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How do you manage an implanted insulin pump or continuous glucose monitoring device during radiation?

Do you regularly screen for these or does your department have a policy for managing implanted insulin pump and continuous glucose monitoring devices during radiation?
2 Answers
Mednet MemberInvited Expert
Radiation Oncology · Virginia Commonwealth University Medical Center
Answered on

We do not have an official written policy yet, but honestly, we probably should develop one, since these devices are becoming more prevalent. For CGMs, we ask the patient to place the device far from the treatment site while under treatment and to verify function with finger stick glucose measuremen...

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Mednet MemberInvited Expert
Radiation Oncology · Memorial Sloan Kettering Cancer Center
Answered on

100% agree these are becoming more prevalent, and there should be more guidance (and perhaps testing with scatter RT doses?) about what should be done, particularly for insulin-dependent patients.

As mentioned, some insulin pumps have an infusion set that can remain on the body while the electronic ...

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