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[IP] Carb-to-Insulin ratio

In Pumping Insulin, Walsh and Roberts make the point that "the ratio of 
insulin to carbohydrate may vary slightly for different meals during the 
day."  I don't remember this being discussed by anyone in this group 
recently.  Do your mealtime boluses change from meal to meal depending on the 
amount of carbs you eat at a particular meal?  If so, does your 
carb-to-insulin ratio vary much and when is yours highest and lowest?  Is 
this technique for extreme fine-tuning or is it used by most pumpers?  Thanks 
in advance for your help!  Honey
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