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Putting Your Patients on the Pump: Initiation and Maintenance Guidelines
Book and Study Guide by Karen M. Bolderman, RD, LDN, CDE
Study Guide Edited by Wolf J. Rinke, PhD, RDN, CSP


Book, 256 pgs and study guide with 1 reporting form, 26 pgs.
Filled with checklists and step-by-step instructions this CPE program is the ideal resource for health care professionals with expertise in diabetes care who wish to successfully start and maintain diabetes patients on insulin pump therapy. You will discover how to:

  • Formulate an individualized pump therapy initiation plan for a patient;
  • Identify blood glucose patterns and trends that require basal rate adjustments;
  • Determine a decreased temporary basal rate to manage and prevent recurrent hypoglycemia;
  • Integrate the use of extended and combination prandial bolus features into a patient's regimen;
  • Recommend pump therapy guidelines and adjustments for each patient's particular needs.

For more information and customer comments, click here.

Approved/Accepted by CDR, NCBDE

For RDs/RDNs & DTRs/NDTRs for the Professional Development Portfolio:

SUGGESTED Learning Need Codes:
5000, 5020, 5030, 5070, 5080, 5090, 5100, 5190, 5260, 5280, 5310, 5340, 5370, 5390, 5400, 5410, 5450, 5460, 6000, 6020

SUGGESTED Performance Indicators (PIs):
1.3.3, 2.1.5, 5.2.5, 6.3.11, 8.1.2, 8.1.5, 8.3.1, 8.3.2, 8.3.3, 8.3.5, 8.3.6, 8.3.7, 8.4.5, 9.1.3, 9.3.2, 10.2.7, 10.2.8, 10.2.9, 10.2.11, 12.4.6

DON'T SEE your Performance Indicators or Code Listed here?
There are many Performance Indicators (PIs) that are applicable we can't list them all &
Per CDR you may use ANY PI or CODE as long as it relates to your Learning Plan.
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click here.

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To order an ADDITIONAL Reporting Form click below:

C268F 16 CPEUs

Putting Your Patients on the Pump: Initiation and Maintenance Guidelines
Book and Study Guide by Karen M. Bolderman, RD, LDN, CDE
Study Guide Edited by Wolf J. Rinke, PhD, RDN, CSP

©2015 Wolf Rinke Associates, Inc. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, without the prior written permission of the Publisher.


Rachel Jenson: "The resource was reputable, ADA. The book for the course will be a good, ongoing resource in the office setting."

Christie Naze: "It was just the topic that I needed to learn about and up-to-date, well-written book by very experienced people."

Jennifer Gilpin: "I am a practicing CDE. Affordable diabetic CPEs that are based on evidence-based information; are always useful."

Bonita Brost: "More than just the basics of insulin pump therapy-- includes exercise, stress and use of temporary basal rates. This feature is really underutilized in pump therapy."


Welcome to the pre-approved, accredited CPE program for Putting Your Patients on the Pump. The program consists of a book of the same title by Karen M. Bolderman, RD, LDN, CDE and this study guide. The CPE program is designed to help you successfully start and maintain patients with diabetes on insulin pump therapy. It is also designed to help you earn 16 Level 2, Continuing Professional Education Units (CPEUs).
To get the most out of this CPE program, it is suggested that you adhere to the following four steps:

  • Review the objectives in this study guide.
  • Read and study the book.
  • Assess what you have learned by answering the self-assessment questions in this study guide.
  • Compare your answers to the answer key, which you will find at the end of the study guide. If you scored at least 80% (40 questions) correct, you have completed the program and are ready to transfer your answers to the CONTINUING PROFESSIONAL EDUCATION REPORTING FORM in front of this study guide. If you scored less than 80% correct, re-read the appropriate sections of the book and until you score at least 80% correct.

After you have successfully completed the program, complete the CPE REPORTING FORM and:
Submit on-line at www.easyCPEcredits.com,
Or fax to: (410) 531-9282,
Or mail to: Wolf Rinke Associates, 3801 Schuylkill Road, Spring City, PA 19475.

We will email your Certificate of Completion.

