Which statement by a client using an insulin pump indicates a need for teaching regarding insulin pump therapy?

Which statement by a client using an insulin pump indicates a need for teaching regarding insulin pump therapy?

• A. I'll need to check my blood sugars before meals in case I need a premeal insulin bolus.
• B. If my blood sugars are elevated, I can bolus myself with additional insulin as prescribed.
• C. Now that I have this pump, I don't have to worry about insulin reactions or ketoacidosis occurring again.
• D. I still need to follow an appropriate diet and exercise plan even though I don't have to inject myself daily anymore.

Answer: (C)

The main idea here is that insulin pump therapy still requires vigilance and ongoing management because insulin delivery can be interrupted. Even with a pump, you can develop insulin deficiency if the pump stops delivering insulin due to a failed infusion, empty reservoir, kinked tubing, or site issue. When delivery stops, blood glucose can rise quickly and progress to diabetic ketoacidosis if not recognized and treated promptly. So saying you don’t have to worry about insulin reactions or ketoacidosis again is a misconception that needs targeted teaching: you still monitor blood glucose, check for ketones if glucose is high, have a plan for pump problems, and know when to switch to alternative insulin delivery if needed. In practice, you should continue checking blood sugars before meals to determine whether a bolus is needed, you can administer correction boluses for elevated readings, and you still follow a diet and exercise plan. These steps reflect ongoing, proactive management that remains essential with pump therapy.

The main idea here is that insulin pump therapy still requires vigilance and ongoing management because insulin delivery can be interrupted. Even with a pump, you can develop insulin deficiency if the pump stops delivering insulin due to a failed infusion, empty reservoir, kinked tubing, or site issue. When delivery stops, blood glucose can rise quickly and progress to diabetic ketoacidosis if not recognized and treated promptly. So saying you don’t have to worry about insulin reactions or ketoacidosis again is a misconception that needs targeted teaching: you still monitor blood glucose, check for ketones if glucose is high, have a plan for pump problems, and know when to switch to alternative insulin delivery if needed.

In practice, you should continue checking blood sugars before meals to determine whether a bolus is needed, you can administer correction boluses for elevated readings, and you still follow a diet and exercise plan. These steps reflect ongoing, proactive management that remains essential with pump therapy.