Infusion Site Management Guide
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Site Rotation
Consequences of Poor Site Rotation
- Increased risk of infection
- Unpredictable insulin absorption
- Lipohypertrophy
Poor site rotation can also cause an enlargement in the area where the infusion set is placed (see figures) and may result in poor absorption and increased insulin use.
Special Considerations
The Pump user may need basal adjustments for
different insertion areas; i.e. basal rates may have to be set at a higher
rate when using the hip area than when using the abdominal area. A lower basal
rate may be needed when switching from frequently used insertion areas to
previously unused areas.
Mix and match sets and sites: Pump users may utilize different types of infusion sets for different sites; for example, using an angled infusion set for the abdominal area and a 90° set for the hip area.
Site rotation during pregnancy: It is a general rule that sites may be placed anywhere you can "pinch an inch" in the recommended insertion areas. This is also true during pregnancy. Although utilizing the abdomen will not harm the baby, most women prefer the hip and outer thigh areas for site placement once the abdomen begins to grow.
Proper infusion site rotation every 48 hours should be stressed due to the importance of tight blood sugar control during gestation.
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Infusion Site Management Guide (Acrobat Reader Required)
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