Medtronic Paradigm 522 Podręcznik Użytkownika Pobierz pdf (Strona 34)

Insulin sensitivity

Insulin sensitivity is used to decide a correction bolus for a high BG. This is how much your blood glucose

will be dropped with 1 unit of insulin.

1 unit of insulin will lower BG __________ mg/dL (mmol/L).

Active Insulin

Active insulin is the bolus insulin that has already been delivered to your body

, but has not yet been used.

The pump considers your active insulin time setting in determining any active insulin still in your body

from prior boluses. This may help prevent hypoglycemia caused by over-correcting for high blood glucose.

Blood glucose and A1C testing

When you check your blood glucose with a meter, you measure blood glucose at the moment you perform

the test. This number gives you key feedback for making present and day-to-day adjustments in your

diabetes management. The A1C test, done at your doctor's, shows you your average blood glucose over the

last 60 to 90 days. Both blood glucose and A1C testing are necessary for good diabetes management.

BG testing

With any insulin therapy, you must monitor your blood glucose four to six times a day. With insulin pump

therapy, blood glucose testing gives you correct feedback. It also allows you to make prompt changes

based on the results. It alerts you to high blood glucose readings that need changing. It allows you to

adjust your insulin to carbohydrate ratio for certain foods. Your pump only uses fast-acting insulin; as a

result, you have no long-acting insulin as a back-up. Therefore, if your insulin delivery is disrupted on

pump therapy, your blood glucose can go dangerously high fairly fast. This can happen much faster than it

could when you were using daily injections with long-acting insulin. Blood glucose testing is needed to

alert you to high blood glucose so you can prevent diabetic ketoacidosis (DKA).

A1C

A1C testing also plays a key part in diabetes management. Sustained high BG levels can cause serious long-

term problems. These problems may be prevented and/or delayed if you maintain your blood glucose

levels close to normal. The best measure of your overall blood glucose is the A1C test. It has been proven

that an A1C level of 7.0 or less greatly reduces the risk of problems from diabetes. But, any reduction in

A1C is a plus. ADA Clinical Practice Recommendations state that your A1C should be tested at least every

three months by your healthcare professional.

Introduction to pump therapy 15

Chapter 2

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