[IP] Wizard Boluses
.....Date: Sun, 12 Oct 2003 19:54:51 -0700
From: Susan Fisher <email @ redacted>
Subject: [IP] Bolus Wizard: overaccounts for 'still active' insulin?
Anyone else feel that way? For example, if I am 400 2.5 hours after my
last bolus, I personally still feel that I need a heck of a lot of
insulin. For the case in question, it decided I needed only a .2
correction. I know myself, and I knew I needed 3.0 and gave that
I understand it's only an estimate, but in the case of taking into
account "still active" insulin, it seems this thing WAY lowballs the
estimate. Maybe that's just a way of minimed covering their asses by
not advising too high of corrections?
Susan, I have been on the Paradigm for a big total of 6 days. I am amazed
already...My understanding is that the wizard is set to bolus for your carbs
at whatever ratio YOU/or PT set in the system. I have noticed that at 2
hours after a meal I am at 170 and think I need a bolus, and the pump says
"0" bolus.....when I over ride it and give myself .6 or so units....I always
go low in an hour or so. If I leave it alone, I will be fine by next
mealtime. The pump is smarter than I am.
Sometimes I get angry when my BG is higher than I think it should be and I
"over bolus" in my anger. I know, I know.....but my emotional side does not
have the maturity of my age....62. What I am saying is, if you are at 400
2.5 hours after a meal, you might need to increase your carb to insulin
ration for that particular time of day. That is what the bolus is based on.
Prior to hooking up, I had done a repeat test of how many units it takes for
each carb unit I consume, and for how much my bgs drop per unit of insulin.
This is the wizards rule book. Talk to your Pump trainer about it.
Bonnie from Bama
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