Infusion set for external insulin pump, needle type
HCPCS code
Name of the Procedure:
Common Name: Insulin Pump Infusion Set
Technical/Medical Term: Infusion Set for External Insulin Pump, Needle Type (A4231)
Summary
An insulin pump infusion set is a medical device used for the continuous delivery of insulin to manage blood glucose levels in people with diabetes. The needle-type infusion set involves inserting a small needle into the skin, connected to the insulin pump through a flexible tube.
Purpose
Medical Conditions Addressed: Diabetes Mellitus (Type 1 and Type 2) Goals/Expected Outcomes:
- Maintain stable blood glucose levels
- Mimic natural insulin delivery
- Reduce the frequency of daily insulin injections
Indications
Symptoms/Conditions Warranting the Procedure:
- Poor blood glucose control with multiple daily injections
- Desire for improved lifestyle flexibility Patient Criteria:
- Individuals diagnosed with diabetes who require insulin
- Patients able to operate and manage an insulin pump
Preparation
Pre-Procedure Instructions:
- Attend educational sessions on insulin pump use
- Follow healthcare provider’s guidelines for fasting (if necessary)
- Adjust current insulin regimen as instructed Diagnostic Tests:
- Blood glucose monitoring
- Hemoglobin A1c test
Procedure Description
- Site Selection: Choose an insertion site with adequate subcutaneous fat (e.g., abdomen, thigh).
- Disinfection: Clean the site with an antiseptic wipe.
- Needle Insertion: Insert the needle at the chosen site at a 90-degree angle.
- Securement: Adhere the infusion set to the skin using adhesive tape.
- Connection: Attach the tubing to the insulin pump.
- Programming: Program the insulin pump with the prescribed basal and bolus rates.
Tools/Equipment:
- Infusion set (needle type)
- Insulin pump
- Antiseptic wipes Anesthesia/Sedation: Generally not required
Duration
Typical Time Required: 15-30 minutes
Setting
Location(s): Outpatient clinic, diabetes care center, home setting (after proper training)
Personnel
Healthcare Professionals Involved:
- Diabetes educator
- Nurse
- Primary care physician or endocrinologist
Risks and Complications
Common Risks:
- Skin irritation
- Insertion site infection Rare Risks:
- Needle dislodgment
- Pump malfunction
- Severe hypoglycemia
Management: Regular monitoring and site rotation to prevent infections; Immediate consultation with healthcare provider if complications arise.
Benefits
Expected Benefits:
- Improved blood glucose control
- Increased convenience and flexibility
- Reduced risk of long-term diabetes complications Realization Time: Immediate to a few days after proper setup and usage
Recovery
Post-Procedure Care:
- Monitor blood glucose levels closely
- Rotate infusion sites regularly Expected Recovery Time: Minimal, as it is a recurring procedure with routine care Restrictions/Follow-Up: Regular follow-up with healthcare provider for pump adjustments and management
Alternatives
Other Treatment Options:
- Multiple daily insulin injections
- Insulin pens
- Oral medications (for Type 2 diabetes) Pros and Cons of Alternatives:
- Multiple Daily Injections: Less costly but may be less effective in glucose control.
- Insulin Pens: Easier to use but involve multiple punctures per day.
- Oral Medications: Non-invasive but only applicable for certain types of diabetes.
Patient Experience
During the Procedure: Mild discomfort from needle insertion After the Procedure:
- Possible skin irritation at insertion site
- Mild pain and discomfort initially
- Chronic management is generally well-tolerated Pain Management and Comfort: Over-the-counter pain relief, site rotation, proper skincare अशो विशेष ध्यान