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Re: [IP] Nedd some basic ideas for pizza bolus with D pump
>Does the D pump have a temp basal?
The D has a temporary basal, but in 18 months pumping, I haven't used it.
In the case of high insulin requirements, doubling .8U doesn't cut it. I
guess, maybe during illness (or steroids) and without eating it might come
>I met a CDE
> who said that she finds most people have a max dose and
>anything beyond that has to get split up.
Also, I read the D maxes a single bolus at 10 U. When I need more, I split
up the bolus.
This week I picked up a Chicago Pizza (6" personal pan) and Chicago Dog at
O'Hare and ate (bolusing what I thought was normal) them in Austin. 3 Hours
later I read 461mg/dl. I bolused 17 (twice my normal 1U per 40mg/dl) units
in two dosages (only a few minutes apart) and came down to 91 within 2.5
hours. Perhaps 3 boluses of 5-8 units would have avoided the high BG, but I
wasn't awake to do it.
Here's probably a good time to have the square wave. But that meal really
was a pig-out.
>Then, if the total carbs is 2 x or less the max bolus, give the max bolus
>pizza and break the rest up with a temp basal or with 1/2 hourly bolus
>it is more than 2x, my experience is that I have to extend the amount of
>distribute the rest of the bolus over. Pizza lasts a long time for me -- I
>keep seeing elevated bgs for 12 or more hours.
In Italy last week, I ate pizza and other stuff with lots of olive oil. Two
hours later I would be in the 200s and unless I double bolused (twice the
algorithmic dose) a couple of times, I would have to single bolus almost
hourly into the morning, and would still be in the two hundreds.
Richard, now back in Austin, Texas
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