From the onset let me say I think the Medtronic MiniMed 670G and the Auto Mode setting are a big leap forward in glucose control for Type 1 diabetes. Closed loop insulin pump technology is the technology of the future. Personally I foresee the insulin pump becoming an install-and-forget type of medical device in the near-future. While in no way perfect, the first iteration of the MiniMed 670G was a great step forward in this direction.
Category: Basal Settings
Importance of Basal Settings
After nearly giving up on my pump, I found the very popular book by Gary Scheiner, Think Like a Pancreas: A Practical Guide to Managing Diabetes with Insulin. (Amazon) – I think this is a must-have book for people who want tight control of their glucose numbers.
At this point I had uncontrolled, severe hypoglycemia. With a new-born baby, this was not just a drag on my life but it was a bit dangerous. I do not know how many gallons of orange juice I drank to counter lows.
I had also not paid attention on the importance of fine tuning my basals. I was using a single basal which gave me big lows at night and when I was doing practically anything that needed me to expend a little energy.
Since many new pumpers are coming from a combination of short acting and long acting insulin injections, the idea of basals is a little foreign as compared to bolusing.
I think educators need to spend a little more time on talking about how basals are the foundation of successful pump therapy.