Do you ever download your child’s meter or pump? I look at pump and meter downloads all day at work, but I realized the other day that I rarely download my daughter’s or son’s pump. My daughter mentioned that she’s low all the time now at school. I used to download her pump and send it to the doctor once a week, but since I’ve become comfortable changing the settings, and since I change them at work on patients, I rarely send them to the doctor now. But I’ve slacked off on downloading and reviewing them.
So what’s the purpose of downloading them? One reason is to look for patterns so you can tell if the settings are correct. At the doctor’s office, we are looking also at adherence and compliance reports, etc. But for a patient’s purpose, you are looking more at the patterns.
What is pattern management? It is looking for patterns at certain times or days. An easy way to start is by looking at times of the day. What are the numbers in the mornings? High versus low verus ok? The key is that it is a pattern, you don’t change things based on one day. The fasting levels are usually a reflection of the basal rate. The numbers after the meal are a usually a reflection of the bolus doses. If they are high/low all day, it may mean the basal needs increasing/decreasing. This is what the doctor/educator is looking at when they download a pump/meter.
Sometimes, it seems that I just pay attention to the individual numbers when the kids check. But I can find out a lot of info by actually writing them down or downloading a pump/meter. That’s when I start to see, wow, they are low every morning, or other patterns, and can make changes. So it’s a good idea to download those meter/pumps occasionally and send it to the doctor or educator. Also, remember, don’t change your child’s doses/settings unless instructed to by the medical provider!