When you submit your CPE Reporting Form to us via www.easyCPEcredits.com, fax, or mail be sure to write your correct email address in the space provided on the CPE Reporting Form. If writing by hand, be sure to print your email address clearly.

To ensure that our emails are delivered to your inbox (instead of your junk/spam folders), please add cpesupport@wolfrinke.com to your Address Book or Safe List of allowed email senders. Also, be sure to allow attachments from this email address.


Upon completion of this CPE program you will be better able to:

  • Explain insulin pump therapy to a patient with diabetes who is considering pump therapy;
  • Apply findings from recent research when discussing insulin pump therapy with patients;
  • Communicate the benefits and challenges of insulin pump therapy;
  • Discuss insulin pump therapy for use in patients with type 1 diabetes, type 2 diabetes, and in diabetes with pregnancy;
  • Pinpoint potential areas of concern in describing insulin pump therapy responsibilities with the patient, prescriber, allied healthcare professionals, and pump company sales and clinical representatives;
  • Perform an assessment of the patient's diabetes knowledge and pump readiness
  • Identify pump features that are appropriate for a patient's specific needs;
  • Prepare a patient for the initiation of insulin pump therapy;
  • Formulate an individualized pump therapy initiation plan for a patient;
  • Discuss the use of insulin pump therapy in patients with special considerations;
  • Calculate appropriate starting basal rate(s) for a patient;
  • Identify appropriate infusion set choices;
  • Describe infusion set insertion and site rotation;
  • Discuss pump wearing options;
  • Identify blood glucose patterns and trends that require basal rate adjustments;
  • Initiate additional basal rates into a patient's 24-hour regimen;
  • Identify appropriate use of temporary basal rates;
  • Determine a decreased temporary basal rate to manage and prevent recurrent hypoglycemia;
  • Calculate an increased temporary basal rate to manage and prevent hyperglycemia;
  • Discuss foods, meals, and occasions for using an extended or combination bolus;
  • Integrate the use of extended and combination prandial bolus features into a patient's regimen;
  • Explain the necessity of pump failure readiness;
  • Offer guidance for traveling when using an insulin pump;
  • Provide tips for managing infusion site problems;
  • Troubleshoot insulin pump therapy concerns and problems and provide appropriate solutions;
  • Recommend pump therapy guidelines and adjustments for each patient's particular needs.



Chapter 1: Insulin Pump Therapy Advantages and Disadvantages

Chapter 2: Pump and Infusion Set Options and Selection
Pump Features
Insulin Pump Options and Selection
Infusion Set and Tubing Options
Customer Service and Other Practical Considerations

Chapter 3: Pump Candidate Basics
Profile of an Appropriate Candidate
Contraindications: Red Flags
Steps for Helping the Patient Determine and Achieve Readiness
Are YOU Ready?

Chapter 4: Getting the Patient Ready
Goals and Objectives
Carbohydrate Counting
Infusion Set Insertion
Optional Saline Trial
Lifestyle Issues and Wearing the Pump
Patient Support System
Ordering the Pump and Supplies

Chapter 5: Pump Start-Up
Pump Start Basics: Patient and Prescriber Responsibilities
Pump Start Guidelines for the Patient
Pump Start Guidelines for the Clinician
Determining Target Blood Glucose Values
Determining Starting Basal Rate
Calculating insulin-to-Carbohydrate Ratios
Calculating the Correction Factor
Calculating a Meal Bolus
Identifying, Managing, and Preventing Hyperglycemia
Identifying, Managing, and Preventing Hypoglycemia
Follow-up Instructions
Additional Considerations

Chapter 6: Pump Therapy Management (Keeping Patients on the Pump)
Record Keeping
Using Pump Data
Using Blood Glucose Meter Data
Using Continuous Glucose Monitor Data
Basal Rate Adjustment
Additional Basal Rates and Establishing Basal Patterns
Temporary Basal Rates
Insulin-to-Carbohydrate Ratio Adjustment
Correction (Sensitivity) Factor Adjustment
Infusion Site and Tubing Concerns
Emergency Supplies


