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Re: [IP] Bolus Wizard



You do know that your glucose reading could still be going down + the error 
% could also put it down more. how could you program a pump to calculate the 
reduction of a bolus for food you are about to eat???
Sooner or later you are going to have to do some mental math.   :) 
carb/glucose ratio etc.
don

----- Original Message ----- 
From: "Antonio" <email @ redacted>
To: <email @ redacted>
Sent: Monday, June 12, 2006 4:56 PM
Subject: Re: [IP] Bolus Wizard


> Yessi,
>
> As I said before, the Paradigm Bolus Wizard uses a "reverse correction" to 
> compensate for a low.  Unless you change how you correct your highs, then 
> there is no way to change how it corrects the lows.  I suppose, however, 
> that if you wanted to correct the highs manually, then you could probably 
> figure out what to enter in order to get the pump to reverse correct for 
> lows.
>
> Antonio in LA
> Age 40, Type 1 since 1993
> MiniMed Paradigm 515, OneTouch Ultra
> MiniMed Carelink and PAL software
>
>
>
> Matt Palmer wrote:
>>> Matt,
>>>
>>> I don't think you mentioned in your original post that you went past
>>> that message.  That explains why the pump gave you insulin even though
>>> you were still low.  There are several reasons why this "reverse
>>> correction" may not be correct.  For one, it just reverses the
>>> correction formula by subtracting insulin, instead of adding.  I have
>>> told MiniMed that this doesn't work for me and asked them to customize
>>> it.  Maybe if you and others also speak to them about this, they will be
>>> more likely to change.
>>>
>>> In the meantime, however, the way I work around it is as we all do with
>>> diabetes:  guesstimate!  I double the amount that the pump has
>>> subtracted and manually decrease the bolus amount.  Also, I wait until
>>> my blood sugar has actually gone up into my normal range before I
>>> bolus.  If you originally went low because you had too much IOB, then
>>> that insulin may still be acting and that would also adversely affect
>>> the formula's calculations.
>>>
>>> Antonio in LA
>>> Age 40, Type 1 since 1993
>>> MiniMed Paradigm 515, OneTouch Ultra
>>> MiniMed Carelink and PAL software
>>>
>>>
>>
>>
>> Antonio,
>>
> > (by the way my name is actually Yessi) Thanks for your input. I do not 
> > follow
>> what my Bolus Wizard tells me to do when I'm low, I also guesstimate. 
>> But I
>> would like to figure out how to program my pump so the Wizard will 
>> compensate
>> for my low BGs.  There must be something I can change on my settings, but 
>> I
>> can't figure out what.
>>
>> Yessi Palmer
>> .
> .
.
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