No Bolus’s
Hi gang , I’m restleing with a situation and hope y’all can help. Here it is.
Lately I’ve encountered a situation that appears like my pump hasn’t recorded
some of the boluses. This is because I don’t always record them at the time I
simply bring ‘em up and record ‘em later. so I noticed a couple of times no
bolus……
and yet when I looked at the next b/g test…it’s normal!! Say at lunch.
Doesn’t make sense does it?
So, to test the system I purposely did not bolus to see what would happen and
guess what? next b/g normal….. how do yak figure??
I repeated this a couple of different days….same result.
So it would appear I’ve been bolusing unnecessarily, even tho, no reactions have
occured??????
So this morning I’m doing a detailed assessment , here are the results so far..
05:27..b/g 7.7 (128); high b/g bolus 1.5
0:610..b/g 6.3(113);
06:21..eat usual bkfst 60 carbs, no bolus
06:51..b/g 11.5(173) climbing..
07:07..b/g 13.2(238) climbing…
07:24..b/g 13.6(245) leveling?
07:40..b/g 14.2(256) nope…
07:55,,b/g 12.5(225) dropping, elapsed time 1.5 hrs approx.
08:10..b/g 11.4(205)
08:25..b/g 10.2(205) within target, (125 to 198), elapsed time 2 hrs
08:41..b/g 11.1(199) up a bit
09:03..b/g 10.2(205) back on target
Remember, NO BOLUS YET, that’s the blow by blow picture, I’m still testing as I
sit here.
I’m confused, please may I have any comments??
fp
July 8th, 2003 at 1:27 pm
Further to my previous post
the 09:19 b/g reading was 8.8(158)
Does anyone know of a website that gives detailed info on b/g readings?? I’m
particularly interested in what the target readings during the first 2 hours
after eating shud be.
fp
July 9th, 2003 at 2:18 am
It sounds like maybe your basil rates are set to high. Try waking up and doing a
fast through lunch to see if there is a big drop in your Glucose level. How long
have you been diabetic? What are your basil rates? What kind of breakfast did
you eat this morning. How much insulin do you bolus? Do you use carb counting?
These all could be factors.
Depending on what kind of breakfast you eat in the morning will depend on how
fast your blood sugar will rise. Eating simple carbs will make your sugar rise
more sharply as opposed to eating more complex carbs. Most of all talk to your
CDE and Registered Nutritionist.
—– Original Message —–
From: Footprints
To: Undisclosed Recipients
Sent: Saturday, November 06, 1999 9:13 AM
Subject: [Insulinpumpusers] No Bolus’s
Hi gang , I’m restleing with a situation and hope y’all can help. Here it
is.
Lately I’ve encountered a situation that appears like my pump hasn’t recorded
some of the boluses. This is because I don’t always record them at the time I
simply bring ‘em up and record ‘em later. so I noticed a couple of times no
bolus……
and yet when I looked at the next b/g test…it’s normal!! Say at lunch.
Doesn’t make sense does it?
So, to test the system I purposely did not bolus to see what would happen and
guess what? next b/g normal….. how do yak figure??
I repeated this a couple of different days….same result.
So it would appear I’ve been bolusing unnecessarily, even tho, no reactions
have occured??????
So this morning I’m doing a detailed assessment , here are the results so
far..
05:27..b/g 7.7 (128); high b/g bolus 1.5
0:610..b/g 6.3(113);
06:21..eat usual bkfst 60 carbs, no bolus
06:51..b/g 11.5(173) climbing..
07:07..b/g 13.2(238) climbing…
07:24..b/g 13.6(245) leveling?
07:40..b/g 14.2(256) nope…
07:55,,b/g 12.5(225) dropping, elapsed time 1.5 hrs approx.
08:10..b/g 11.4(205)
08:25..b/g 10.2(205) within target, (125 to 198), elapsed time 2 hrs
08:41..b/g 11.1(199) up a bit
09:03..b/g 10.2(205) back on target
Remember, NO BOLUS YET, that’s the blow by blow picture, I’m still testing as
I sit here.
