{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"Podcast 711: Insulin Pumps","description":"Contributor: Aaron Lessen, MD Educational Pearls:  Insulin pumps provide a continuous infusion of fast-acting insulin using a basal rate and bolus prior to meals Some connect to a continuous glucometer but often blood glucose needs to be checked manually Hypoglycemia is rarely due to a malfunctioning pump - there is usually an another external factor Hyperglycemia can be caused by underdosing, illness, pump malfunction or expired insulin The pump can be used to give a bolus of insulin in the emergency department if necessary Stopping the&amp;nbsp; device can be done manually on the device or disconnecting it from the tubing attachment - do not remove the tubing from the skin site if possible  References Nimri R, Nir J, Phillip M. Insulin Pump Therapy. Am J Ther. 2020;27(1):e30-e41. doi:10.1097\/MJT.0000000000001097 Sora ND, Shashpal F, Bond EA, Jenkins AJ. Insulin Pumps: Review of Technological Advancement in Diabetes Management. Am J Med Sci. 2019;358(5):326-331. doi:10.1016\/j.amjms.2019.08.008 Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD &amp;nbsp; The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits\u2122 via online course modules. To access these and for more information, visit our website at https:\/\/emergencymedicalminute.org\/cme-courses\/ and create an account.&amp;nbsp;  Donate to EMM today!   ","author_name":"Emergency Medical Minute","author_url":"https:\/\/www.emergencymedicalminute.com","html":"<iframe title=\"Libsyn Player\" style=\"border: none\" src=\"\/\/html5-player.libsyn.com\/embed\/episode\/id\/20388299\/height\/90\/theme\/custom\/thumbnail\/yes\/direction\/forward\/render-playlist\/no\/custom-color\/fa102a\/\" height=\"90\" width=\"600\" scrolling=\"no\"  allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen><\/iframe>","thumbnail_url":"https:\/\/assets.libsyn.com\/secure\/content\/110766716"}