multiwave bolus

Can I move this to Pumps for you @IceLover ?

Remind us what pump you have.

 

I use multi-wave for dishes like lasagna, spaghetti bolognese (where there's a combination of high-carb/high fat), for rice I just use a normal bolus unless the rice is part of a Chinese meal, for example a chicken curry.

I generally use a 60/40 split but it is trial & error to find which split best works for you, sorry I can't be more specific @IceLover

 

It depends on the food. For pasta I do it over two hours.

 

That depends on the meal, just experiment yourself and once you find the right combination write it down for future reference.

 

I've just recently started pumping and have been experimenting with the duel wave/Combi Bolus for bread. Whether it's white,brown or wholemeal I get rather large spikes about an hour or so after eating. The bread seems to start raising blood sugar after about 30 mins and keeps rising for about an hour. What seems to work for me is a 15 min pre bolus 85/15 split the 15% extended for 30 minutes so far this has curbed the spike to rising only 4 mmol. Hope this continues can't live without my beef sandwiches

 

Mine varies but I always do multi wave, also depends upon pre-meal BG's, if below 5.5 then I reduce the initial dose and increase the longer one.

Breakfast - 50% initial then 50% over 75mins (for sugar free muesli, 55gms).
Lunch - 25% initial then 75% over 75mins (mostly salad, 25gms).
Evening meal - 25% initial then 75% over 75mins (mostly potato based, 50gms).

For pasta, pastry, bread I adjust to suit me but normally 50% followed by 50% with time extended to suit. For an indian curry can be 2 hrs.

 

it was for this reason I stopped eating bread unless I had no choice.

 

Bread to me is the most precious thing in the world, I genuinely don't think I could survive without it It is however, as you've said - a disaster for spikes.

Although the MDI approach is entirely different, I've seen myself take a 45min pre-bolus to stay <7mmol/l for some amazing sandwiches!

@Postleneo, you may manage to reduce your spiking action by increasing the time between your initial bolus and starting your meal.

I rarely have meals where my pre-bolus isn't below 30 minutes.

 

As others have said its trial and error for the dual wave.....

I only need it for pizza....

 

Don't get me wrong - I ate bread for 40yrs until I realised the issues it was causing me, I still have it very occasionally.

 

It just goes to show how we are all different @GrantGam, I eat a sandwich most days for lunch and a 20-25 min pre-bolus is sufficient

 

Is that for pasta/rice or for bread? Also how much pre bolus? Good work hope you cracked it