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best way to bolus?
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<blockquote data-quote="GrantGam" data-source="post: 1573395" data-attributes="member: 295621"><p>I agree with [USER=142835]@himtoo[/USER]<img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>I have no experience of using an insulin pump, but I do know that a dual wave bolus is of no use in tackling your daughter's BG spikes. Dual wave bolusing is best utilised with low GI foods/food with a high fat content; or simply when eating over a long period of time. From what you've described, the spikes are happening soon after eating - so a dual wave bolus would likely make the spike larger. </p><p></p><p>All insulin upfront and with a delay between bolusing and eating will give your daughter the best results. As already mentioned, trial and error is a large part of getting the timings perfected - but it is doable.</p><p></p><p>If you haven't got a copy already, Pumping Insulin by John Walsh and Ruth Roberts is very good:</p><p></p><p><a href="http://www.diabetesnet.com/dmall/pumping-insulin" target="_blank">http://www.diabetesnet.com/dmall/pumping-insulin</a></p><p></p><p>Good luck<img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="GrantGam, post: 1573395, member: 295621"] I agree with [USER=142835]@himtoo[/USER]:) I have no experience of using an insulin pump, but I do know that a dual wave bolus is of no use in tackling your daughter's BG spikes. Dual wave bolusing is best utilised with low GI foods/food with a high fat content; or simply when eating over a long period of time. From what you've described, the spikes are happening soon after eating - so a dual wave bolus would likely make the spike larger. All insulin upfront and with a delay between bolusing and eating will give your daughter the best results. As already mentioned, trial and error is a large part of getting the timings perfected - but it is doable. If you haven't got a copy already, Pumping Insulin by John Walsh and Ruth Roberts is very good: [URL]http://www.diabetesnet.com/dmall/pumping-insulin[/URL] Good luck:) [/QUOTE]
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