[Previous Months][Date Index][Thread Index][Join - Register][Login]
[Message Prev][Message Next][Thread Prev][Thread Next]

Re: [IP] Questions Re Use of Temp Basal Vs. Basal Profile



on the lows at night.....when i run or have a really
active day i snack at night and don't bolus. i'm at .2
from 10pm to 4am. it works usually.
--- Lori Smith <email @ redacted> wrote:
> I have some questions concerning how and when to use
> the variable
> 'basal profile' vs the 'temp basal' feature in
> relation to preventing lows 
> during and after vigorous exercise.
> 
> My 12 year daughter is using the MiniMed 508 but
> we're relatively new to the 
> pump, having started just three months ago. She is
> very active in sports 
> (basketball, soccer, ringette) and fairly
> regularly,we're involved in 
> tournaments that involve a lot of intense exercise
> (i.e. five or six games 
> over a two to three day weekend).
> 
> We've just recently discovered using different basal
> profiles during 
> tourament weekends. We've set up 'Pattern A'  (a .10
> drop from each standard 
> basal rate) to use on Day 2 of tournaments. We go to
> 'Pattern B' on Day 3 of 
> tournaments (again a .10 drop in basals from Pattern
> A). This practice has 
> been more successful than not, but we've still been
> headed for lows in the 
> night and had to switch to a temporary basal within
> the modified profile 
> itself. It requires a tremendous amount of middle of
> the night monitoring by 
> my husband and myself during those tournament
> nights, and I wondered if 
> there's an easier way to avoid those potential lows.
> 
> (I also think we could really use a continuous
> glucose monitor during those 
> times instead of having to test her five and six
> times throughout the night 
> watching for lows. But from what I've heard, these
> devices haven't been 
> developed well enough yet to be immediately helpful
> and they're not readily 
> available for patient's use in Canada.  Is that
> correct? Does anyone know 
> more about this Sleep Sentry device that monitors
> increased perspiration and 
> temperature drop related to lows that we might
> possibly use in these 
> situations?  I believe I've read they're now
> available in the U.S. but I 
> wondered where we would get one from.)
> 
> We also have specific questions pertaining to using
> the temp basal feature 
> as well. We've used a temporary basal for regular
> days (not
> tournaments)when she has two games in a day.  If you
> use this feature after 
> exercise, how long do you keep it on?  One hour,
> four hours, etc.? When 
> we've used the temp basal rate, we've kept it on too
> long and then she's 
> gone high. (As it's hard to know when post exercise
> lows may strike, I've 
> opted to keep it on too long rather than not long
> enough.)
> 
> We'd like to get this worked out somewhat,as her
> school is going on an 
> overnight three day ski trip and parents are not
> allowed to come (at all!). 
> I'd love to get her into a routine that she could
> follow during periods of 
> intensive exercise so that she's safe from lows and
> we can get some much 
> needed sleep and peace of mind!!
> 
> I'd appreciate any help you can provide.  Thanks.
> 
> Lori, Mom to Kirsten, age 12 yrs.
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> I have some questions concerning how and when to use
> the variable basal 
> 'profile' vs the 'temp basal' feature in relation to
> preventing lows during 
> and after vigorous exercise. My 12 year daughter is
> using the MiniMed 508 
> but we're relatively new to the pump, having started
> just three months ago. 
> She is very active in sports (basketball, soccer,
> ringette) and fairly 
> regularly,we're involved in tournaments that involve
> a lot of intense 
> exercise (i.e. five or six games over a two to three
> day weekend).
> 
> We've just recently discovered using different basal
> profiles during 
> tourament weekends. We've set up 'Pattern A'  (a .10
> drop from each standard 
> basal rate) to use on Day 2 of tournaments. We go to
> 'Pattern B' on Day 3 of 
> tournaments (again a .10 drop in basals from Pattern
> A). This practice has 
> been more successful than not, but we've still been
> headed for lows in the 
> night and had to switch to a temporary basal within
> the modified profile 
> itself. It requires a tremendous amount of middle of
> the night monitoring by 
> my husband and myself during those tournament
> nights, and I wondered if 
> there's an easier way to avoid those potential lows.
> 
> (I also think we could really use a continuous
> glucose monitor during those 
> times instead of having to test her five and six
> times throughout the night 
> watching for lows. But from what I've heard, these
> devices haven't been 
> developed well enough yet to be immediately helpful
> and they're not readily 
> available for patient's use in Canada.  Is that
> correct? Does anyone know 
> more about this Sleep Sentry device that monitors
> increased perspiration and 
> temperature drop related to lows that we might
> possibly use in these 
> situations?  I believe I've read they're now
> available in the U.S. but I 
> wondered where we would get one from.)
> 
> We also have specific questions pertaining to using
> the temp basal feature 
> as well. We've used a temporary basal for regular
> days (not
> tournaments)when she has two games in a day.  If you
> use this feature after 
> exercise, how long do you keep it on?  One hour,
> four hours, etc.? When 
> we've used the temp basal rate, we've kept it on too
> long and then she's 
> gone high. (As it's hard to know when post exercise
> lows may strike, I've 
> opted to keep it on too long rather than not long
> enough.)
> 
> We'd like to get this worked out somewhat,as her
> school is going on an 
> overnight three day ski trip and parents are not
> allowed to come (at all!). 
> I'd love to get her into a routine that she could
> follow during periods of 
> intensive exercise so that she's safe from lows and
> we can get some much 
> needed sleep and peace of mind!!
> 
> I'd appreciate any help you can provide.  Thanks.
> 
> Lori, Mom to Kirsten, age 12 yrs.
> 
> 
> 
> 
>
_________________________________________________________________
> Send and receive Hotmail on your mobile device:
> http://mobile.msn.com
>
----------------------------------------------------------
> for HELP or to subscribe/unsubscribe, contact:
> HELP@insulin-pumpers.org
> send a DONATION
http://www.Insulin-Pumpers.org/donate.shtml


__________________________________________________
Do You Yahoo!?
Great stuff seeking new owners in Yahoo! Auctions! 
http://auctions.yahoo.com
----------------------------------------------------------
for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
send a DONATION http://www.Insulin-Pumpers.org/donate.shtml