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Re: [IPk] Advice for forgotten bolus please



Yes, I would take it as a normal correction bolus (it's no different to 
having underbolused for breakfast at 8am and requiring a correction at 
11am - you just underbolused by the full amount!)
Di


Fiona Hunt wrote:
>  In that situation as it was more than 2 hours after breakfast, I would just
> have given a correction dose based on a BG of 13.6. My correction ratio is 5
> with a BG target of 5.6 so my pump would have 'told' me to give a dose of
> 1.6units (difference between 13.6 - 5.6 divided by 5).
>
> Fiona
>
> -----Original Message-----
 > From: email @ redacted [mailto:email @ redacted] On Behalf
Of
> Clare Price
> Sent: 19 May 2008 12:03
> To: email @ redacted
> Subject: [IPk] Advice for forgotten bolus please
>
> Hi all,
>
> I knew I would do it sooner or later, I forgot to give my bolus at
> breakfast this morning!   I had my breakfast as normal (pre breakfast
> BG of 5.1), but just simply forgot to give my bolus insulin for it.
> So by 11am this morning my BG was 13.6!!
>
> Wasn't sure what to do here, but tried to phone my DSN, but she was
> out.  Anyway, I have given myself a normal bolus amount on the
> assumption that my BG was normal (rather than at 13.6).  The
> complications being that the food was taken at 8am, and the bolus now
> given at 11am will be hanging around way longer than if I had taken
> it at 8am, so didn't want the pump to think I was having breakfast at
> 11am and adding a correction bolus also to the calculation.
>
> As the day progresses I may be able to make an assumption on whether
> I have acted correctly, but I just wondered if there was a procedure
> to follow if this happens again, or is it just a case of the usual
> diabetic way of things in making an educated (?!!) guess at times.
>
> On a positive note however, isn't lovely that the pump can tell me
> straight away that I didn't bolus for breakfast, whereas on the old
> system of injections - "well, I can't remember, did I, or did I not
> have the injection?" (that scenario always left me in doubt).  Thank
> you pump for taking that worry away at least.
>
> Clare
> (Type 1 for 38 years, pumping 8 months, Paradigm 522)
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