Karen M. Bolderman, RD, LDN, CDE is currently the Manager of Diabetes Education at The Villages Health, The Villages, Florida. She coordinates diabetes education for The Villages Health healthcare system, including the Specialty Care Center and the six NCQA Recognized Patient Centered Medical Home primary care sites. Karen received her Bachelor of Science degree from Marywood College in Scranton, Pennsylvania and also completed studies in Spanish and education and graduate work in nutrition. She has held positions as a diabetes and nutrition center manager, chief clinical and administrative director dietitian in Maryland, Virginia, and New Jersey, and diabetes clinical research study coordinator and diabetes educator in a large endocrine practice in Baltimore MD.
Karen has extensive clinical and diabetes industry experience in insulin pump therapy. She was also a diabetes-focused medical science liaison and medical information senior specialist for a diabetes biomedical company. Karen is the author of numerous diabetes publications including the American Diabetes Association (ADA) first and second editions of Putting Your Patients on the Pump. She is a co-author of the American Association of Diabetes Educators (AADE) White Paper: Continuous subcutaneous insulin infusion (CSII) and co-wrote ADA's book Practical Carbohydrate Counting: A How-to-Teach Guide for Health Professionals. Karen has also written consumer articles for diabetes publications, including Diabetes Forecast and Diabetes Self-Management, as well as consumer diabetes-related pamphlets and brochures.
Karen served as a consultant to Milner-Fenwick and has appeared in several of its diabetes consumer education videos. She has been an active diabetes volunteer and officer on local, state, regional, and national levels of several diabetes professional organizations, including the national Board of Directors of the American Diabetes Association. Karen is a founding member and officer of the Academy of Certified Diabetes Educators (ACDE) and is a former national Chair of the National Certification Board for Diabetes Educators (NCBDE). She is active in the American Association of Diabetes Educators (AADE), having served as a Chair of AADE's national Annual Meeting and is a member of the AADE Insulin Pump Specialty Practice Group. Karen is a founding member and past President of the Maryland Association of Diabetes Educators.
Additionally, Karen is a recipient of the Maryland Dietetic Association's Maryland Recognized Dietitian of the Year award and is a member of the American Academy of Nutrition and Dietetics' Diabetes Care and Education Practice Group. Karen has presented extensively to healthcare professional and patient audiences on various diabetes- and nutrition-related topics. She has a passion for diabetes education and enjoys working with people of all ages and types of diabetes and nutrition-related conditions.


Wolf J. Rinke, PhD, RDN, CSP is the president and founder of Wolf Rinke Associates, Inc., a company that has provided high quality CPE programs to nutrition professionals since 1990.
He earned a BS at Drexel University, a MS at Iowa State University, a PhD in Continuing and Vocational Education (Adult Ed) at the University of Wisconsin, and interned at Walter Reed Army Medical Center. He participated in a test item writer workshop sponsored by the Commission on Dietetic Registration (CDR).
Wolf is a past Adjunct Associate Professor, Graduate School of Management & Technology, University of Maryland, and a former Adjunct Faculty Member, School of Continuing Studies, The Johns Hopkins University.
He is the past president of the DC Dietetic Association and has been honored by the Academy with the Award for Excellence in the practice of Management; the Outstanding Dietitian of the Year Award; the Outstanding Service Award; and has delivered the Lenna Frances Cooper Lecture.
At the Academy he has served in numerous leadership roles including Chair, Scholarship Committee, DBC; Chai, Communication Committee, CDR; Chair, Area Coordinating Committee, COE; Chair, COE, and member of Resource for Education Programs Committee; Honors Committee; CDR, Licensure Panel and Ethical Practices Task Force; CDR; House of Delegates and Board of Directors.
He is the author of more than 500 articles, numerous CPE home-study programs, several popular books, and the free monthly eNewsletter "Read and Grow Rich" written specifically for savvy Nutrition Professionals like YOU!
Subscribe now at www.easyCPEcredits.com--you'll be glad you did!


Special thanks to the following individuals for their careful review of this CPE program.

Bonita M. Brost, RD, LD, CDE
Essentia Health – Heart & Vascular Center
Duluth, MN

Vivian Fernandez, MS, RD, CDE, BC-ADM
Miami, FL

Camille Izlar, MS, RD, CDE, BC-ADM
University of North Carolina Health Care
Diabetes and Endocrinology Clinic
Durham, NC

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