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Question of the Week | August 11, 2020

AL was recently started on an insulin pump. AL’s insurance company will only cover glulisine (Apidra) insulin for the pump. Before starting pump therapy, AL thought they only needed to change the pump site every three days. AL is frustrated to find out that since they are using glulisine (Apidra), they will need to change the insulin cartridge and site every 2 days.

What is the best solution to AJ’s frustration?

  1. Request insulin is changed to degludec (Tresiba).
  2. Suggest AL changes pump site every 3 days and evaluate glucose response.
  3. Acknowledge AL’s frustration.
  4. Encourage AL to get a CGM to monitor glucose fluctuations.

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Tomorrow, we will be posting our Insulin Cheat Sheet to help address this question!


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