Author: LaurieAnn Scher, MS, RD, CDCES, FADCES
Choosing the right insulin pump site is important for a number of reasons. It affects how well insulin is absorbed and overall blood glucose is managed. Choosing the right location can also reduce the risks of common pumping issues. Each insulin pump and Automated Insulin Delivery (AID) manufacturer has specific recommendations for on-body placements for their device, which we’ve aggregated below. As always, see the manufacturer's website for further details.
Shown here are the best body areas (shaded) for infusion set insertion for the Medtronic 630G, 670G, and 770G insulin pumps.
Education around infusion set use needs to include the following information:
Instruct your patient to visualize an imaginary clock drawn on the abdomen surrounding their belly button. Utilize infusion set insertion sites by starting at 12 o’clock and then rotate the site clockwise to 3 o’clock, 6 o’clock, and so on.
Have them imagine a letter M or a letter W on either side of the belly button; start at the end of one letter and proceed through the letter, rotating to each intersection in turn.
Discuss suitable Pod placement sites with your patients using the following guidelines:
The Pod site map is an optional feature that helps your patient track their current and recent Pod site locations. This option only appears if the Pod Sites setting is turned on for use in Settings.
Instruct your patient to orient the Pod so it is:
Note: Line of sight means that the Pod and CGM are worn on the same side of the body in a way that the two devices can "see" one another without the body blocking their communication
An infusion set can be worn anywhere on the body where a person would normally inject insulin. Absorption varies from site to site, so options should be discussed and individualized over time. The most commonly used sites are the abdomen, upper buttocks, hips, upper arms, and upper legs.
When discussing the abdominal area, it is important to mention the locations to avoid:
Education on site rotation is important to encourage proper maintenance for healthy skin. The infusion set must be replaced and rotated every two to three days, or more often if needed by a particular patient.
With experience, a person will find the areas that provide better absorption and are most comfortable for them. Discourage the continual use of the same area to avoid scarring or lumps which can negatively impact insulin absorption.
Educate patients to keep the area and their equipment clean. In order to avoid infection and contamination, it is important to always use clean technique, wash their hands and use antiseptic wipes or infusion site preparation products.
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This site and its services do not constitute the practice of medical advice, diagnosis or treatment. Always talk to your diabetes care and education specialist or healthcare provider for diagnosis and treatment, including your specific medical needs. If you have or suspect that you have a medical problem or condition, please contact a qualified health care professional immediately. To find a diabetes care and education specialist near you, visit diabeteseducator.org.
ADCES and danatech curate product specifics and periodically review them for accuracy and relevance. As a result, the information may or may not be the most recent. We recommend visiting the manufacturer's website for the latest details if you have any questions.