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Re: [IPk] Pen bolussing



I think with the D-tron you can have a prolonged bolus if you wish (although
I haven't managed to get mine working yet!!) but with the H-tron it's all
just delivered at once the same as using a syringe or pen.
But don't quote me on that, I'm sure someone else will know better!
Zoe

----- Original Message -----
From: "Ingrid Morrow" <email @ redacted>
To: <email @ redacted>
Sent: Thursday, July 05, 2001 6:03 PM
Subject: Re: [IPk] Pen bolussing


> Zoe,
>
> I am not a pump user, so I am not qualified to answer your question, but
can
> you please tell me how bolussing with a pump works?  Does the bolus hit
you
> at once?  or is the bolus spread over some minutes?
>
> If it is the latter, maybe your rep meant that bolussing with a syringe
> means that the insulin hits you in one go, but with a pump the bolus is
> spread over a longer period of time so it is more even.
>
> Sorry if I am completely off-track here, but it is something I have been
> wondering about for a while!
>
>
> Ingrid
>
> >From: "Zoe" <email @ redacted>
> >Reply-To: email @ redacted
> >To: <email @ redacted>
> >Subject: Re: [IPk] Pen bolussing
> >Date: Thu, 5 Jul 2001 17:23:39 +0100
> >
> >I have a related question - I once had to change a cartridge just before
a
> >meal and it was taking me hours so I asked my Disetronic rep if I could
> >have
> >a shot of humalog via syringe  (the same number of units) and carry on
with
> >resetting the pump after my meal. She said this was not a good idea as
> >having 6 units from the pump was not the same as having 6 units via
> >injection. I find this hard to believe, is there any reason why we
> >shouldn't
> >bolus with a syringe if it happens to be more convenient? I ended up
eating
> >an hour after everyone else!!
> >
> >Zok
> >
> >----- Original Message
> >From: "Elizabeth OShea" <email @ redacted>
> >To: <email @ redacted>
> >Sent: Thursday, July 05, 2001 4:16 PM
> >Subject: RE: [IPk] Pen bolussing
> >
> >
> > > >With the pen bolus I checked my Bg after one and then two hours and
it
> > > hadn't moved my Bg an inch!
> > >
> > > hi Liz -
> > >
> > > First, you should eject a few units from your pen into the air before
> >using
> > > it. I've found that there's slippage between the plunger and the
insulin
> > > vial on my pen because it isn't used for months on end. And you should
> >also
> > > use a fresh needle top, because if you leave one on for a while it
might
> >get
> > > clogged. When I used a pen regularly I always left a needle on it
> >(because
> >I
> > > reused them a few times). Now I never have a needle on it.
> > >
> > > Another thing is to make sure the insulin in the pen is in date. The
> > > insulins usually last a good while after their expiry date if they're
> >stored
> > > properly, but they must become ineffective sometime!
> > >
> > > For all the reasons outlined above, I no longer rely on a pen for
> >backup.
> > > Instead, I always have my current vial of humalog with me (which I use
> >in
> >my
> > > pump, and I need with me in case I have to fill a reservoir) and a
> >syringe.
> > > That way there's no chance of out of date insulin/blocked needles/no
> >plunger
> > > contact.
> > >
> > > elizabeth
> > > ----------------------------------------------------------
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> > >
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