[Previous Months][Date Index][Thread Index][Join - Register][Login]
[Message Prev][Message Next][Thread Prev][Thread Next]
Re: [IPk] Re: Matching bolus to food is difficult
In a message dated 12/13/2002 10:40:40 AM GMT Standard Time,
email @ redacted writes:
> In the end I increased the bolus by 0.5 units every 2 days
> until I got it right. She now has her bolus 5 minutes before she eats her
> breakfast and she needs 4.5 units for the 2 slices of toast. At lunchtime
> she eats much more than that and only needs 2.5 to 3.0 units for a perfect
Have been catching up with the backlog, but this seemed the best bit in the
discussion for a reply.
I don't disagree that bread can cause problems (although I don't seem to have
any trouble, as long as I allow for the different carb contents). But I
think that the issue of different ratios for insulin bolus for food at
different times of day (as opposed to different basal rates - although this
is probably relative) is one that should be considered when there are
problems, as well as in general pump practice.
Have others experienced sudden, substantial, long-term changes in basal and
bolus insulin requirements for no apparent reason? This happened to me
pre-pump, but I thought it was related to factors such as site absorption.
My requirements used to "reset" once a year or so and caused a lot of hassle!
I've just had the same experience with the pump. It's true that I've been
under some stress at work, but that's been a regular feature of my working
life for 20 years. Otherwise, nothing has changed. Suddenly my basals have
totally altered (right in the middle of an important time, as chance would
have it), I need far less at night (lots of hypos, but at least not at work)
and a bit more during the morning (I can still think with a bg of 20+, but
not the best time for decision making...). (Fortunately a colleague with
whom I work closely is always dashing to the loo in the middle of meetings -
not diabetic! - I paid visits at the same time, so no disruption caused :-) ).
I'd appreciate thoughts/advice.
IDDM 30 yrs+, 508 2+
for HELP or to subscribe/unsubscribe, contact: