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Pump Therapy

CamAPS Glooko Review Tool

SUMMARY:

  1. CGM REVIEW: % Time CGM active: Target > 80%, Time in range (TIR): TIR target >70%, time below range (TBR): TBR target <4%
  2. INSULIN DEVICE: Total daily dose, basal/bolus split, how many boluses and? Overrides
  3. SYSTEM DETAILS: % Auto mode on, target >90%, use of “Boost” and “Ease-off”, carb entries

Screenshot 2025-03-26 140752

HYPERGLYCAEMIA (HIGH LEVELS) or TIR <70%

  • Check infusion sites i.e., 2nd or 3rd daily cannula changes, check for lumps.
  • Bolus related: ICR too weak, missed boluses, confidence with carb counting.
  • High sensor glucose levels overnight or in between meals: optimise personal glucose target (PGT)
  • ? Over treatment of hypoglycaemia – remember half usual glucose treatment.
  • Consider using BOOST for sick days, post take away meals, premenstrual days.

HYPOGLYCAEMIA (LOW LEVELS) or TBR >3.9 mmol/L

  • Bolus related: ICR too strong, late boluses, consider increasing PGT during times of greater variability.
  • Activity related: consider using EASE OFF or disconnect pump. *Remember to enter hypo treatment into “ADD MEAL”