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<blockquote data-quote="Spiker" data-source="post: 811243" data-attributes="member: 102150"><p>Like all right thinking people I arrange to have my hypos outside the local branch of Thorntons. So, a small bag of special toffee later, the brain is coming back on line. (Who said "overtreating"? Quiet at the back!) </p><p></p><p>So, thinking this through, the IOB calculator isn't just making an assumption about how much insulin is "on board" and active in your blood stream. It's also, or rather the bolus wizard is also, making an assumption about how quickly your BG should rise and fall under the influence of a bolus dose. I suspect something about the Slim and Save packets is outside of the normal band. Probably a more rapid rise than normal. So if I test at +2 hrs the reading is higher than the bolus wizard would expect, and so it advises a further correction dose despite the IOB. The alternative explanation is that the Slim and Save stuff is delaying insulin absorption, but that sounds crazy, particularly as they are quite low fat.</p></blockquote><p></p>
[QUOTE="Spiker, post: 811243, member: 102150"] Like all right thinking people I arrange to have my hypos outside the local branch of Thorntons. So, a small bag of special toffee later, the brain is coming back on line. (Who said "overtreating"? Quiet at the back!) So, thinking this through, the IOB calculator isn't just making an assumption about how much insulin is "on board" and active in your blood stream. It's also, or rather the bolus wizard is also, making an assumption about how quickly your BG should rise and fall under the influence of a bolus dose. I suspect something about the Slim and Save packets is outside of the normal band. Probably a more rapid rise than normal. So if I test at +2 hrs the reading is higher than the bolus wizard would expect, and so it advises a further correction dose despite the IOB. The alternative explanation is that the Slim and Save stuff is delaying insulin absorption, but that sounds crazy, particularly as they are quite low fat. [/QUOTE]
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