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Re: [IPk] Back to high morning Bg's

Thanks for that.  Alot of the reading I've done indicates that if you use 
actrapid you lose some of the main benefits of pumping.

What your thoughts on using humalog in a pump during pregnancy?


>From: Diana Maynard <email @ redacted>
>Reply-To: email @ redacted
>To: email @ redacted
>Subject: Re: [IPk] Back to high morning Bg's
>Date: Fri, 20 Jul 2001 13:10:22 +0100
>On Fri, 20 Jul 2001, you wrote:
> > If you lowered your carb input, and so increased the amount of protein 
> > eat, would it make sense to change to a longer acting bolus insulin (ie
> > actrapid)?
> >
> > Or do you take your humalog later after eating, or do you use square 
> > boluses (and the like) with your pump?
>Hi Ingrid
>If you *always* ate high protein/fat and low carb, it  would make sense, 
>you might not want to for other reasons. It would also affect your basal
>insulin. In principle this doesn't matter, since it's constant, but in 
>it means that if, say, you want to turn down your basal for exercise, you 
>to do it much longer in advance for it to take effect. Same for setting 
>rates,  making any basal changes, or turning off the pump.  So it can be a
>pain. Some people like Actrapid in their pumps precisely *because* of this
>slowness. I love the fact that Humalog works so fast, and that you can 
>down a high quickly, or stop the pump quickly. And if I eat fast carbs, I 
>have to bolus 30 mins in advance, which I would with Actrapid.
>   Personally I would always go for Humalog, because you can deal with
>the meals by using a square wave bolus, or dual bolus, or by taking the 
>later. i usually take the humalog directly after I've finished eating. I 
>the square wave and dual boluses for high fat meals, but I don't eat them 
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