My daughter seems to be sitting around 200 (if she actually eats all her carbs I bolus for and not more or less), which I know is high, but I’m trying to figure out does her basal or bolus need to be switched up? Or both?
Good morning. I have a patient that was recently changed from a 20 hour per day continuous feeding with Glucerna to bolus feedings w/Glucerna. Their last bolus feeding is at 2000 and they've been having hypoglycemia overnight/early morning. They were not having issues before while on a continuous feed with hypoglycemia. They are not being given insulin at any time. Bolus feedings are warranted for quality of life + easier to participate in therapy. I'm thinking a nocturnal feeding + bolus is best but I wanted to get other opinions on the matter.
See title. Any update on when we can bolus from phone?
I'm pretty sure I am entering my honeymoon period, and my insulin needs have been all over the place for the past week. TBH my nurse educator is not helpful at all in thinking about dose strategies and has just been deferring to whatever I suggest.
I eat lunch early every day - I bolus around 10:50 and eat lunch at 11. The past two days, my lunch has been 20 carbs and I take 1 unit of fast-acting insulin. Both times, I saw a spike shortly after eating (from 100 up to 150-175), and then my BG came back down over the next couple hours to pre-lunch levels. So, my assumption was that the bolus is either OK or potentially even too low, given the spike. The issue starts in the afternoon - after the BG returns to it's pre-lunch levels, it continues to drop steadily until I get a "low alert" around 4-5pm. This requires me to eat a snack without bolusing while I make dinner. My carb ratio for dinner is something like 1:30 (when I followed my 1:20 ratio, I would go hypo immediately after eating), so I don't know if it's possible that I am way more insulin sensitive in the evenings (?).
I also seem to have a steady decline (slightly) during the night, so I am kind of assuming this is a basal issue, but I don't know for sure. Last week I was taking 9 units of Lantus a day, which I dropped to 8 over the weekend, 7 yesterday (still saw the steady decline), and I took 6 today (and it's happening right now - just got the low alert and had a snack). I take lantus in the morning around 7am.
Does this sound like a basal problem? Could it really be the case that I need to decrease my long-acting even MORE which then might increase my bolus needs?
Planning to call the doctor tomorrow to troubleshoot more, but I'm confused and am wondering if anyone else has had this issue.
I am still unsure the proper times the extend bolus option should be utilized. Anyone have a way to explain what it is for and when to use it please and thank you.
So long story short I’m kinda fat and I’ve reduced my TDD down about 30% and still don’t lose weight. I also have a bad habit of stacking insulin (ie bolusing for a meal then ten min later giving more insulin) and wondered if maybe Insulin stacking compounded the fat building? I know typically more insulin=more fat production. Anyone have any ideas out there?
*correction in title: Tandem T:Slim x2 Taking Meal/Correction Bolus and Putting It Towards Basal**?**
Hi there,
In the past few days I've just noticed that when I do a small correction bolus or even for regular meal boluses, it's subtracting the basal amount of insulin I get from my total meal/correction bolus. My basal amount is 1.8/hr so if, for example my meal bolus requires 5u, I will enter the amount of carbs, it will dispense 5u, display "Insulin On Board: 5u" but then within a minute it or two it will display "Insulin on Board: 3.2u". This morning my insulin was slightly above target so I took .86 units for correction and then I checked it a minute it afterwards and it showed .00 units on board and my bolus had that .86 added to the 1.8 basal for a 2.66 total basal amount.Anyone else have this happen? Had the pump about 6 months now and this is something I'm just seeing.
Newly-diagnosed diabetic here. Have had a t:slim for a little less than a month now, and was wondering if the "extended bolus" feature is actually helpful when eating something like pizza. I've tried with non-extended boluses and found that it does exactly what I expect, heightening my sugars for hours on end (rookie mistake). Any t:slim users able to vouch for the validity of using the extended bolus for any foods, or seeing any credible results that would make using the extended bolus feature worth it?
must land within 10 points of goal at 2 hours
go
Rant:
I can take multiple injections to bring down a stubborn high with it not budging an inch. But as soon as I decide to do a rage bolus or just take a higher dose early in anticipation that’s when my blood decides to drop by 1.2 at a time….FML
I'm a newly diagnosed type 1 (about a month), 33 year old male, 85kg.
I'm regularly taking 6 units of Novarapid as bolus before meals. This is keeping my blood glucose roughly 6-8 mmol/L unless I accidentally eat a low carb meal (then it's dropped as low as 2.4mmol/L).
