
Example 1:
Basal patterns
Ken has had his insulin pump for about a month. He tests his blood glucose 4 - 6 times a day and records
his results in his logbook. He is happy with his glucose control during the week but on the weekends, he
noticed that he has to eat more food to prevent his blood glucose from running too low
.
Ken has realized that during the week while he is at work, he is very inactive and sits at a desk most of
the time. On the weekends, though, he is busy with yard work, running errands and playing with his
kids. He determines that he needs to have lower basal settings to receive less insulin during active
times, such as his weekend.
He can use the Basal Patterns feature to support his weekend change in activity. During the week, he
can set his pump to deliver in the standard setting, and on Saturday morning, he can switch over to
Pattern A, which he can set with lower basal rates for the weekend. On Monday morning, he can return
his pump to the Standard setting for his weekday insulin needs.
Example 2:
Basal patterns
Cynthia has had diabetes for about 12 years and has been on her Paradigm pump for several weeks.
Every Monday
, Wednesday and Friday, Cynthia goes on a 3 kilometer walk in the morning. To prevent
hypoglycemia on these days, she uses the patterns feature. For those days, she simply switches over to
Pattern A, which she has programmed with a lower set of basal rates. Before she learned to use the
patterns feature, she would have to eat more food throughout the day to keep her blood glucose at a
safe level. Cynthia has also noticed that a few days prior to menstruation, her blood glucose levels seem
to rise, requiring more insulin. She has programmed Pattern B on her Paradigm pump with higher basal
rates for this time. For her usual schedule, she uses the standard basal pattern.
Your turn:
Can you think of situations where you might require different basal rate settings on different days?
Temp basal rates
T
emp basal should be used based on the guidance of your healthcare professional. This feature is useful to
manage blood glucose levels during unusual short-term activities or conditions. These conditions could be
an illness or physical activity.
Optimizing pump therapy102
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