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Getting a pump at last.
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<blockquote data-quote="Julian_Hands" data-source="post: 1432701" data-attributes="member: 324327"><p>Hi [USER=270837]@ElkBond[/USER],</p><p></p><p>I'm currently on Dynamic and using a Freestyle Libre for a short period to help get a good picture with the induction to the pump.</p><p></p><p>The biggest changes I've found so far are with the reduction in my boluses and insulin sensitivity ratios for the time-blocks, all initially setup based on the MDI treatment.</p><p></p><p>From the trends I've been witnessing are based around the 4 hour periods after taking a Bolus and when taking a bolus with correction.</p><p></p><p>Slowly Im reducing these Bolus and sensitivity ratios and starting to get where I want to be, I've just checked and currently 5.3, so really happy with the results I'm now achieving but also have to get a little better educated on the Extended Bolus features.</p><p></p><p>Last Night I screwed up big time which also has had a big knock on with my overnight BG levels, I was in a rush to get out and had my evening meal which was Chilli Con Carne with Brown Rice equating to 52g Carbs. Problem occurred when I just administered a standard Bolus and consequently then nose dived an hour later, corrected with Lucozade and consequently then started to climb all night due to the Rice taking effect, I had to take corrective bolus at 2:30am but still woke with a BG of 11.8.</p><p></p><p>Is there any data anywhere that provides guide lines for the amount of time we need to accommodate for the extended Bolus with these low GI foods. Brown rice seems to release so slowly in me and seems to be active for over 4 hours in my system, or am I wrong and something else must be a contributing factor?</p><p></p><p>The pump has allot of tools we can use, just needs the brain to engage and use them with a bit of education/experience on how best to accommodate the tools properly.</p><p></p><p>Huge learning curve but definitely see the benefits once correctly administered.</p></blockquote><p></p>
[QUOTE="Julian_Hands, post: 1432701, member: 324327"] Hi [USER=270837]@ElkBond[/USER], I'm currently on Dynamic and using a Freestyle Libre for a short period to help get a good picture with the induction to the pump. The biggest changes I've found so far are with the reduction in my boluses and insulin sensitivity ratios for the time-blocks, all initially setup based on the MDI treatment. From the trends I've been witnessing are based around the 4 hour periods after taking a Bolus and when taking a bolus with correction. Slowly Im reducing these Bolus and sensitivity ratios and starting to get where I want to be, I've just checked and currently 5.3, so really happy with the results I'm now achieving but also have to get a little better educated on the Extended Bolus features. Last Night I screwed up big time which also has had a big knock on with my overnight BG levels, I was in a rush to get out and had my evening meal which was Chilli Con Carne with Brown Rice equating to 52g Carbs. Problem occurred when I just administered a standard Bolus and consequently then nose dived an hour later, corrected with Lucozade and consequently then started to climb all night due to the Rice taking effect, I had to take corrective bolus at 2:30am but still woke with a BG of 11.8. Is there any data anywhere that provides guide lines for the amount of time we need to accommodate for the extended Bolus with these low GI foods. Brown rice seems to release so slowly in me and seems to be active for over 4 hours in my system, or am I wrong and something else must be a contributing factor? The pump has allot of tools we can use, just needs the brain to engage and use them with a bit of education/experience on how best to accommodate the tools properly. Huge learning curve but definitely see the benefits once correctly administered. [/QUOTE]
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