How do pumpusers bolus ?

meal bolusing is done just before a meal. my particular pump
provides one and half units every minute.

Taking a bolus after a meal is a "corrective bolus". usually
used when one doesn't know the carb count of their meal and
their blood sugar is higher than than had anticipated.

Then there is the "pizza" bolusing method, or extended bolus
will provide insulin over several hours to control the slow,
but persistent bg rise from foods such as pizza and many
Mexican foods.

dave

ben brugman said:

How do pumpers bolus ?

Before / During / After the meal ?

In one go, in several goes or spread over
15 / 30 / 60 minutes ?

Which insuline ? (How much ?).

Thanks for your time, ben brugman

"ben brugman" <[email hidden]> wrote in news:40c5a027$0$4929
[email hidden]:

Quoted message said:

How do pumpers bolus ?

Before / During / After the meal ?

In one go, in several goes or spread over
15 / 30 / 60 minutes ?

Which insuline ? (How much ?).

Thanks for your time, ben brugman

Let's start with the insulin. The vast majority of pumpers,
~94%, use a rapid acting insulin, Humalog or Novolog. The
programing of the pump then determines how rapidly the bolus
is injected. All pumps have flexibility in bolus delivery
rates. In general, there is a regular bolus, an extended
bolus, and a combination bolus. A regular bolus is delivered
at a preprogrammed rate, usually over a minute or a few
minutes. An extended bolus is delivered more slowly over an
adjustable length of time, usually in 15 or 30 minute
increments up to several to many hours. A combination bolus
is, naturally, a combination of the two. Part of the insulin
is delivered immediately and part is delivered slowly over
time. The relative amounts and the extended timing are
adjustable.

These features allow you to adjust insulin delivery to match
your particular response to the insulin taken, the meal
characteristics (glycemic index, size, eating rate, etc.),
pre meal blood glucose level, activity history and expected
activity, and all the other things that affect post prandial
blood glucose levels. These considerations, particularly pre
prandial glucose, also affect whether you bolus before,
during, or after the meal.

--
-------
Charly Coughran [email hidden]

Bolus? Well you should do this before you eat or if you
forget after you eat. You can do it over any period of time.
Insuline? Velosulin, Humalog, Novolog etc. Regualr Lilly
works too.

ben brugman said:

How do pumpers bolus ?

Before / During / After the meal ?

In one go, in several goes or spread over
15 / 30 / 60 minutes ?

Which insuline ? (How much ?).

Thanks for your time, ben brugman

Thanks for your anwsers, Dolkian, Charly, dave.

I was asking because I would like to know how pumpers do
bolus, (not the available possibilities). Reason : Often I
bolus after the meal, why ?

Breakfast, it depends on my morning measurement. High is
bolussing before the meal, low is after the meal. (Often
spread over 15 minutes).

Lunch, (almost all the time) after the meal, I am a bit hypo
prone during the lunch. Often I have a little walk around
lunch time. Two slides of bread, with 'content before the
walk (30 minutes) but I do not bolus till after the walk.

Diner, I should start the bolus when starting the meal, but
bolus often after the meal, some time to long after the
meal. I should dicipline myself more around this meal.
Because off the amount of insuline for diner this is mostly
spread over 15 minutes. If I am late I split the bolus in
two parts one part at that moment the other part spread over
15 minutes.

I was wondering how others are doing this.

ben brugman

"Dolkian" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Bolus? Well you should do this before you eat or if you
forget after you eat. You can do it over any period of
time. Insuline? Velosulin, Humalog, Novolog etc.
Regualr Lilly works too.

ben brugman said:

How do pumpers bolus ?

Before / During / After the meal ?

In one go, in several goes or spread over
15 / 30 / 60 minutes ?

Which insuline ? (How much ?).

Thanks for your time, ben brugman

Hi Ben,

I often bolus after eating. My reasons are simple...I don't
like to guess how much insulin I should take for an amount
of food I have not yet eaten or been served, and I sometimes
go low shortly after the meal, if I've bolused prior.

I am very insulin-sensitive. Extremely minor adjustments in
my basal rates produce large variances in my control. I
mention this because your basal rates might be too high thus
causing you to go low from bolusing prior to a meal. That
seems to be the pattern I have found with my own control.

That you've been told that you must bolus prior to a meal is
merely the norm, it is by no means necessarily correct for
everyone at all times. Do what works best for you.

No, I am not a doctor! 🙂

Best,

Randy

ben brugman said:

Thanks for your anwsers, Dolkian, Charly, dave.

Quoted message said:

I was asking because I would like to know how pumpers do
bolus, (not the available possibilities). Reason : Often I
bolus after the meal, why ?

Quoted message said:

Breakfast, it depends on my morning measurement. High is
bolussing before the meal, low is after the meal. (Often
spread over 15 minutes).

Quoted message said:

Lunch, (almost all the time) after the meal, I am a bit
hypo prone during the lunch. Often I have a little walk
around lunch time. Two slides of bread, with 'content
before the walk (30 minutes) but I do not bolus till after
the walk.

Quoted message said:

Diner, I should start the bolus when starting the meal,
but bolus often after the meal, some time to long after
the meal. I should dicipline myself more around this meal.
Because off the amount of insuline for diner this is
mostly spread over 15 minutes. If I am late I split the
bolus in two parts one part at that moment the other part
spread over 15 minutes.

Quoted message said:

I was wondering how others are doing this.

Quoted message said:

ben brugman

Quoted message said:

"Dolkian" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Bolus? Well you should do this before you eat or if
you forget after you eat. You can do it over any
period of time. Insuline? Velosulin, Humalog, Novolog
etc. Regualr Lilly works too.

ben brugman said:

How do pumpers bolus ?

Before / During / After the meal ?

In one go, in several goes or spread over
15 / 30 / 60 minutes ?

Which insuline ? (How much ?).

Thanks for your time, ben brugman