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Example 1:
Temp 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 1/2 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 2 hours), he found a temporary basal rate that worked well
for him.
Example 2:
Temp 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 105