• Matt Schoenherr

6 Simple Rules for Insulin Pump Success

Earlier this year, Adam Brown counted 42 factors that affect glucose. That can overwhelm event the brightest process improvement engineer! But don’t worry; these six simple rules can standardize some of the most significant variables.


The Sure-T should be changed every 2 days.

  1. Never go more than 2-3 days without changing your insertion set. No exceptions. See rule #2 for help.

  2. (TDD x 3) + 20U = reservoir fill Find out the total daily dose (TDD) of insulin. Multiply that by 3. Add 20U for tubing (and just in case you go HAM on tortilla chips one day).

  3. Insertion site rotation: Most people are taught to alternate between the right and left sides of their body. THIS IS WRONG. The issue is, most people end up going right back over the site they ripped off three days ago. That is not enough time for the site to heal. Instead, place the next site 2 inches away from the current. Three days later, move another 2 inches the same direction. Once you run out of real estate, move to the other side of your body and repeat. Your skin will thank you, and insulin absorption will be more predictable.

  4. If the insertion site hurts, change it.

  5. Bolus timing: Bolus for meals before eating. How soon before? It depends on your blood sugar.



Do you have other habits and techniques to increase consistency in diabetes management? Please share in the comments below.

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