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Gary Scheiner says

Hi Amy -

 

Sounds all too familiar! Disconnecting from the pump for more than an hour can cause problems with elevated BG at the end of games/practices and for several hours afterwards. There are many options for dealing with this. Perhaps the simplest is to have him bolus a portion of his hourly basal rate before disconnecting, and then reconnect hourly and repeat the bolus. That way, he's only connected for a few moments, and he won't go for too long without insulin.

 

It is possible to set up an "untethered" program whereby his daytime basal would be replaced with injected insulin such as lantus or levemir, but I would need to have a close look at his current basal pattern to figure that out. Feel free to get in touch if you'd like to discuss further. My e-mail is gary@integrateddiabetes.com.

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