
It is very important to look at your blood glucose readings as feedback regarding your diabetes
management, not as statements about you or your self-worth. T
ry not to have an emotional reaction to the
numbers and do not judge them too harshly. You will soon learn how to modify the numbers easily and
precisely through insulin pump therapy. Test at least four to six times per day.
These are the recommended times to test to determine control:
• Overnight (occasionally, at approximately 2:00 a.m. - 3:00 a.m.)
• Pre-breakfast (fasting)
• Post-breakfast (approximately two hours after eating)
• Pre-lunch
• Post-lunch (approximately two hours after eating)
• Pre-dinner
• Post-dinner (approximately two hours after eating)
• Bedtime
• Before driving
Determining your pump settings
Your healthcare professional will use your daily blood glucose journal records to program your pump. It is
very important to keep good records during the first weeks after you start on pump therapy. Not only must
you record your blood glucose readings, but it will be important to eat regularly scheduled meals and to
keep your activity as consistent as possible.
Until you and your healthcare professional determine the pump settings that will work best for you, it is
important to eat meals for which it is easy to count the carbohydrates. After your correct basal rate is
determined, you will be able to experiment with varied food choices and amounts.
After you and your healthcare professional are satisfied with your initial pump settings, you may begin to
experiment with different food choices, meal times and exercise schedules.
Starting on insulin 69
Chapter 5
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