do you communicate with emergency services about the pump?
Common technical problems
π§ Why does the pump give an occlusion alarm?
π§ What causes delivery errors?
π§ How do you solve battery problems?
π§ Why do the buttons get stuck?
π§ What do you do when the screen doesn't respond?
π§ How do you handle communication errors?
π§ Why doesn't the pump connect to CGM?
π§ What do you check when insulin doesn't lower glucose?
π§ How do you identify a defective cannula?
π§ When do you contact technical service?
Transition and adaptation
π§ How do you prepare for the insulin pump?
π§ What training is needed before starting?
π§ How long does adaptation to the pump take?
π§ How do you learn to trust the pump?
π§ What realistic expectations should you have?
π§ Why does it seem more complicated initially?
π§ How do you manage technical anxiety?
π§ What support do you have in the first weeks?
π§ When do you see the full benefits?
π§ Can you go back to pens if you want?
Costs and maintenance
π§ How much does an insulin pump cost?
π§ What conditions for insurance coverage?
π§ What consumables are needed monthly?
π§ How do you obtain necessary prescriptions?
π§ What private insurance covers the pump?
π§ How much does annual maintenance cost?
π§ What warranty does the pump have?
π§ How do you reduce consumable costs?
π§ Are there assistance programs?
π§ Is the long-term investment worth it?
Clinical benefits and quality of life
π§ How does the pump improve glycemic control?
π§ Does the pump reduce glycemic variability?
π§ What impact does it have on HbA1c?
π§ Does it reduce hypoglycemia risk?
π§ Does the pump facilitate meal flexibility?
π§ Does it improve sleep quality?
π§ Does it reduce the mental burden of diabetes?
π§ Does it allow more spontaneity?
π§ What do studies say about the pump?
π§ For whom is the pump not recommended?
Travel and trips
π§ How do you travel with the pump by plane?
π§ What medical documents are needed?
π§ How do you pass security checks?
π§ What consumables do you take on a trip?
π§ How do you manage time zone changes?
π§ What do you do if the pump breaks down on vacation?
π§ How do you protect the pump at the beach?
π§ Does the pump work at altitude?
π§ What travel insurance is needed?
π§ Where do you find international technical support?