Insulin Pump Holidays - Diabetes

Ever feel the strange and sudden desire to be "free" of your pump? Never imagined yourself wanting to take a break? Some people take a temporary 'pump holiday' because they become tired of the extra attention needed to manage the pump and/or they are concerned about the physical sight of the pump.

Live without temporary rates, extended boluses and constant beeps. Wear whatever you want now - strapless dresses, high-waisted skirts, sweats without pockets. And with Lantus or Levemir serving as a basal rate, blood sugars stay rock steady.

Switching from Insulin Pump to Pens

When you shift from the pump, you just need to copy your pump settings to PredictBGL:

Item

Menu

Insulin Therapy

Settings \ General \ Medications

Use Dose Calculator

Settings \ General \ Enable insulin calculator

Minimum dose Settings \ Insulin \ Minimum dose - set to 0.5 or 1 depending on your pen

BG units (mmol or mg)

Settings \ General \ Blood glucose units

Carb units (grams, portions, exchanges, etc)

Settings \ General \ Carb units

Carb ratio

Settings \ Carbs \ Carb Ratio

Bolus Insulin

Settings \ Insulin \ Bolus (fast acting) insulin

Basal insulin time and amount Settings \ Insulin \ Basal time

Correction Ratio

Settings \ Insulin \ Correction Ratio

BG targets

Settings \ Blood Glucose \ BG targets

 

No point using Tujeo as you're on such a small dose that using it will be less accurate a dose than Lantus.

 

Night is best for once daily Lantus as it can run out mid-afternoon to early evening, so dinner dose will pick up the difference.

 

5 units at night instead of 11 on a pump seems ultra-conservative. You will be high the first few mornings and will likely need MORE than 11 units.

 

But increase Lantus by 1 unit per day until you get decent morning BGLS, then let it stabilize for 2 days before adjusting further.

 

Use PredictBGL's morning prediction to see what it thinks is decent.

You should be able to transfer all your pump settings unchanged. If you IOB setting is set very long (e.g 5 hours) then it is likely you will need to reduce this to 4 hours because PredictBGL calculated IOB more accurately than a pump.

 

For a starting basal dose, add up your total basal dose from the pump's basal rate. I can help you with this if you give me the time ranges. Then either take Lantus once a day or twice a day with a 60/40 split (morning dose/evening dose).

 

When to make the switch from Pump to Pens

On Friday or Saturday night, give your first dose of Lantus at 10pm, and take off the pump.

Switch to using PredictBGL from then on.

The first morning you will likely be high because the starting Lantus dose is low/conservative.

Increase Lantus one unit per day until BGLs stabilize from overnight to morning.

Use PredictBGL to make correction doses and carb doses for those first few days – don't adjust your ratios until the Lantus is correct.

 

 

Related:

Apps for Carb Counting
Pain
Exercise
Diabetes and Exercise
Hypoglycaemia - Low Blood Sugar
Glucose Tablets for Diabetes
Long Term Complications of Diabetes
Hyperglycaemia - High Blood Sugar
Bolus Insulin
Basal Insulin
Diabetes Back to School Checklist
Managing Diabetes at School
High-GI Foods
Low-GI foods
Meal size
Starchy Carbs
Jelly Beans
Ketones
A1C/HbA1C - what is it?
ManageBGL in a Tele-Health/Telemedicine Environment
Blood Glucose Log Book
Points Report
Dead In Bed
Insulin Pump Accuracy
Blood Glucose Meters List
Insulin Pumps List
Pump Holiday
Continuous Glucose Monitoring System (CGMSs) List
DAFNE - Dose Adjustment For Normal Eating
Australian Standard Drinks - alcohol.pdf
Total Daily Dose (TDD)
Glucagon Rescue
Delay Eating
Diabetes Software and Downloads
Preventing Night Hypos - Overnight BGL Testing
Diabetic Eye Exams
Diabetic Blood Pressure
Diabetic Kidneys
Diabetic Thyroids
Nerve Damage - How does diabetes affect the nerves?
Books and Audio Resources
Substance (Drug) Abuse and Diabetes
Psychology resources
Diabetes and Alcohol
Diabetes and Stress
Diabetes and Sick Days
Diabetes and Adrenalin
Diabetes and Menstruation
Diabetes and High Impact Exercise
Diabetes and Lipohypertrophy
Diabetes and Gastroparesis
Diabetes and Glimepiride
Diabetes and Symlin

Suggestions for more pages? Please send them to us