Medtronic Paradigm 522 Podręcznik Użytkownika Pobierz pdf (Strona 45)

Healthy eating habits

Insulin pump therapy gives you the choice of when, what and how much to eat without impacting blood

glucose control. This gives you the flexibility to sleep-in, postpone or skip meals, and eat snacks—the same

as people who do not have diabetes. Be careful to not abuse this freedom and compromise your nutritional

health. All people need to make healthy food choices to be mentally and physically healthy

It is not an exact science to figure your meal bolus based on carbohydrate counting. Sometimes it takes

trial and error to figure the correct meal bolus for certain foods. If you are unsure how certain foods will

affect your blood glucose, test your blood glucose two hours after you eat. Keep records of foods that you

eat on regular basis. Note the bolus amounts and post-prandial readings for each entry. If your reading is

too high or too low, adjust your meal bolus the next time you make that food choice.

Exercise

Your body needs insulin and carbohydrate to provide cells with energy during exercise. How much insulin

and carbohydrates you need varies with the types of exercise and with how often you exercise. Using an

insulin pump during exercise allows you to reduce your basal rate instead of eating extra carbohydrate.

Before, you needed to eat extra carbohydrate to make up for the glucose lowering effect exercise often

has on blood glucose. It takes trial and error to get the balance right.

The body needs insulin during exercise. Therefore, it is not suggested that you stop the pump unless the

exercise is for a short amount of time (one hour or less). If you need to remove the pump for more than

one hour, refer to the If you remove your pump section in The basics chapter.

If you do an exercise that on average lowers your blood glucose, you can use the temporary basal rate

feature. You can use this feature to lower the amount of insulin delivered and reduce the risk of

hypoglycemia. You may also choose to change your basal rate pattern for the days you exercise.

It takes a period of time to determine how much to adjust your basal rate during exercise. Record your

blood glucose before, during and after exercise to figure the proper reduction in your basal rate. Record

any carbohydrates that you have eaten during the exercise period. There is no magic formula that will tell

you just what to do. You have to test often to figure out the basal rate that you need during exercise.

Introduction to pump therapy26

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Medtronic Paradigm 522 Podręcznik Użytkownika Strona 45