These guidelines have been developed to provide advice and guidance to Queensland Health staff so that individuals whose diabetes is being treated in the outpatient setting with a continuous subcutaneous insulin infusion (CSII) delivered with an insulin pump, can continue to be managed safely with their insulin pump during their hospitalisation.

The Commission has produced national subcutaneous insulin medication charts for acute and non-acute hospitals and mental health facilities. These support the delivery of appropriate care and improve the management of blood glucose levels (BGLs) in these different groups of patients.

Complete Insulin Subcutaneous Order and Blood Glucose Record stating that the PWD is self-managing and the frequency of BGLs. Initial BGL frequency is standard if BGLs stable. If BGLs unstable frequency is standard plus 2 hours post-meals and 02:00 hours.

These guidelines have been developed to provide evidence-based guidance to Queensland Health personnel regarding the use of insulin pumps during hospital admissions. Despite the effectiveness of insulin pumps in managing Type 1 Diabetes Mellitus (T1D), healthcare professionals may lack familiarity with their operation.

INSULIN PART 1: Understanding insulin Diabetes quick guides What is insulin? Insulin is a hormone produced by beta cells in the pancreas. It balances blood glucose levels by: 1. allowing glucose to move from the blood stream and into cells for energy; and 2. controlling the release of stored glucose from the liver. Who needs insulin?

The purpose of this document is to provide guidance to HHSs regarding the provision of insulin dose advice in Queensland Health, including recommendations regarding credentialing for health practitioners; Accredited Practising Dietitians (APDs), …

Diabetes educators teach people how to give insulin injections but only to people who are legally permitted to do so. Paid carers in Queensland can prepare and dial up the insulin but not give the injections. Where to Inject. The ideal places to inject the insulin are the fatty areas of the body such as the stomach or outer upper thighs.

Step 3 - start intravenous insulin Document in special instructions section of the IV insulin order form that the patient is on DKA protocol. Use any soluble insulin eg: Actrapid, Humulin R. Concentration should be 50 units of insulin in 49.5mL 0.9% sodium chloride through a syringe driver. Step 4 - Continuation of intravenous insulin

• Insulin reduces hyperkalaemia by causing a shift of excess potassium ions from the vascular into the intracellular space • To prevent hypoglycaemia resulting from the administration of insulin, concurrent administration of glucose is essential

Characterised by elevated blood glucose due to insulin deficiency, damaging blood vessels and nerves, leading to complications such as vision and dental loss, cardiovascular and kidney disease, sexual dysfunction and limb amputation; Common diabetes types are: Type 1 …