Expert Q&A: Common Diabetes Questions Detroit MI

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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