I've had pizza for dinner (notoriously difficult to bolus, I know) and my usual 6 units pre-meal has left me at 12mmol/L just before bed.
Do you ever take a small 'corrective' bolus after the meal (even though I won't be eating again until morning)? I was considering 2 units to try to correct the insufficient insulin I took before the meal. I don't know what the guidance is about trying to control things this finely - should I just wait and try again to hit a better day tomorrow?
Hello community,
I downloaded the Export3D script from MyVarian. I'm trying to adapt it for our 3D printer (Cura) to print 3D bolus for our patients. the code provides an .stl file in ascii. Our 3D printer reads the .stl in Binary. I've tried different solutions found on the web (binaryWriter, Encoding.ASCII.GetBytes () ...) however my file doesn't have the correct format. Could you help me modify this piece of code to get a binary .stl file? .
Part of the original code to modify :
void SaveTriangleMeshtoStlFile(MeshGeometry3D mesh, string outputFileName)
{ if (mesh == null)
return;
if (mesh == null)
return;
if (File.Exists(outputFileName))
{ File.SetAttributes(outputFileName, FileAttributes.Normal);
File.Delete(outputFileName);
}
Point3DCollection vertexes = mesh.Positions;
Int32Collection indexes = mesh.TriangleIndices;
Point3D p1, p2, p3;
Vector3D n;
string text;
// Part to convert from Ascii to binary. Our 3D printer (Cura) reads . stl in binary)
using (TextWriter writer = new StreamWriter(outputFileName))
{
writer.WriteLine("solid Bolus");
for (int v = 0; v < mesh.TriangleIndices.Count(); v += 3)
{
//gather the 3 points for the face and the normal
p1 = vertexes[indexes[v]];
p2 = vertexes[indexes[v + 1]];
p3 = vertexes[indexes[v + 2]];
n = CalculateSurfaceNormal(p1, p2, p3);
text = string.Format("facet normal {0} {1} {2}", n.X, n.Y, n.Z);
writer.WriteLine(text);
writer.WriteLine("outer loop");
text = String.Format("vertex {0} {1} {2}", p1.X, p1.Y, p1.Z);
writer.WriteLine(text);
text = String.Format("vertex {0} {1} {2}", p2.X, p2.Y, p2.Z);
writer.WriteLine(text);
text = String.Format("vertex {0} {1} {2}", p3.X, p3.Y, p3.Z);
writer.WriteLine(text);
writer.WriteLine("endloop");
writer.WriteLine("endfacet");
}
}
}
Thank you for your help
Romain
Okay forgive me if this is dumb. Literally just became a nurse a week or two ago. I’m scared to ask anyone this because I don’t want anyone to think I’m dumb and Google isn’t giving me a clear answer. How does a bolus actually work to raise a blood pressure? I know that it does from watching it happen… but how….? Please forgive me if this is stupid question.
I have an awesome pre-teen child that refuses to bolus. She eats often but only remembers to bolus maybe 50% of the time. She’s often 300 all day long. Wont let me see the pump. I don’t know what to do.
For fuck's sake, diabetes, why do you have to pick THIS night of all nights to be such a complete dick? Here's hoping I wake up low in the middle of the night and can enjoy some Skittles!
Update: Dexcom woke me at 12:30 with an impending low alarm. Ate seven Skittles. Yay!
And don't worry, dudes, it was just angry sarcasm. Sugar just didn't want to come down last night. Took 8.5 units to finally get there.
I’ve only had pizza one time since on the OmniPod and I went low because I don’t know how to usually do an extended bolus because of all the cheese and meat on it!! I am asking for help on how you usually do your extended bolus from percentage wise and time frame, im not asking help on how to carb count since we all have different amounts! But how do you usually do your extended bolus for pizza?? Help!! Lol
My blood sugar's been above 200-240 for about four hours now. The whole time, it's said "Active Insulin 0.0 U" but I go to take a bolus wizard, and it says no bolus calculated. I know things like this have happened before, but it's the first time I've complained about it.
Does this ever happen to anyone else? Does anyone have any suggestions besides shooting it out of a cannon when my warranty expires? Thanks.
This is the most annoying design decision I've ever seen. The fact that my blood sugar being high disables my ability to easy bolus is just so ironic and pathetic......am I missing a setting somewhere?
I am still unsure the proper times the extend bolus option should be utilized. Anyone have a way to explain what it is for and when to use it please and thank you.
