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How to Bridge the Pumpless Gap


Jul 1, 1998

Jeremy, who was attending summer football practice, did not want to wear his pump while playing. He had a morning basal rate of 1.0 units (Humalog) per hour. Halfway through practice, he would do a finger stick test. If his glucose was any higher than when he started, he would reconnect to his pump long enough to deliver a 1.0 unit bolus. However, he found this was not working. Practice lasted up to four hours and his afternoon glucose levels were frequently high.

With the help of his physician, he finally determined the best solution was to bolus 0.5 units just prior to disconnecting. After one hour he gave a two-unit injection of Regular insulin. Two to three hours later, he would reconnect to his pump. This solution seemed to give him the least amount of glucose fluctuation.

This is only one example of many potential solutions to enjoying outdoor activities without your pump. Talk with your physician about what might be best for your situation and monitor your glucose levels regularly.


Categories: Adolescent Boys, Adolescent Girls, Insulin, Insulin Pumps, Personal Stories



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