Expert Q&A: Common Diabetes Questions Beachwood OH

Diabetes is a condition in which the body either does not produce enough, or does not properly respond to, insulin, a hormone produced in the pancreas. Insulin enables cells to absorb glucose in order to turn it into energy. In diabetes, the body either fails to properly respond to its own insulin, does not make enough insulin, or both. The questions and answers bellow may help you better understand things about diabetes.

Leona Cuttler, MD
216-844-3661
2683 Rocklyn Rd
Beachwood, OH
Richard J Koletsky, MD
216-752-5954
3461 Warrensville Center Rd Ste 202
Cleveland, OH
Daniel Bernard Mendlovic, MD
216-504-0001
3733 Park East Dr Ste 105
Beachwood, OH
Cynthia Milee Austin, MD
216-839-3000
26900 Cedar Rd
Beachwood, OH
Robert Scott Brenner, MD
216-504-0001
3733 Park East Dr Ste 105
Beachwood, OH
Jay Stuart Morrow, MD
216-504-0001
3733 Park East Dr Ste 105
Beachwood, OH
James Morris Goldfarb, MD
216-444-2200
26900 Cedar Rd S 2nd Fl Bd10
Beachwood, OH
Barbara Jean Fleming, MD
216-464-4789
22469 Calverton Rd
Shaker Heights, OH
Zuhayr T Madhun, MD
216-504-8888
23250 Chagrin Blvd Ste 201
Beachwood, OH
Robert Scott Brenner
(216) 504-0001
3733 Park East Drive
Beachwood, OH
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Expert Q&A: Common Diabetes Questions

Q: I’m new to “pumping” and I have trouble finding the proper site. Where is the best spot for my insulin pump?

Here's some sensible advice about pump sites from www.diabetesnet.com: In the abdominal area, the infusion set can be placed anywhere from just below the rib cage to just above the pubic area, to within two finger widths of the belly button extending to the sides, basically anywhere you can "pinch an inch." In the buttocks, the area near the pocket line works well because you do not sit or sleep on it. It is an excellent location for people who are very active or who have low body fat. The front and sides of the thighs work well for those who do not wear tight pants. The outer side of the biceps is generally preferred for the arms. This area is difficult to use if two hands are required to insert the set though. Avoid areas with scar tissue, bruising, high activity, over the bone, tattoos or body piercing.

Infusion sites are rotated to prevent scarring, which can interfere with insulin absorption. Four or more infusion sites are preferred for rotation purposes. Sites can be rotated by area, i.e., right upper quadrant, right lower quadrant, left lower quadrant, left upper quadrant. Site rotation can also be done in small steps, i.e., move the new site about 2 inches across the abdomen from the last one.

A convenient way to remember your rotation schedule is to pick two days of the week to change your infusion site and always use these two days. For instance, always change on Sundays and Wednesdays...

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