Name of the Procedure:

Infusion Set for External Insulin Pump, Non-needle Cannula Type

Summary

This procedure involves the application of an infusion set specifically designed for external insulin pumps. Instead of using a traditional needle, this set features a non-needle cannula for delivering insulin. The set is placed subcutaneously to ensure continuous insulin infusion to help manage blood glucose levels in individuals with diabetes.

Purpose

The procedure is used to:

• Manage blood glucose levels in individuals with diabetes by providing a continuous supply of insulin.
• Aim to improve glycemic control to prevent complications associated with diabetes.

Indications

• Type 1 Diabetes Mellitus
• Insulin-dependent Type 2 Diabetes Mellitus
• Poor glycemic control using other methods

Preparation

• The patient should clean the insertion site with an antiseptic solution to reduce infection risks.
• Verification of insulin pump settings and insulin dosage as prescribed by a healthcare provider.
• No specific fasting or medication adjustments needed unless advised by the healthcare provider.

Procedure Description

1. The patient or caregiver selects an insertion site, typically on the abdomen, thighs, or arms.
2. The site is cleaned thoroughly.
3. The non-needle cannula infusion set is prepped and attached to the insulin pump.
4. The cannula is inserted subcutaneously using an adhesive to keep it secure.
5. The tubing is connected, and the pump is checked for proper insulin flow and secure placement.

Duration

The setup typically takes around 15-30 minutes.

Setting

This procedure is generally performed in a:

• Outpatient clinic
• Home setting under initial supervision by a healthcare provider

Personnel

• Diabetes educator or nurse
• Patient or caregiver, once properly trained

Risks and Complications

Common risks include:

• Skin irritation or infection at the insertion site
• Dislodgement or blockage of the cannula Rare risks:
• Allergic reactions to adhesive materials used

Benefits

• Improved blood glucose control
• Greater flexibility in lifestyle and diet
• Decreased risk of long-term complications of diabetes

Recovery

• Continuous monitoring of blood glucose levels.
• Regular site changes every 2-3 days to prevent infections and ensure proper insulin absorption.
• Follow-up appointments for diabetes management and monitoring.

Alternatives

• Multiple daily insulin injections
• Insulin pens
• Other types of insulin pumps with needle-based infusion sets

Pros and Cons:

Pros:

• Non-needle cannula reduces discomfort
• Continuous insulin delivery improves blood glucose control

Cons:

• Requires regular site maintenance and monitoring
• Potential higher initial cost compared to traditional methods

Patient Experience

• During the procedure, the patient may feel slight pressure but little to no pain due to the non-needle cannula.
• Post-procedure, patients can expect minimal discomfort and quick adaptation.
• Comfort measures include using adhesive barriers for sensitive skin and rotating sites to reduce irritation.