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[IP] High Blood Sugar Bolus
> Date: Sun, 17 Jan 1999 21:16:25 -0500
> From: "Neal & Kara" <email @ redacted>
. . .
> My doctor does not agree with the Walsh and Roberts Pumping Insulin book
> directions to bolus for high BGs. He says bolusing for highs causes more
> lows and drastic drops that are in themselves harmful. He says gradual
> drops are preferable.
> I have been fighting him for years about this. It is just so hard to not
> bolus to bring down a 250. Since I went on the pump last month, however,
> I made a deal to follow his directions and IT IS WORKING. 240s drop
> gradually to target over 3 hours and I have none of the rollercoaster lows
> following highs that I used to get all the time when "chasing" highs with
> extra shots of H.
> Does anyone else do this/have any comments?
I have a way to meet things half way. If I were over 200, then it
would probably take over 1 unit to bring it down. With my daytime
basal of .2/hr, this would take quite a while. I was told to use a
sliding scale to about 200, then just take 2 units (this would
depend on the person). If you don't go down, then take two more,
With a pump, I routinely and accurately correct after meals. If I
am 180 2 hours after a meal, I will be a perfect 100 if I take 0.8u
at this point. It seems to me that the more time spent at around
100 the better!
I have had problems with large meals. I may 200 at 2 hours, but
then I take 2u and at 4 hours I could still be 250! It just depends
on many things, and just taking lots of insulin is not the answer.
Often if I am high and not sure how much I will need to correct, I
will increase basal and take some bolus.
Anyway, I think the sliding scale works to a point and then it's
just take it slow and monitor.
Insulin-Pumpers website http://www.insulin-pumpers.org/