If your family is interested in advanced diabetes treatments such as insulin pump therapy or continuous glucose monitoring systems, you should speak with one of the Diabetes Center’s certified diabetes educators (CDEs). CDEs can talk with you about what these products offer and how to incorporate technology into your child’s diabetes management.
Insulin pump therapy classes
Thinking About the Pump (Pre-pump) class
This is an introductory class offered to families that have not yet decided to use an insulin pump. This class provides comparison and general pumping information. It’s also child friendly and offers reluctant children an opportunity to see pumps and try on an infusion set. This is an optional class but may be required by your provider. You will need a referral for this class. The referral should be written out to The Children's Hospital of Philadelphia (CHOP) (not Endocrinology) and the service is called “Diabetes Self-Management Education.”
The Pump class
This is a mandatory class that must be taken before moving forward in the pump program. It is recommended that only children over 10 years of age attend this class as the content is technical. You will receive information about various pump companies, and you can contact the sales representative of the pumps in which you’re interested. There is no charge for this class and no referral is required.
Saline and Insulin appointments
These are mandatory, one-on-one appointments to provide training specific to the insulin pump you and your child have chosen. The saline appointment is scheduled once you receive your pump in the mail. At the end of the appointment, you will leave with your child wearing the pump with saline solution in it. You will continue to use insulin injections during this one-week trial period. Approximately one week later, you will return for an appointment to “go live” with insulin. No referrals are needed for these two trainings.
Advanced Pump class
This class will be recommended by your provider after you have begun using the pump. This class addresses advanced features of the pump and their practical uses for your family. New technologies and continuous glucose monitors will also be discussed. This is a technical class and it is recommended that only children over 10 years of age attend. There is no charge for this class so no referral is needed.
Continuous glucose monitoring systems (CGMS) classes
Please discuss the use of a continuous glucose monitoring system (CGMS) with your provider. If you wear an insulin pump, you should attend Advanced Pump Class (described above) to discuss the CGM options as well as general information on the use of CGMs. If you do not wear an insulin pump, you may be required to attend a CGM class.
Thinking About a CGM (Pre-CGM) class
This is an introductory class offered to families that have not yet decided to use a continuous glucose monitor. This class provides comparison and general CGM information. This is an optional class but may be required by your provider. You will need a referral for this class. The referral should be written out to The Children’s Hospital of Philadelphia (CHOP) (not Endocrinology) and the service is called “Diabetes Self-Management Education."
There are two types of CGMS on the market:
- IPro™ — for short-term wear
- CGMS — for long-term wear
This type of CGMS, also known as the “short-term” sensor, is prescribed by your provider. This is a one-time sensor which you wear for five to seven days. There are two trainings, one week apart.
- At the first visit, a sensor will be inserted and your child will go home wearing a sensor.
- In one week you will return to have the sensor downloaded. A certified diabetes educator and provider will meet with you to interpret the results.
The more traditional continuous glucose monitoring systems on the market, also known as “patient owned” or “long-term” sensors, require two trainings. The sessions should take place three to four weeks apart. Each training session will be about two hours long.
- At the first training you will learn about the sensor’s settings and functions, as well as how to wear the sensor. You will leave with your child wearing the sensor.
- Prior to the second appointment, you will download and print the information from your child’s sensor. At this appointment, you will learn how to read the reports and how to interpret the information in order to make adjustments in your child’s care.
How to schedule CGMS training sessions
Please contact our diabetes education scheduler at 267-426-0271 to schedule both of your sessions.
If your insurance requires a referral, please get the referral for: Follow Up Diabetes, Endocrinology Clinic, The Children’s Hospital of Philadelphia. Do not get a referral with your regular provider’s name as your child may see a different clinician on the days of your training sessions.
The training portion of the visit is considered a procedure.
- The first follow-up visit (the initiation) should have a procedure code of 95250.
- The second follow-up diabetes visit (the download and interpretation) should have a procedure code of 95251.