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Re: [IPk] Advice for forgotten bolus - to Di & Fiona



OK, but surely you are giving less insulin in the correction bolus  
than you would have had for the carbs taken at breakfast (depending  
on size of breakfast!) and wouldn't this then keep the BG level  
higher than required?

Clare

On 19 May 2008, at 12:18, Diana Maynard wrote:

> 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 
> pumpers.org] 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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