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Re: [IP] Re: Bolusing before eating



Tracy,
You may experience high A1C's due to spikes if you  take the bolus too late,
based on premeal BG.
Mario

> Dave,
>
> My son is 10 and diabetic, and we have had this problem too, in the
beginning
> with pumping.  We would have him bolus for let's say his dinner, and maybe
> things weren't quite ready at the time, or for one reason or another we
> didn't start eating immediately after his bolus.  So, of course he would
> experience a low and bottom out.  We now do not give him his bolus until
> after he eats.  We calculate his blood sugar minus his target, then divide
it
> by the number of points per unit is body uses.  Then we figure that his
carb
> count was for the mean and we take the total carbs and divide that by
either
> 15 or 20 depending on his activity.  Then we take the number  from the BGs
> and his meal and we determine what amount of insulin to bolus AFTER his
> meal... Doing this after the meal has helped so much.  Fewer Lows.
>
> Take care
> Tracey
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