Bolus Insulin

[Mark Rawlinson]

After another review with the DN she said very possibly next week I could ne going on a Bolus 10 minutes before I eat. Does this mean main meals as I only have one full meal a day ? Also I am currently on Toujeo at now 40 units and 1 metformin a day, Will the Bolus pen I use fit the same needles or is this yet another box I have to have lying around ? I do BG measuring so I presume more testing ?
so many things going through my mind I didnt ask the nurse

 

[grantg]

there is a brightside at multiple injections per day it might allow for CGM (less fingerpricks needed) worth asking that.
the one meal a day, have you worked out roughly the amount of carbs that is and let the DN know? 10 units. whats your current pre meal bloods and 2 hours after? it might be worth considering eating smaller dinner and having breakfast or something rather than a larger meal (if insulin based on larger meal and eating smaller that would likely need adjusted).

regards needles, the auto sheild duo ones i used are universal, my mums needles not safety ones fit both her pens. so would presume same

anyhow nice guidelines: https://www.nice.org.uk/guidance/qs...itor-using-capillary-blood-glucose-monitoring will be useful if wishing to go down cgm route (some dont like the idea... i personally love using it). CGM could let u see what different foods have with impact on your glucose levels showing some foods to potentially avoid at same token show foods which your body tolerates a lot better alongside showing the spikes from meals. Personally i would ask about switching to possible carb counting. as if you eat eg 30g carbs one night for meal, then say another day its 80g carbs insulin requirements can be totally different.

 

[Mark Rawlinson]

there is a brightside at multiple injections per day it might allow for CGM (less fingerpricks needed) worth asking that.
the one meal a day, have you worked out roughly the amount of carbs that is and let the DN know? 10 units. whats your current pre meal bloods and 2 hours after? it might be worth considering eating smaller dinner and having breakfast or something rather than a larger meal (if insulin based on larger meal and eating smaller that would likely need adjusted).

regards needles, the auto sheild duo ones i used are universal, my mums needles not safety ones fit both her pens. so would presume same

anyhow nice guidelines: https://www.nice.org.uk/guidance/qs...itor-using-capillary-blood-glucose-monitoring will be useful if wishing to go down cgm route (some dont like the idea... i personally love using it). CGM could let u see what different foods have with impact on your glucose levels showing some foods to potentially avoid at same token show foods which your body tolerates a lot better alongside showing the spikes from meals. Personally i would ask about switching to possible carb counting. as if you eat eg 30g carbs one night for meal, then say another day its 80g carbs insulin requirements can be totally different.

there is a brightside at multiple injections per day it might allow for CGM (less fingerpricks needed) worth asking that.
the one meal a day, have you worked out roughly the amount of carbs that is and let the DN know? 10 units. whats your current pre meal bloods and 2 hours after? it might be worth considering eating smaller dinner and having breakfast or something rather than a larger meal (if insulin based on larger meal and eating smaller that would likely need adjusted).

regards needles, the auto sheild duo ones i used are universal, my mums needles not safety ones fit both her pens. so would presume same

anyhow nice guidelines: https://www.nice.org.uk/guidance/qs...itor-using-capillary-blood-glucose-monitoring will be useful if wishing to go down cgm route (some dont like the idea... i personally love using it). CGM could let u see what different foods have with impact on your glucose levels showing some foods to potentially avoid at same token show foods which your body tolerates a lot better alongside showing the spikes from meals. Personally i would ask about switching to possible carb counting. as if you eat eg 30g carbs one night for meal, then say another day its 80g carbs insulin requirements can be totally different.

Thank you for that re CGN my phone is a Nokia 110 it doent have internet connections ( I dont want or need it) so unless there is another way of reading one I won't get any value. I have not yey started to take BG reading before a meal but 2 hours after my main meal is higher than that other readings
Been on Basal for 2 months from 10 to 40 units (Toujio) so will see how it goes (if I do go on a bolus it seems very likely though)

 

[grantg]

Thank you for that re CGN my phone is a Nokia 110 it doent have internet connections ( I dont want or need it) so unless there is another way of reading one I won't get any value. I have not yey started to take BG reading before a meal but 2 hours after my main meal is higher than that other readings
Been on Basal for 2 months from 10 to 40 units (Toujio) so will see how it goes (if I do go on a bolus it seems very likely though)

theres a reader which can also be prescribed which negates the need of using a smart phone with internet connection
heres some info on that https://www.freestyle.abbott/pk-en/product/freestyle-libre-reader.html you also are in control of whom has access to any data. although would advise allow dsn/consulatant to be able to download data at any in person appointments which can aid a lot in treatment plans. regards the insulin doses in general they generally start pretty conservatively to help prevent any potential hypo's. best wishes.

ps its worth writing down any questions you have for the DN/consulatant see and take that with you, marking off each point as discussed (and possibly a good idea to write down notes) see if can check off the list. bullet point format i've found easier. eg "insulin and exercise" as exercising can have the effect of reducing insulin requirements.

 

[Mark Rawlinson]

theres a reader which can also be prescribed which negates the need of using a smart phone with internet connection
heres some info on that https://www.freestyle.abbott/pk-en/product/freestyle-libre-reader.html you also are in control of whom has access to any data. although would advise allow dsn/consulatant to be able to download data at any in person appointments which can aid a lot in treatment plans. regards the insulin doses in general they generally start pretty conservatively to help prevent any potential hypo's. best wishes.

ps its worth writing down any questions you have for the DN/consulatant see and take that with you, marking off each point as discussed (and possibly a good idea to write down notes) see if can check off the list. bullet point format i've found easier. eg "insulin and exercise" as exercising can have the effect of reducing insulin requirements.

Thank you