when those of you who are on pump give yourself a dual wave bolus is there any general rule of thumb that you use? For example if I have a piece of carrot cake with cream cheese icing I find that my initial bolus will cover me for the lifespan of the bolus (ie 4-4 1/2 hrs)but after that my blood sugar rises. Another example would Quaker Oatmeal to Go bars which do the same thing. Do you check the carbs and compare the simple sugar versus the starch for an idea of how to dual wave or what? Any help or guidance would be appreciated. Obviously, I realize that heavy carb foods like this are the exception rather than the rule but, what the heck, every once and a "blue moon" isn't going to hurt me too much given that I'm normal weight and have good A1C's. Thanks.
-- Steve Type 1 DM since 1967 MiniMed 508 since early 2002 Toronto, ON Canada
As I posted a few minutes ago, I would caution you against taking anyone's advice here on dosages and timing. While we all enjoy sharing our tricks, techniques, etc, NONE of us should be telling anyone SPECIFICALLY how much or when to take insulin. I suggest you talk to your endo if you don't understand the dual wave. Even MiniMed will refuse to give you insulin dosages. They will only tell you HOW to program, but not when or how much. Good luck! It's a great feature for those problem child meals, like pizza and mexican.
dave
Hypo Man said:
when those of you who are on pump give yourself a dual wave bolus is there any general rule of thumb that you use? For example if I have a piece of carrot cake with cream cheese icing I find that my initial bolus will cover me for the lifespan of the bolus (ie 4-4 1/2 hrs)but after that my blood sugar rises. Another example would Quaker Oatmeal to Go bars which do the same thing. Do you check the carbs and compare the simple sugar versus the starch for an idea of how to dual wave or what? Any help or guidance would be appreciated. Obviously, I realize that heavy carb foods like this are the exception rather than the rule but, what the heck, every once and a "blue moon" isn't going to hurt me too much given that I'm normal weight and have good A1C's. Thanks.
Good luck? That's exactly what I'm trying to avoid by expanding my horizons with other people's input. I never rely TOTALLY and COMPLETELY on anyone's input but the input of various members with their experiences is valued nonetheless. I asked questions to grow my already existing knowledge of dual wave boluses. (BTW, I understand the dual wave quite well but others may be able to provide some insight of their own.) Let me make it clear, I'm asking for programming TIPS and not for SPECIFIC dosages. My apologies if that's how my post appeared but your reply seems rather alarmist to me. So, once more if anyone has any TIPS about programming it's would be much appreciated. (And for Dave's sake please keep in mind I will take it all with a grain of salt.).
-- Steve Type 1 DM since 1967 MiniMed 508 since early 2002 Toronto, ON Canada
"Bay Area Dave" <[email hidden]> wrote in message "]news:[email hidden]...
Quoted message said:
As I posted a few minutes ago, I would caution you against taking anyone's advice here on dosages and timing. While we all enjoy sharing our tricks, techniques, etc, NONE of us should be telling anyone SPECIFICALLY how much or when to take insulin. I suggest you talk to your endo if you don't understand the dual wave. Even MiniMed will refuse to give you insulin dosages. They will only tell you HOW to program, but not when or how much. Good luck! It's a great feature for those problem child meals, like pizza and mexican.
dave
Hypo Man said:
when those of you who are on pump give yourself a dual wave bolus is
there
Quoted message said:
Quoted message said:
any general rule of thumb that you use? For example if I have a piece of carrot cake with cream cheese icing I find that my initial bolus will
cover
Quoted message said:
Quoted message said:
me for the lifespan of the bolus (ie 4-4 1/2 hrs)but after that my blood sugar rises. Another example would Quaker Oatmeal to Go bars which do
the
Quoted message said:
Quoted message said:
same thing. Do you check the carbs and compare the simple sugar versus
the
Quoted message said:
Quoted message said:
starch for an idea of how to dual wave or what? Any help or guidance
would
Quoted message said:
Quoted message said:
be appreciated. Obviously, I realize that heavy carb foods like this are
the
Quoted message said:
Quoted message said:
exception rather than the rule but, what the heck, every once and a
"blue
Quoted message said:
Quoted message said:
moon" isn't going to hurt me too much given that I'm normal weight and
) I think you took my post wrong! I meant good luck with using the dual wave, once you gave it a try. I thought you were hoping someone could recommend an amount for the initial bolus versus the square wave bolus. I only use the dual wave for those times when I know that I need some fast insulin plus some over time to cover the lingering bg raising action of pizza and mex. I don't have a magic formula; I just go with my prior knowledge of what those foods do to me. I wouldn't even begin to think that MY experience would be valuable to anyone else, as this is definitely a situation where the phrase "YMMV" is apropos.
dave
Hypo Man said:
Good luck? That's exactly what I'm trying to avoid by expanding my horizons with other people's input. I never rely TOTALLY and COMPLETELY on anyone's input but the input of various members with their experiences is valued nonetheless. I asked questions to grow my already existing knowledge of dual wave boluses. (BTW, I understand the dual wave quite well but others may be able to provide some insight of their own.) Let me make it clear, I'm asking for programming TIPS and not for SPECIFIC dosages. My apologies if that's how my post appeared but your reply seems rather alarmist to me. So, once more if anyone has any TIPS about programming it's would be much appreciated. (And for Dave's sake please keep in mind I will take it all with a grain of salt.).
