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Example 1:
T
emp Basal for a decreased temporary basal rate
Ramon and his friends got together for an unplanned game of soccer. Before using the pump, he was
taking shots to manage his diabetes. Ramon experienced frequent low blood glucose reactions
sometimes during, and very often after, he played games with his friends. Now that he is using his
Paradigm pump, he can use the Temporary Basal Rate feature to help prevent low blood glucose. He
simply programs his pump to temporarily deliver less basal insulin during the time that he is playing, and
often for several hours after play, as well.
Ramon was able to determine how to set his Temporary Basal rates by frequent blood glucose testing,
both during and after activity, and recording his results. The first time he tried using the pump, his
healthcare professional advised him to program his pump to deliver one-half of his usual basal rate for
the amount of time that he was playing and for an hour after he was done. He made small adjustments
of the temporary basal rate and the duration of time, each time he tried to use the feature. After
several different attempts with similar activity for the same amount of time, (such as his soccer game
that lasted two hours), he found a temporary basal rate that worked well for him.
Example 2:
T
emp Basal for an increased temporary basal rate
Gail has had a cold with a cough for a couple of days. Because she is not feeling well, she tests her
blood glucose more frequently. She finds that her blood glucose levels are running above target range
before meals and she has needed several correction boluses to keep her blood glucose levels within her
normal limits. Gail decides to use the Temporary Basal Rate to increase her basal rate during the day
today. As advised by her healthcare professional, she will continue to check her blood glucose more
frequently until she is feeling well.
Optimizing pump therapy 109
Chapter 7
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