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Re: [IP] Boluses



Hi Marion.  I remember you from the parents of children with diabetes list!
I'm no expert, but here goes........... I use a dual wave for my son at
almost every meal because he too seems to digest slowly.  I usually do 60%
of the dose when he eats and 40% spread out over 3 hours.  It has worked
wonderfully.  The square wave lets you spread out one dose over how ever
many hours you choose.  For instance, when Braden eats pizza for dinner, he
needs extra insulin through the night.  I take 50% of his basal at night
(which comes to about .6) and spread it out over the next 5 hours.  So I
square wave .6 for 5 hours.  I still check through the night, but usually it
works great.

I never use the audio bolus, and to tell you the truth, I can't really
remember exactly how it works!

The pulses just mean that if you give your son 1 unit of insulin for his
meal, instead of shooting in 1 unit very fast, the pump will slowly give
insulin in .1 increments until it reaches 1 unit.  Some say that it is more
comfortable for them if the insulin goes in more slowly.

Hope this helps!
Beth
-Mom to Braden, 5
----- Original Message -----
From: <email @ redacted>
To: <email @ redacted>
Sent: Tuesday, January 29, 2002 6:35 PM
Subject: [IP] Boluses


> Okay, all you experts.  Want to tell me IN ENGLISH what square wave and
dual
> wave boluses are.?  Are there any other kind of "extended bolus" features
on
> pumps and do all pumps have these features?  Is there another feature I
> should look for on bolusing?    The Paradigm advertises a "slow bolus"
(1.5
> units per minute).  Is that something new or just another name for an
> extended bolus?
>
> What the heck is an "audio" bolus?
>
> Does any one know what "bioPULSE Delivery" means; this is being advertised
on
> the Mini Med paradigm  pump.  It says "precise, accurate and controlled
0.1
> unit insulin pulses, equally effetive (clinically equivalent) to three
minute
> basal delivery."
> TRANSLATION PLEASE.
>
>
> THANK YOU.  I tried to find the answers on-line and in Pumping Insulin,
but
> the answers are not thorough enough for me.  I am particularly interested
> because Gabe has a hyper fast reaction to Humalog (especially in the
abdomen)
> and unusually slow digestion (IMHO for protein and fat).  This makes for
lows
> an hour after dinner and sometimes a gradual rise after the H finishes.
> Extended bolusing sounds great, but I don't really understand it.
>
> Thanks.
>
> Marion
> doesn't speak "techinologise".  English only, please.
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