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Re: [IP] High, then Low



I know that for me, I won't know the full extent of my BG lowering from
Humalog for 4 hours. If I measure at 2 hours, and find my BG high, and
take another bolus (or shot), I likely will overestimate how much is
needed (if at all), and then crash

Walsh and Roberts deal with this issue in Chapter 12 of Pumping Insulin
where they discuss the "unused insulin rule" which says that 16% to 20% of
an insulin bolus will be used each hour.  However, this applies to R.  Has
anyone, from their own experience, constructed an unused insulin rule for H?


-----Original Message-----
From: Natalie A. Sera <email @ redacted>
To: email @ redacted <email @ redacted>
Date: Thursday, December 17, 1998 3:39 PM
Subject: [IP] High, then Low


>I wonder if some (clearly not all! :) ) of the problems with lows might
>occur because people don't take into account the insulin that's still
>working  when they take a high sugar bolus.
>
>I know that for me, I won't know the full extent of my BG lowering from
>Humalog for 4 hours. If I measure at 2 hours, and find my BG high, and
>take another bolus (or shot), I likely will overestimate how much is
>needed (if at all), and then crash.  (Of course, for pizza, all bets are
>off!)
>
>But if I measure at 4 hours, and find myself high, I can pretty reliably
>take another dose and end up on target.
>
>I wonder if other people have established an action timeline for
>themselves as well.
>
>._c- ._c- ._c- ._c- ._c- ._c- ._c- ._c- ._c- ._c- ._c- ._c- ._c- ._c-
>
>Natalie A. Sera, with all her ducks in a row!
>Type Weird, working on adopting a pump!
>mailto:email @ redacted
>
>._c- ._c- ._c- ._c- ._c- ._c- ._c- ._c-._c- ._c- ._(` ._c- ._c- ._c-
>
>                      Can YOU find the ugly duckling?
>----------------------------------------------------------
>Insulin-Pumpers website http://www.insulin-pumpers.org/

----------------------------------------------------------
Insulin-Pumpers website http://www.insulin-pumpers.org/