Temp (temporary) basal rates. Energizer 715, 515

Temp (temporary) basal rates

The temp (temporary) basal rate feature is useful to manage blood glucose levels during unusual short-term activities or conditions. These conditions could be an illness or unplanned physical activity that is not part of your daily routine.

A temporary basal rate allows an immediate short-term change to your basal insulin for a specified period of time (30 minutes to 24-hours). This rate can be up to your maximum basal rate setting. It offers an easy way to immediately meet short-term insulin needs for temporary activities or situations.

When your blood glucose is temporarily high or low, a temp basal rate allows you to set a temporarily higher or lower basal to accommodate your blood glucose.

NOTE -

Temp Basal is useful for a temporary condition or period of increased or decreased activity

(i.e. a cold or physical activity) that is not usually part of your lifestyle. For ongoing periods of increased or decreased activity, the patterns feature may be more suitable.

How does temp basal work?

During a temp basal delivery, all other basal programming is temporarily overridden. After the temp basal delivery is completed, your pump will return to the programmed basal. A temp basal is delivered only once and does not repeat. If you want another temp basal, you must program the temp basal again. This feature may be useful to temporarily increase or decrease basal insulin during illness, exercise or the similar situations.

Optimizing pump therapy 99

Temp basal types

Based on your preference, you can select either Percent of Basal or Insulin Rate.

Insulin rate

Insulin rate is a fixed basal in units per hour (U/H). This temp basal type is independent of your current basal. When you select Insulin rate (U/H) for your temp basal type, your pump will deliver the fixed amount you have set for the duration as set. The amount of your temp basal insulin rate can be set up to your maximum basal rate setting.

If you make changes to your normal basal rate, your U/H temp basal is not affected and will continue to deliver as programmed.

temp basal settings temp basal type: Insulin rate (U/H) duration: 4:00 hours (1:05p - 5:05p) rate: 3.50 U/H

1.50 U/H

(rate 1)

2.55 U/H

(rate 2)

3.50 U/H

NOTE -

Temp Basal rate cannot exceed maximum basal rate.

.

(07:00)

3:00 p.m.

(15:00)

1:05 p.m.

(13:05)

3.50 U/H temp basal rate

1.95 U/H

(rate 3)

5:05 p.m.

(17:05)

12:00 a.m.

(00:00)

100 Chapter: 6

Percent of basal

The temp basal type is dependent on your current basal rates. Percent temp basal is a percentage increase or decrease of your current basal (0 - 200 percent limited to your maximum basal rate setting).

The maximum percent limit is based on the largest basal rate segment with your programmed temp basal rate time.

For example: It is 6:00AM and your current basal rate is 1.50 U/H. You want to set a temp basal rate of 130 percent for seven (7) hours. The maximum percent temp basal rate you can set is 125 percent.

Anything larger would make #2 segment exceed your maximum basal setting of 2.0 U/H.

Your current basal rates:

Segment #1: 12:00A

Segment #2: 11:00A

Segment #3: 4:00P

Your maximum basal rate setting: 2.0 U/H

1.50 U/H

1.60 U/H (largest)

1.30 U/H

If your current basal changes (i.e. from rate 1 to rate 2), your percent temp basal amount will also change. The pump will deliver the percentage for the duration that you have set.

You cannot make changes to your normal basal rate while a percent temp basal is active. You must either wait until the temp basal is finished or cancel the temp basal in order to reprogram your normal basal rate setting(s).

Optimizing pump therapy 101

NOTE -

The pump delivers basal amounts in 0.05 U/H increments. Because of this, your temp basal amount will be rounded down to the next 0.05 U/H increment.

temp basal settings temp basal type: Percent of basal duration: 4 hours (1:05p - 5:05p) rate: 120 percent (%)

(120% x rate 2 = 3.06)

3.06 rounded down to the next 0.05 increment is 3.05 U/H

(120% x rate 3 = 2.34)

2.34 rounded down to the next 0.05 increment is 2.30 U/H

3.05

U/H 2.30

U/H

1.50 U/H

(rate 1)

2.55 U/H

(rate 2)

1.95 U/H

(rate 3)

7:00a.m.

(07:00) temp basal start time

3:00 p.m.

(15:00)

1:05 p.m.

(13:05)

5:05 p.m.

(17:05) temp basal stop time

12:00 a.m.

(00:00)

102 Chapter: 6

Selecting temp basal type

Your pump will remember the temp basal type setting. Once the type is set, you do not have to set it again. To select a temp basal type, do these steps:

1 Go to the BASAL MENU.

Main > Basal > Temp Basal Type

Select Temp Basal Type and press ACT .

BASAL MENU

Max Basal Rate

Patterns

Temp Basal Type

ACT

2 The SET TEMP BASAL AS screen will appear. Select Insulin Rate or Percent of

Basal and press ACT .

SET TEMP BASAL AS

Insulin Rate <U/H>

Percent of Basal

ACT

3 The screen will return to the BASAL MENU. The temp basal type is now set. Exit the menus.

NOTE -

Be aware. If your temp basal type is set to “Percent of Basal,” changes to your basal rate are not allowed until after temp basal is completed or cancelled.

Delivering a temp basal

NOTE -

A temp basal cannot exceed your programmed max basal rate.

1 Go to the BASAL MENU.

Main > Basal > Set/Edit Temp Basal

Select Set/Edit Temp Basal and press ACT .

BASAL MENU

Max Basal

Rate Patterns

Temp Basal Type

ESC

BASAL MENU

Set/Edit Temp

Basal Set/Edit

Basal Review

ACT

2 The SET DURATION screen will appear. The duration* will flash. Enter the desired minutes or hours (30 minutes to 24-hours), then press ACT .

NOTE -

* Duration is the amount of time it will take for the pump to deliver the temporary basal.

SET DURATION

Temp

3:00

ACT

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3 In the SET TEMP BASAL screen, the temporary basal rate will flash. Enter your temp basal rate, then press ACT .

SET TEMP BASAL U/H

3:00P

0.05

appears if

U

H

Temp Basal Type is set to “Insulin rate (U/H)”

OR

SET TEMP BASAL%

3:00P

60% appears if

Temp Basal Type is set to “Percent of basal”

4 The BASAL MENU will appear. Your temp basal is now set and delivering.

Exit the menus.

BASAL MENU

Set/Edit Temp Basal

Cancel Temp Basal

Select Patterns pump is in Special mode during a temp basal

Verifying temp basal delivery

Temporary basal information is available in the STATUS screen only.

During a temporary (temp) basal, the pump is in Special mode (an open circle appears). This open circle will remind you that a temp basal is active.

Additionally, your pump will beep/vibrate three times every hour during delivery. During delivery, the

STATUS screen will show the current temp basal information.

indicates a U/H temp basal of

0.6 units per hour is now active temp basal delivery will last 30 minutes time remaining before temp basal delivery is finished regular programmed basal rate that will resume after the temp basal delivery is finished

STATUS U100

Tmp Basal 0.60 U/H

Duration 0:30

Time left 0:22

Last Bolus N 3.8U

9:07A 11 JAN

Basal 1: 0.80 U/H

Reservoir Started:

09JAN, 6:03P

Units left: 128U

Time left: 24 Hours

Battery: Normal

Tue 11 JAN 2004

S/N# 000000

104 Chapter: 6

Canceling a temp basal

Use the cancel temp basal function in the BASAL MENU to cancel a temporary basal. This function immediately stops the temp basal and resumes the regular programmed basal delivery. To cancel a temp basal, do these steps:

1 Go to the BASAL MENU.

Main > Basal > Cancel Temp Basal

2 Select Cancel Temp Basal and press ACT to accept.

BASAL MENU

Set/Edit Temp Basal

Cancel Temp Basal

Select Patterns

ACT

BASAL MENU

Set/Edit Temp Basal

Select Patterns

Set/Edit Basal

The screen will return to the BASAL MENU. Your temp basal is cancelled and the programmed basal is now active again. Exit the menus.

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 ½ 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.

Optimizing pump therapy 105

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.

Your turn:

Think of an activity where you might need to use a Temporary Basal Rate.

At what rate is your current basal rate running? ____________

What Temporary Basal Rate would you try using at this time? ___________________

How long will you be active?___________________

What duration will you set for the Temporary Basal Rate?________________

Test your blood glucose before and during activity and several times after as well. What are your blood glucose results?

Pre- activity______________

During activity______________

1 hour after activity______________

Several hours after activity______________

What Temporary Basal Rate changes will you make for the next time you try this?

106 Chapter: 6