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Re: [IP] Forgot to Bolus

Hi, and thanks to everyone who has replied to my post.  Rick is finally back
down and his control is back to usual.  I hope thats the last time he
forgets to bolus.  I talked to him about it and what I have read in the
posts and I don't think he will do it again in the near future.  He has
always been concerned about high readings.  He goofed up big time this time
and he knows it.  While he was having the highs since forgetting, we
increased his insulin per carb ratio dramatically, but it would never be
enough to get him down, it would just cover the carb that he ate.   So his
insulin resistance was really strong over this period of time.  We are new
at pumping, Rick started in Nov. 98, it is all a learning process just as
the 4 shots a day was.
Thanks again to all of you for your information.
The Verreault Family
Borden, Ontario, Canada
email @ redacted
-----Original Message-----
From: Michael <email @ redacted>
To: email @ redacted <email @ redacted>
Date: February 3, 1999 7:24 PM
Subject: Re: [IP] Forgot to Bolus

>> A couple of weeks ago, my 16 yrs old son forgot to bolus for his
>> etc.  Today is better than yesterday though.  Anyway, has anyone ever had
>> similar occurance. He has changed his complete infusion set (new insulin,
>> etc.).  When I looked back at his records it seems that the results of
>This is common. When you are high you develop insulin resistance
>as well as ketones. He can calculate a high blood sugar bolus,
>give it and probably add 1/2 to 1 unit additional to bring him
>down. It is important to get back down to normal quickly. This
>may entail increasing basal rates by 0.1 accross the board for a
>short period of time ( a day or two) to get back to normal.
>But... look out for going low once he is stabalized.
>Insulin-Pumpers website http://www.insulin-pumpers.org/

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