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Type 1 Diabetes
Type 1s: Bernstein for T1
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<blockquote data-quote="tim2000s" data-source="post: 1245706" data-attributes="member: 30007"><p>I guess the key point about the pump is that it all runs off the faster acting insulin, but what you get are different ways of bolusing, so there's a couple of types:</p><ol> <li data-xf-list-type="ol">"copy the injection of Novorapid" or Standard Bolus</li> <li data-xf-list-type="ol">"copy the action of Actrapid/regular" or Extended/"Square Wave" bolus where the fast acting is administered over a longer period of time</li> <li data-xf-list-type="ol">"copy the action of the human body and have first and second phase insulin" or "dual wave"/combo/"multi-wave" bolus which administers a combination of the standard bolus and extended bolus. </li> </ol><p>By having these different types of bolus, you have the ability to mimic all of the types of insulin that Bernstein uses individually and more importantly can tailor each of the actions to you and the food individually. It's a bit trial and error at first, but it gives you a huge amount of range in how you administer insulin. </p><p></p><p>And of course something like 85% of pump users never use 2 & 3 as they don't understand what they do or how to make them work effectively. </p><p></p><p>Rather like the ability to increase and decrease basal rate. On an injection you take it once per day and it works the same all day. With the pump, you adjust it to match the profile of your liver pumping out glucose, but then, when you go to the gym, you can drop the rate for a few hours overnight, for example, as your muscles are sucking up glucose and your standard basal injection might cause nocturnal hypos. Likewise, if you are having a sedentary day, or a stressful three hours and your cortisol is causing higher blood glucose levels, you can temporarily up your background to counter your liver action. </p><p></p><p>So yes, it's just a drip feed and bolus, but it's infinitely more flexible in both basal and bolusing operations!</p></blockquote><p></p>
[QUOTE="tim2000s, post: 1245706, member: 30007"] I guess the key point about the pump is that it all runs off the faster acting insulin, but what you get are different ways of bolusing, so there's a couple of types: [LIST=1] [*]"copy the injection of Novorapid" or Standard Bolus [*]"copy the action of Actrapid/regular" or Extended/"Square Wave" bolus where the fast acting is administered over a longer period of time [*]"copy the action of the human body and have first and second phase insulin" or "dual wave"/combo/"multi-wave" bolus which administers a combination of the standard bolus and extended bolus. [/LIST] By having these different types of bolus, you have the ability to mimic all of the types of insulin that Bernstein uses individually and more importantly can tailor each of the actions to you and the food individually. It's a bit trial and error at first, but it gives you a huge amount of range in how you administer insulin. And of course something like 85% of pump users never use 2 & 3 as they don't understand what they do or how to make them work effectively. Rather like the ability to increase and decrease basal rate. On an injection you take it once per day and it works the same all day. With the pump, you adjust it to match the profile of your liver pumping out glucose, but then, when you go to the gym, you can drop the rate for a few hours overnight, for example, as your muscles are sucking up glucose and your standard basal injection might cause nocturnal hypos. Likewise, if you are having a sedentary day, or a stressful three hours and your cortisol is causing higher blood glucose levels, you can temporarily up your background to counter your liver action. So yes, it's just a drip feed and bolus, but it's infinitely more flexible in both basal and bolusing operations! [/QUOTE]
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