User guide

Record keeping for diabetes management
Now that you are using the pump, we will be asking you to test your blood glucose regularly. It is important
to test often and write down your blood glucose readings, the food you eat, any exercise you perform and
any other notes to explain your blood glucose results.
You must test at the recommended times and any other time that you feel your blood glucose is high or low.
Be sure to include your meal boluses, correction boluses, the amount of carbohydrate you eat, basal rate
and any other information that will be helpful in assisting your healthcare professional in adjusting your pump
settings.
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. Try 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 - 3:00)
• 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.
Starting on insulin72