1. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  2. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2022 »
    Dismiss Notice
  3. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

multiwave bolus

Discussion in 'Insulin Pump Forum' started by IceLover, Apr 16, 2017.

  1. IceLover

    IceLover Type 1 · Well-Known Member

    Messages:
    125
    Likes Received:
    59
    Trophy Points:
    68
    how do you do a multiwave bolus for pasta and rice? do you put the higher percentage first or the lower percentage first? Also is it really needed for rice and is it only used for pasta?
     
  2. azure

    azure Type 1 · Expert

    Messages:
    9,780
    Likes Received:
    7,401
    Trophy Points:
    178
    Can I move this to Pumps for you @IceLover ?

    Remind us what pump you have.
     
  3. IceLover

    IceLover Type 1 · Well-Known Member

    Messages:
    125
    Likes Received:
    59
    Trophy Points:
    68
    yes please and cellnovo
     
  4. noblehead

    noblehead Type 1 · Guru
    Retired Moderator

    Messages:
    23,618
    Likes Received:
    19,625
    Trophy Points:
    278
    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
     
    • Like Like x 2
  5. IceLover

    IceLover Type 1 · Well-Known Member

    Messages:
    125
    Likes Received:
    59
    Trophy Points:
    68
    over how long would you do the 60/40?
     
  6. azure

    azure Type 1 · Expert

    Messages:
    9,780
    Likes Received:
    7,401
    Trophy Points:
    178
    It depends on the food. For pasta I do it over two hours.
     
  7. noblehead

    noblehead Type 1 · Guru
    Retired Moderator

    Messages:
    23,618
    Likes Received:
    19,625
    Trophy Points:
    278
    That depends on the meal, just experiment yourself and once you find the right combination write it down for future reference.
     
    • Like Like x 1
    • Agree Agree x 1
  8. Postleneo

    Postleneo Type 1 · Well-Known Member

    Messages:
    292
    Likes Received:
    205
    Trophy Points:
    83
    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:)
     
  9. Chas C

    Chas C Type 1 · Well-Known Member

    Messages:
    947
    Likes Received:
    496
    Trophy Points:
    123
    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.
     
  10. Chas C

    Chas C Type 1 · Well-Known Member

    Messages:
    947
    Likes Received:
    496
    Trophy Points:
    123
    :) it was for this reason I stopped eating bread unless I had no choice.
     
  11. GrantGam

    GrantGam Type 1 · Well-Known Member

    Messages:
    2,604
    Likes Received:
    1,579
    Trophy Points:
    178
    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.
     
    • Informative Informative x 1
  12. novorapidboi26

    novorapidboi26 Type 1 · Well-Known Member

    Messages:
    2,833
    Likes Received:
    1,860
    Trophy Points:
    178
    As others have said its trial and error for the dual wave.....

    I only need it for pizza....
     
  13. Chas C

    Chas C Type 1 · Well-Known Member

    Messages:
    947
    Likes Received:
    496
    Trophy Points:
    123
    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.
     
  14. noblehead

    noblehead Type 1 · Guru
    Retired Moderator

    Messages:
    23,618
    Likes Received:
    19,625
    Trophy Points:
    278
    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 :)
     
    • Agree Agree x 1
  15. IceLover

    IceLover Type 1 · Well-Known Member

    Messages:
    125
    Likes Received:
    59
    Trophy Points:
    68
    guys i believe i found it!!! 65/35 over 1:30mins
     
    • Winner Winner x 1
  16. Postleneo

    Postleneo Type 1 · Well-Known Member

    Messages:
    292
    Likes Received:
    205
    Trophy Points:
    83
    Is that for pasta/rice or for bread? Also how much pre bolus? Good work hope you cracked it
     
  17. IceLover

    IceLover Type 1 · Well-Known Member

    Messages:
    125
    Likes Received:
    59
    Trophy Points:
    68
    Thank youu and for pasta with 20 min pre bolus!
     
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook