Medtronic Paradigm 522 Guide de l'utilisateur Page 32

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Introduction to pump therapy
Theory of insulin pump therapy
Insulin pumps deliver insulin closer to the way the human pancreas delivers insulin than any other method
of treating diabetes.
All people, with or without diabetes, need background insulin for normal functions of the body without
food. They also need a dose of insulin on demand - when food is eaten. P
eople without diabetes can trust
that their pancreas will produce this insulin for them. People with diabetes need to take insulin in a way
that is most like the way a pancreas produces it.
Most people with diabetes who take more than one daily injection, use long-acting insulin. This takes care
of their background insulin needs. They take fast-acting insulin for food. When using an insulin pump, only
fast-acting insulin is used. You control when and at what rate your insulin is delivered.
Insulin pump therapy allows you to set a basal rate, or background insulin. This is delivered all throughout
the day and night for normal body function without food. When you exercise, you can reduce the basal
rate so that your blood glucose (BG) does not drop too low. When you are sick or have an infection, you
can increase the basal rate. This will keep your BG from going up too high.
Insulin pump therapy allows you to give a bolus, or dose of insulin on demand - when you eat. You can also
increase or decrease your meal bolus based on the foods you choose to eat. A bolus may also be used to
lower an elevated BG. This is called a correction bolus.
The Paradigm pump also contains an optional feature called the Bolus Wizard. This does the math for the
required bolus amount based on your personal settings. The Bolus Wizard will use your BG reading,
carbohydrate intake, and active insulin when coming up with your bolus amount.
Remember, the pump uses only fast-acting insulin. This means you will not need to follow as rigid a
schedule as you did before. There is no long-acting insulin telling you when you should eat or when you
will need more insulin.
Sound exciting? It is exciting because not only can you manage your blood glucose more easily, your
lifestyle can be easier too.
Introduction to pump therapy 13
Chapter 2
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