One of my “other duties” is distaster preparation. There have been issues all over the USA in regard to disasters, evacuations, floods, storms, wildfires, and the list goes on. In another social group the question of what do you put in an Emergency Kit, Go-Bag, BOB (Bug Out Bag). This list has been fince tuned by endo’s, paramedics, pumpers, CDCES (fka CDE), & disaster emergency shelter managers.
Currently, there is development off the coast of northern South America with the potential for SE USA impact in the next 10-15 days.
INSULIN PUMP USER’S EMERGENCY KIT
Work with your pump trainer & doctor for this kit’s inventory. Below is emergency kit inventory & you should plan enough for 30-day evacuation. Check contents monthly.
- BG testing supplies: meter, strips, lancets, batteries, and control solution.
- Fast acting carbohydrate to treat low BG.
- Extra snack for longer coverage that fast-acting carbohydrates including protein, & fat.
- Glucagon emergency kit or equivalent – minimum 2.
- Ketone measurement supplies – if history of elevated ketones or MD advice.
- Anti-emetic drug of choice (what you and your pump team believe best).
- Anti-nausea and/or other drugs (what you and your pump team believe best).
- Non-latex gloves – 10 pair & N95 masks – 10 each.
- OTC meds: NSAIDs, triple antibiotic ointment, (what you and your pump team believe you may need).
- Rapid-acting insulin & syringes or insulin pen & needles. (Enough for 30 days)
- Long-acting insulin & syringes or insulin pen & needles. (Enough for 30 days)
- Charging gear and/or batteries for 30 days.
- Insulin pump – spare parts (port covers, battery caps, etc.)
- CGM sensors . (Enough for 30 days) (rotate after acquisition of new supplies)
- Spare CGM transmitter (rotate after acquisition of new supplies)
- Pump packs – everything you use for a POD or cartridge & site change in a Ziplock® sealable plastic bag (Enough for 30 days)
a. PODs or infusion set &
b. Insulin pump cartridges
c. Syringe & needle used for cartridge filling
d. Skin prep supplies - alcohol swabs and skin preps
e. Site dressing
f. Tongue blade
- Diabetes medical alert identification or jewelry (should be wearing/carrying)
- Insurance card(s) – also copy in phone’s photos or electronic wallet.
- Surgical marker or “Sharpie®” pen to mark location of a lost CGM wire, etc.
- A list of current medications (both brand & generic names) including dose and when taken. Your pharmacist can help with this and possibly provide a document to get medications filled away from home in an emergency.
- A list of your emergency contacts, including address, telephone, & email.
- PROTOCOLS for managing pump, sites, hypoglycemia, and hyperglycemia - including on & off pump instructions and supplies.
- Tape &/or over-patches used to secure pump sites & CGMs
- Blade razor to remove hair if needed to prepare a site for pump or CGM.
- Power block or other USB power source to recharge pump if electricity is out.
- Gauze pads to hold pressure or cover bleeders.
- Stain removal pen(s) to remove blood stains from bleeders, etc.
- Any other items you and your pump team believe helpful.
Consider a weatherproof case like the Pelican iM2450 Storm Case or the Harbor Freight Apache 4800 Weatherproof Case for egress in hostile weather situations.
Why 30 days. There have been several disasters (floods, wildfires, earthquakes, hurricanes, etc.) or similar events in the recent past in the USA and globally where evacuations and other circumstances have necessitated rapid relocation. This list has been made in consultation with endocrinologists, CDECS, pump trainers, nurses, paramedics, and disaster shelter managers.
PUMP SETTINGS & INSULIN DOSING
Pump settings for morning, noon, & evening (consider printout from your data website like Diasend, Tidepool, tConnect, etc.)
[b] insulin to carb
[c] correction factor AKA