What are Pattern Management Principles - Part 2
Practice using Pattern Management Principles
Apply the principles of Pattern Management in these situations.
Find the pattern in Example 1 below. Blood glucose goal is 4 – 7 mmol/L before meals; before baseline meal insulin is 8 - 8 – 10 units.
|
Date |
Before Breakfast | Before Lunch |
Before Dinner |
Before |
0300 |
Insulin Basal Meal |
|
| 9.8 | 7.0 | 8.7 | 14.5 | NPH 24u. @10P |
9-8-10 | ||
| 10.5 | 6.2 | 5.9 | 12.2 | 9-8-10 | |||
| 12.6 | 6.5 | 6.9 | 15.6 | 10-8-10 | |||
| 7.3 | 5.5 | 7.5 | 7.9 | 8-8-12 | |||
| 6.9 | |||||||
What do you think? Use the Pattern Management guidelines to help you. What would you recommend in this situation?*
Find the pattern in Example 2. Blood glucose goal is 5 – 7 mmol/L before meals; baseline rapid insulin before meals is 9- 6 - 10 units.
Date Before Bed 0300
Before Breakfast
Before
LunchBefore
Dinner
Insulin
Basal Meal
6.8
10.4
12.7
7.1
NPH 14 u.
@10P9-7-12
6.2
14.2
15.9
6.8
NPH 6 u.
@12009-8-13
4.6
13.5
13.0
7.8
9-8-12
5.2
9.6
9-
What do you think? What would you recommend in this situation?*
*See suggested answers at the end of this section.
Evaluating your individual patterns
Now is the time for you to apply these principles yourself. Look at your log book for the past week. Consider your blood glucose results, insulin doses and any notes about food or activity. Think the process through. Then discuss your ideas with your educator.
Use Pattern Management principles to evaluate your results.
- Do you need to eliminate lows?
- Is your overnight control satisfactory?
- Are your before and after meal tests in target?
- Do your have the right balance of basal & meal insulin?
- Do you need to change your basal doses?
- Do you need to change your meal doses?
- Do you have enough information to make these decisions?
