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Re: [IP] any advice?
>Hi, I just started pumping a couple of days ago. I have a couple of
>questions. With the quicksets, there is a protective cover that goes on
>the insertion site when disconnecting. Is this piece necessary to use
>when showering or disconnected?
I'm not sure if it is needed or not. Some people never use them and others
do. I generally use the cover but have not had any obvious problem the
times I omit it.
> If so, is there a trick to getting it on?
Yeah. It takes a lot of patience and gentle manipulation. I've never had
trouble reconnection a set but the protective cap is a totally different
story. At one point I would save a cap that went on easily and continually
reuse until I lost it.
> Also, how long to most of you wait after delivering a correction bolus
> before acting again on another high? For example: I tested about an
> hour ago and my bg was 213, so I delivered a correction bolus. I just
> tested now and was 203. Do I give another correction bolus now, or wait
> longer to let the insulin act?
This one you have to be careful about. Here is what I do - but be aware
this may not be appropriate for you and you should consult with your
healthcare professional about this issue.
Originally my CDE instructed never take two boluses less than 4 hours
apart. That was good advice that I have since then slightly modified - If
it has been 3 1/2 hours since the last bolus then I use my normal
correction amount. If it has been 3 hours since the last bolus I assume
that 10% of the last bolus is still active and I subtract that amount from
the current correction. Unless there is some extenuating circumstance
(extra food intake, previous bolus was know to be less than required, site
problem, etc) I do not use a correction bolus if it has been less than 3
hours since the previous bolus.
There is more information on this issue in the "Pumping Insulin" book under
"The Unused Bolus Rule" (Chapter 13).
Good luck and welcome to the pump.
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