98 Chapter: 6
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 2-mile 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?