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Re: [IP] bg's after bolusing (was eating out)



Yuck!  Sounds like you've got it right and there isn't much else to do -- don't
you hate that?  Given how much better control is these days, I suspect that
those quick postprandial highs are relatively small problems (hope that's some
comfort!).

Ruth

Kasey Sikes wrote:

> > If she gets back to where she started than the dose itself looks right.
> Could
> > be the timing that's off.  How long before the meal do you/she bolus?
> Her
> > absorption might be a little slower too than the usual humalog curve.  I
> > believe there is a way to test this (ie the action curve of the insulin).
> Can
> > someone remember?
>
> Ruth
>
> Thanks, Ruth for the advice.  Her endo seems to think that Humalog works
> longer for Kayla than it should.  It's still working six hours later and
> seems to peak at four instead of two.  We once tried bolusing 1/2 hour
> before eating, like with Regular, but then she dropped too low too
> fast.  So, the Humalog starts working quickly (as it is supposed to) but
> doesn't seem to get into high gear soon enough.
>
> Tonight was a perfect example.  At 5:30 her bg was 121.  Perfect.  I
> decided to try giving the bolus early another shot.  I gave her 2.9u for
> her meal bolus and by 5:50 she had dropped to 25.  Yikes!!!  A 96 point
> drop in twenty minutes!!  Yet if I had waited and bolused her just
> before she ate, her postprandial would have been over 200.  Argh!
>
> Kasey
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