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Bolus advice meters - target range

snowleopard

snowleopard

Well-Known Member
Messages
63
Type of diabetes
Type 1
When I got an Accuchek Aviva Expert meter, my DSN set it up for me. She entered a target range of 6-10. I queried that as 4-7 seems to be the accepted advice but she said if it was set lower I'd have too many hypos. As a result my levels tend to average around 8. I've now tweaked it down to 5.5-9 and so far haven't had a problem.

Anyone else using a meter of that type and what is your target range?
 
snowleopard said:
. I've now tweaked it down to 5.5-9 and so far haven't had a problem.
Click to expand...

That's good then, you should mention that you've had no issues with the lower targets next time you see your DSN :)
 
I got the same meter when I did a carb counting course in the summer. The instructor set the meters up with a range of 4 to 6 for most people, but as I do a lot of driving mine was set to 5 to 7. I was told the meter will aim to bring your glucose level to the middle of the range and that's exactly where my hba1c is... I don't generally have an issue with hypos when I follow the meters advice so perhaps it might be worth slowly reducing the upper limit and seeing how it goes?
 
We've set the target on my daughters to 4-5.5 mmol, but we also have a cgm, so correct whenever we feel we need to anyway.
 
I have one of these as a spare meter in case my pump handset fails (it's essentially the same meter as my pump). I think it's amazing.

Funnily enough I was tweaking my bolus ratios just yesterday - my lunchtime to early evening timeslots just haven't been quite right - will see how I go today!

:)
 
My son was given the same metre 3 weeks ago I think its brilliant the only down fall is he was on 1 for 8 but then they put 1 for 9 and he seems high on and off through the days now,I thought he was doing great but they said there was a few hypos they wasn't happy with :/ looks like another phone call to the hospital is due
 
krazyk said:
My son was given the same metre 3 weeks ago I think its brilliant the only down fall is he was on 1 for 8 but then they put 1 for 9 and he seems high on and off through the days now,I thought he was doing great but they said there was a few hypos they wasn't happy with :/ looks like another phone call to the hospital is due
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Hi @krazyk, just a little tip from using that meter, you can enter 2U for 17g as your ratio which will get you half way between the two values. I had to set mine like that to get proper control, I think once you are using 1U for less that 20g, it works better that way as the steps get too large (1U for 8g vs 1U for 9g is a reduction of 12.5%)
 
krazyk said:
My son was given the same metre 3 weeks ago I think its brilliant the only down fall is he was on 1 for 8 but then they put 1 for 9 and he seems high on and off through the days now,I thought he was doing great but they said there was a few hypos they wasn't happy with :/ looks like another phone call to the hospital is due
Click to expand...
Are you setting different ratios for different times of day? I find I need a much smaller bolus in the morning after taking my morning basal. My ratios are 1:16 at breakfast, 1:12 at lunch and 1:9 in the evening. Whatever the promotional literature may say, the effective level of a basal dose is not the same throughout the 24 hours.
 
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