What is bolusing

If you are looking for ways to improve your child's glucose control, and are not currently pre-bolusing, talk to your doctor about this at your child's next office visit. Learn more tips for pre-bolusing to prevent high blood sugar. For a more scientific explanation on how to get pre-bolusing timing right, view this article.

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Sign up now. Twitter Facebook Linked In Email. What is a pre-bolus? Instead of giving a portion of insulin up front, the square wave bolus evenly splits the entire bolus over a set period of time. The use of a square wave bolus vs a dual wave bolus will depend on the person, their activity level prior to eating, what type of food they are eating, and several other factors.

The super bolus is used much less frequently than the other methods mentioned above. It is used for high carb foods that cause a spike like cereal. It is calculated by adding basal to the bolus and then decreasing the basal. Figuring out the timing and what percentage you want to use is a very individual thing. Split bolus is like the extended bolus. You figure out the dose needed and instead of giving it all at once, you decide how much to give up front and give the rest at a later time depending on the type of food etc.

One thing to be very aware of is not forgetting to give the second bolus. Setting a reminder alarm is a great way to avoid this issue. Because you are not able to reduce your basal on MDI, carbs are used instead. A family I know pays a lot of attention to how different sites absorb insulin.

They have figured out that if they dose partially in the leg and the rest in the tummy, it can work like an extended bolus because one site absorbs insulin significantly faster than the other. This sort of thing will be very individual. It may work well for some and not work at all for others. Then, we start learning about different glycemic index foods whether we learn the actual GI values or just see a trend with certain foods.

Food is obviously one of the biggest factors to consider when bolusing. But there are many, many other factors that can be taken into consideration. Being active can help to lower blood glucose levels. It is particularly effective when there is active insulin in your system. Likewise, if you have just been quite active, the insulin will seemingly work better and you may not need as much. We find trampolines and scooters do the trick nicely. When the body is warm , insulin tends to absorb easier.

This is why insulin needs tend to decrease in the summer. Insulin resistance can come and go for various reasons. High blood glucose levels alone can cause insulin resistance. Different hormones can also cause insulin resistance. Insulin is a hormone, so it is affected by other hormones. Growth spurts, menstruation, and puberty among other things can all cause problems with insulin absorption. Ketones are another factor that causes insulin resistance. Ketones generally need extra insulin to get rid of them, so make sure you have a ketone dosing chart from your diabetes team in case you ever need to deal with ketones.

Illness is very dangerous for someone with T1D. Different illnesses will cause either insulin resistance or quicker insulin absorption. Being sick can also affect how your body breaks down and uses carbs. Grants Policies and Process. Introduction to Grants Process. NCI Grant Policies. Legal Requirements.

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