I’m confused, please may I have any comments??
fp
July 9th, 2003 at 5:42 am
It sounds like maybe your basil rates are set to high. Try waking up and
doing a fast through lunch to see if there is a big drop in your Glucose level.
I’ll try that Frank, but don’t think so.
How long have you been diabetic? 20+ years, pumping since april 1,1999
What are your basil rates? Same as always no changes
What kind of breakfast did you eat this morning. same as always,
cereal/milk, juice, coffee. 60 carbs
How much insulin do you bolus? havn’t bolused in 3 days, but normally I wud
bolus 9.0 units for that meal.
Do you use carb counting? Yes
These all could be factors.
Depending on what kind of breakfast you eat in the morning will depend on
how fast your blood sugar will rise. Eating simple carbs will make your sugar
rise more sharply as opposed to eating more complex carbs. Most of all talk to
your CDE and Registered Nutritionist. definatly intend to do that, nobody around
till Monday. thanks Frank
fp
—– Original Message —–
From: Footprints
To: Undisclosed Recipients
Sent: Saturday, November 06, 1999 9:13 AM
Subject: [Insulinpumpusers] No Bolus’s
Hi gang , I’m restleing with a situation and hope y’all can help. Here
it is.
Lately I’ve encountered a situation that appears like my pump hasn’t
recorded some of the boluses. This is because I don’t always record them at the
time I simply bring ‘em up and record ‘em later. so I noticed a couple of times
no bolus……
and yet when I looked at the next b/g test…it’s normal!! Say at
lunch.
Doesn’t make sense does it?
So, to test the system I purposely did not bolus to see what would
happen and guess what? next b/g normal….. how do yak figure??
I repeated this a couple of different days….same result.
So it would appear I’ve been bolusing unnecessarily, even tho, no
reactions have occured??????
So this morning I’m doing a detailed assessment , here are the results
so far..
05:27..b/g 7.7 (128); high b/g bolus 1.5
0:610..b/g 6.3(113);
06:21..eat usual bkfst 60 carbs, no bolus
06:51..b/g 11.5(173) climbing..
07:07..b/g 13.2(238) climbing…
07:24..b/g 13.6(245) leveling?
07:40..b/g 14.2(256) nope…
07:55,,b/g 12.5(225) dropping, elapsed time 1.5 hrs approx.
08:10..b/g 11.4(205)
08:25..b/g 10.2(205) within target, (125 to 198), elapsed time 2 hrs
08:41..b/g 11.1(199) up a bit
09:03..b/g 10.2(205) back on target
Remember, NO BOLUS YET, that’s the blow by blow picture, I’m still
testing as I sit here.
I’m confused, please may I have any comments??
fp
July 9th, 2003 at 6:33 pm
It sounds like maybe your basil rates are set to high. Try waking up and
doing a fast through lunch to see if there is a big drop in your Glucose level.
I’ll try that Frank, but don’t think so.
How long have you been diabetic? 20+ years, pumping since april 1,1999
What are your basil rates? Same as always no changes
What kind of breakfast did you eat this morning. same as always,
cereal/milk, juice, coffee. 60 carbs
How much insulin do you bolus? havn’t bolused in 3 days, but normally I wud
bolus 9.0 units for that meal.
Do you use carb counting? Yes
These all could be factors.
Depending on what kind of breakfast you eat in the morning will depend on
how fast your blood sugar will rise. Eating simple carbs will make your sugar
rise more sharply as opposed to eating more complex carbs. Most of all talk to
your CDE and Registered Nutritionist. definatly intend to do that, nobody around
till Monday. thanks Frank
fp
—– Original Message —–
From: Footprints
To: Undisclosed Recipients
Sent: Saturday, November 06, 1999 9:13 AM
Subject: [Insulinpumpusers] No Bolus’s
Hi gang , I’m restleing with a situation and hope y’all can help. Here
it is.
Lately I’ve encountered a situation that appears like my pump hasn’t
recorded some of the boluses. This is because I don’t always record them at the
time I simply bring ‘em up and record ‘em later. so I noticed a couple of times
no bolus……
and yet when I looked at the next b/g test…it’s normal!! Say at lunch.
Doesn’t make sense does it?
So, to test the system I purposely did not bolus to see what would happen
and guess what? next b/g normal….. how do yak figure??
I repeated this a couple of different days….same result.
So it would appear I’ve been bolusing unnecessarily, even tho, no
reactions have occured??????
So this morning I’m doing a detailed assessment , here are the results so
far..
05:27..b/g 7.7 (128); high b/g bolus 1.5
0:610..b/g 6.3(113);
06:21..eat usual bkfst 60 carbs, no bolus
06:51..b/g 11.5(173) climbing..
07:07..b/g 13.2(238) climbing…
07:24..b/g 13.6(245) leveling?
07:40..b/g 14.2(256) nope…
07:55,,b/g 12.5(225) dropping, elapsed time 1.5 hrs approx.
08:10..b/g 11.4(205)
08:25..b/g 10.2(205) within target, (125 to 198), elapsed time 2 hrs
08:41..b/g 11.1(199) up a bit
09:03..b/g 10.2(205) back on target
Remember, NO BOLUS YET, that’s the blow by blow picture, I’m still testing
as I sit here.
I’m confused, please may I have any comments??
fp
July 9th, 2003 at 9:57 pm
I just don’t understand it myself. You bolus 9 units and you do not go low?
Careful now, I said i normally would do that. For the last 3 days I havn’t had
to bolus at all. go figure, huh??? Plus you can achieve a 158 after a few
hours with out taking insulin. Yup, with only the basal doing the work. When do
you start to feel Hypoglycemic? Havn’t had a low since stating on the pump :o)
Now another development…. I recently started an exercise program with the
Cardiac Rehab Unit which involves walking approx. 1/2 mile 3 times a week. Ya
think this would have any bearing on this??
fp
It sounds like maybe your basil rates are set to high. Try waking up
and doing a fast through lunch to see if there is a big drop in your Glucose
level.
I’ll try that Frank, but don’t think so.
How long have you been diabetic? 20+ years, pumping since april
1,1999
What are your basil rates? Same as always no changes
What kind of breakfast did you eat this morning. same as always,
cereal/milk, juice, coffee. 60 carbs
How much insulin do you bolus? havn’t bolused in 3 days, but
normally I wud bolus 9.0 units for that meal.
Do you use carb counting? Yes
These all could be factors.
Depending on what kind of breakfast you eat in the morning will
depend on how fast your blood sugar will rise. Eating simple carbs will make
your sugar rise more sharply as opposed to eating more complex carbs. Most of
all talk to your CDE and Registered Nutritionist. definatly intend to do that,
nobody around till Monday. thanks Frank
fp
—– Original Message —–
From: Footprints
To: Undisclosed Recipients
Sent: Saturday, November 06, 1999 9:13 AM
Subject: [Insulinpumpusers] No Bolus’s
Hi gang , I’m restleing with a situation and hope y’all can
help. Here it is.
Lately I’ve encountered a situation that appears like my pump
hasn’t recorded some of the boluses. This is because I don’t always record them
at the time I simply bring ‘em up and record ‘em later. so I noticed a couple of
times no bolus……
and yet when I looked at the next b/g test…it’s normal!! Say
at lunch.
Doesn’t make sense does it?
So, to test the system I purposely did not bolus to see what
would happen and guess what? next b/g normal….. how do yak figure??
I repeated this a couple of different days….same result.
So it would appear I’ve been bolusing unnecessarily, even tho,
no reactions have occured??????
So this morning I’m doing a detailed assessment , here are the
results so far..
05:27..b/g 7.7 (128); high b/g bolus 1.5
0:610..b/g 6.3(113);
06:21..eat usual bkfst 60 carbs, no bolus
06:51..b/g 11.5(173) climbing..
07:07..b/g 13.2(238) climbing…
07:24..b/g 13.6(245) leveling?
07:40..b/g 14.2(256) nope…
07:55,,b/g 12.5(225) dropping, elapsed time 1.5 hrs approx.
08:10..b/g 11.4(205)
08:25..b/g 10.2(205) within target, (125 to 198), elapsed time 2
hrs
08:41..b/g 11.1(199) up a bit
09:03..b/g 10.2(205) back on target
Remember, NO BOLUS YET, that’s the blow by blow picture, I’m
still testing as I sit here.
I’m confused, please may I have any comments??
fp
July 10th, 2003 at 6:05 am
Frank my current reading is 6.7(120) :o)
fp
It sounds like maybe your basil rates are set to high. Try waking up
and doing a fast through lunch to see if there is a big drop in your Glucose
level.
I’ll try that Frank, but don’t think so.
How long have you been diabetic? 20+ years, pumping since april
1,1999
What are your basil rates? Same as always no changes
What kind of breakfast did you eat this morning. same as always,
cereal/milk, juice, coffee. 60 carbs
How much insulin do you bolus? havn’t bolused in 3 days, but
normally I wud bolus 9.0 units for that meal.
Do you use carb counting? Yes
These all could be factors.
Depending on what kind of breakfast you eat in the morning will
depend on how fast your blood sugar will rise. Eating simple carbs will make
your sugar rise more sharply as opposed to eating more complex carbs. Most of
all talk to your CDE and Registered Nutritionist. definatly intend to do that,
nobody around till Monday. thanks Frank
fp
—– Original Message —–
From: Footprints
To: Undisclosed Recipients
Sent: Saturday, November 06, 1999 9:13 AM
Subject: [Insulinpumpusers] No Bolus’s
Hi gang , I’m restleing with a situation and hope y’all can
help. Here it is.
Lately I’ve encountered a situation that appears like my pump
hasn’t recorded some of the boluses. This is because I don’t always record them
at the time I simply bring ‘em up and record ‘em later. so I noticed a couple of
times no bolus……
and yet when I looked at the next b/g test…it’s normal!! Say
at lunch.
Doesn’t make sense does it?
So, to test the system I purposely did not bolus to see what
would happen and guess what? next b/g normal….. how do yak figure??
I repeated this a couple of different days….same result.
So it would appear I’ve been bolusing unnecessarily, even tho,
no reactions have occured??????
So this morning I’m doing a detailed assessment , here are the
results so far..
05:27..b/g 7.7 (128); high b/g bolus 1.5
0:610..b/g 6.3(113);
06:21..eat usual bkfst 60 carbs, no bolus
06:51..b/g 11.5(173) climbing..
07:07..b/g 13.2(238) climbing…
07:24..b/g 13.6(245) leveling?
07:40..b/g 14.2(256) nope…
07:55,,b/g 12.5(225) dropping, elapsed time 1.5 hrs approx.
08:10..b/g 11.4(205)
08:25..b/g 10.2(205) within target, (125 to 198), elapsed time 2
hrs
08:41..b/g 11.1(199) up a bit
09:03..b/g 10.2(205) back on target
Remember, NO BOLUS YET, that’s the blow by blow picture, I’m
still testing as I sit here.
I’m confused, please may I have any comments??
fp
July 11th, 2003 at 1:34 am
It sounds like maybe your basil rates are set to high. Try waking up
and doing a fast through lunch to see if there is a big drop in your Glucose
level.
I’ll try that Frank, but don’t think so.
How long have you been diabetic? 20+ years, pumping since april
1,1999
What are your basil rates? Same as always no changes
What kind of breakfast did you eat this morning. same as always,
cereal/milk, juice, coffee. 60 carbs
How much insulin do you bolus? havn’t bolused in 3 days, but
normally I wud bolus 9.0 units for that meal.
Do you use carb counting? Yes
These all could be factors.
Depending on what kind of breakfast you eat in the morning will
depend on how fast your blood sugar will rise. Eating simple carbs will make
your sugar rise more sharply as opposed to eating more complex carbs. Most of
all talk to your CDE and Registered Nutritionist. definatly intend to do that,
nobody around till Monday. thanks Frank
fp
—– Original Message —–
From: Footprints
To: Undisclosed Recipients
Sent: Saturday, November 06, 1999 9:13 AM
Subject: [Insulinpumpusers] No Bolus’s
Hi gang , I’m restleing with a situation and hope y’all can
help. Here it is.
Lately I’ve encountered a situation that appears like my pump
hasn’t recorded some of the boluses. This is because I don’t always record them
at the time I simply bring ‘em up and record ‘em later. so I noticed a couple of
times no bolus……
and yet when I looked at the next b/g test…it’s normal!! Say
at lunch.
Doesn’t make sense does it?
So, to test the system I purposely did not bolus to see what
would happen and guess what? next b/g normal….. how do yak figure??
I repeated this a couple of different days….same result.
So it would appear I’ve been bolusing unnecessarily, even tho,
no reactions have occured??????
So this morning I’m doing a detailed assessment , here are the
results so far..
05:27..b/g 7.7 (128); high b/g bolus 1.5
0:610..b/g 6.3(113);
06:21..eat usual bkfst 60 carbs, no bolus
06:51..b/g 11.5(173) climbing..
07:07..b/g 13.2(238) climbing…
07:24..b/g 13.6(245) leveling?
07:40..b/g 14.2(256) nope…
07:55,,b/g 12.5(225) dropping, elapsed time 1.5 hrs approx.
08:10..b/g 11.4(205)
08:25..b/g 10.2(205) within target, (125 to 198), elapsed time 2
hrs
08:41..b/g 11.1(199) up a bit
09:03..b/g 10.2(205) back on target
Remember, NO BOLUS YET, that’s the blow by blow picture, I’m
still testing as I sit here.
I’m confused, please may I have any comments??
fp
July 12th, 2003 at 12:07 am
Hi fp:
what’s your basal rate? and what pump are you using? Joan:)
July 12th, 2003 at 8:15 am
Yes fp - the exercise program may definitely be making a difference. One of
the reasons why our health care providers encourage us to exercise. It opens
up more receptor sites on cells so that glucose is absorbed for fuel and
doesn’t require additional insuling to do it. Check with your exercise
physiologist and your CDE… Joan:)
July 12th, 2003 at 11:06 pm
Hi Joan,
12am to 2am=1.4; 2am to 6am=2.0; 6am 1.6; 7am to 10pm=1.4; 10pm to midnight
1.2….Using a Disetronic, Htron v100
fp
July 13th, 2003 at 7:14 am
As soon as the doors open on Monday, I’ll be there. Thanks Joan
fp
July 17th, 2003 at 2:02 am
OK fp:
you get the dawn phenomenon , right? have you done a series of b.g.s since
you started your exercise program? might be an idea to compare and see the
effect your exercise program is having on your overall picture. You should
also touch base with your CDE and see if you need to adjust your basal rate
again. But I’d wait to adjust until you’ve had a couple of weeks on your new
program to see the overall result. Joan
July 18th, 2003 at 9:09 am
Well you saw my original post, that was one hell of a series. LOL
might be an idea to compare and see the
>effect your exercise program is having on your overall picture. You should
>also touch base with your CDE and see if you need to adjust your basal rate
>again.
I’ll be talkin to them later today
But I’d wait to adjust until you’ve had a couple of weeks on your new
>program to see the overall result.
Thats about where I am now