[Bolus] Diabetes-Related Distress Leads to Higher A1C Scores
    According to a report in Diabetes Medicine , researchers with the University of California San Francisco and other diabetes-focused research and behavioral institutes determined that people with Type 1 diabetes experiencing elevated diabetes-related distress were more likely to be at risk of missing insulin boluses or having worsening glycemic control. For example, a patient in high school would skip boluses during school days; not surprisingly, she struggled with high glucose readings.
  • SARA KNICKS  |  TUESDAY, JUNE 13, 2017
    [Bolus] Split Dose of Insulin for High Fat Meal With Carbohydrates Lowers Inflammation
    A new study shows that an additional bolus of fast-acting insulin can help lower after-meal triglyceride levels and inflammation after a high-fat meal containing carbohydrates in people with type 1 diabetes. Researchers set out to test an extra fast-acting insulin bolus and its effects on triglycerides, inflammation, and pro-coagulation after such a meal in people with type 1 […].
    [Bolus] Reenactment: Teenager Set Change
    Did you bolus for breakfast?” “Yes, I bolused!” I bolused! And I bolused BEFORE I ate.” Maybe you didn’t bolus enough.” Did you bolus for breakfast before or after the set change.” I don’t usually post about teenager stuff, but this post is written with permission by my 13 year old. When you read it, you’ll see why. Saturday morning I was woken up by said 13 year old. He had filled his reservoir and asked if I’d be willing to pop his set in.
    [Bolus] Beta Cells vs. Closed-Loop Pumps – Which is Better?
    In trials, the pumps, which still require individuals to bolus for meals, have been shown to significantly reduce glucose variation and improve A1C scores. Teenagers, who seem more prone than other groups to forget to bolus or test, also saw the greatest improvement in glucose control among the populations tested.
  • SARA KNICKS  |  FRIDAY, JUNE 9, 2017
    [Bolus] An Insider’s Look at Insulin Pump Therapy
    Life with Diabetes Technology Treatments Type 1 Diabetes Type 2 Diabetes A1c AADE basal rate bolus exercise infusion set insulin insulin pump insulin pumps low blood sugarBy Gary Scheiner MS, CDE It’s days like today that make me glad I went on an insulin pump. It’s Saturday, and despite having two little rugrats at home, I was able to sleep until 9:30 (miracles do happen). Today was the day to clean out the basement – something I’ve been promising my wife […].
    [Bolus] Medtronic Launches 670G – First Hybrid, Closed-Loop System
    The pump can automatically adjust basal insulin delivery based on glucose readings, but users will still need to manually bolus with the device. Medtronic announced in a press release that its 670G insulin pump system is officially hitting the U.S. market. The FDA approved the system for people with Type 1 diabetes ages 14 and older in September 2016. sponsor. The 670G is the first hybrid, closed-loop insulin pump system for sale in the U.S.
    [Bolus] A life of "probably"
    I can glance at my phone in the middle of a movie and see if my boys at home remembered to bolus for their dinner. I’ve lived in this world of “probably” for the last 19 years. “He’s He’s probably ok.” “He He can probably get through the day safely.” “He’s He’s probably going to go low.” “He’s He’s probably going to need extra insulin.” That’s probably enough food.” And every single morning when I open my eyes: “He’s probably alive.”
  • SARA KNICKS  |  THURSDAY, MAY 25, 2017
    [Bolus] Bolus and Barbells: A Fitness Event for People With Type 1 Diabetes
    Rodney Miller was one of my very first friends in the diabetic online community. I was less than a year into my diagnosis, I was depressed, angry and clueless about all things diabetes. Rodney gave me advice, reassurement and encouragement that diabetes wasn’t going to deter me from anything in life. He has given me […]. Get Moving Life with Diabetes Type 1 Diabetes diabetes events exercise weight training
    [Bolus] Letting Go. A Bit More
    I've been there with sugar sources, back-up supplies, and a brain that can make split decisions about bolusing, boosting, and adjusting pump settings. Sometimes I feel like this d' mom business is like being drug down a path, not of my choosing - mind you, by my 4th toenail; I claw and scratch and dig at the earth in resistance. I worry. Many times I feel alone with that worry, as it can be belittled by those who don't truly understand the nuances of t1d. Yesterday.
    [Bolus] Medtronic Warns of Stuck MiniMed Pump Buttons
    The pumps are designed to cut off insulin delivery (both bolus and basal) within three minutes of detecting such a problem, but this can cause a siren to go off if the situation isn’t resolved within 10 minutes, and insulin delivery won’t resume until you clear the alarm. Stuck insulin pump button on a plane! sounds like a straight-to-video Samuel L. Jackson thriller, but it’s actually the gist of a safety notice issued by Medtronic for those who use its MiniMed pump systems. sponsor.
    [Bolus] Fiasp Again Goes Before the FDA for Approval
    Novo Nordisk announced March 29th that it had resubmitted Fiasp, billed as a faster-acting bolus insulin than what is on the market, for FDA approval. In press materials, Novo Nordisk highlights the flexibility offered by the faster-absorbing insulin, noting that users can safely bolus up to two minutes before a meal and up to 20 minutes after a meal.
    [Bolus] Shadow Returns To Say: The Cost of Living with My Diabetes
    Yep, that was me, pawing the insulin pump quick bolus button while you slept. So, Day Two. Diabetes Blog Week 2017. Topic? " The Cost of a Chronic Illness." Sure, many are writing and being oh-so-serious. Because, this issue is. oh-so-serious. And downright enraging and maddening and so on and so forth. But there's another side of this question, relating to the cost of living with diabetes. from the POV of " What's the cost YOU FACE when living with someone who has T1D?"
    [Bolus] Exercising with an Insulin Pump
    A small bolus is often required immediately before or after the exercise session ends to turn off glucose production by the liver. People with diabetes are more insulin sensitive after exercising, so you may need a smaller bolus infusion for carbs during dinner and a smaller basal infusion overnight. In some people, the issue with the pump is that is so easy to take bolus insulin, so for some people on the pump it is easier to snack and eat extra,” said Dr. Wolpert. “If
    [Bolus] The Unexpected
    It is unexpected to eat an apple, weigh the apple, bolus insulin for the apple, wait 10 minutes to eat said apple, and not have a perfect blood sugar number. After a Type 1 Diabetes diagnosis. It is unexpected to find that blood sugars numbers are rarely in the place Doctors tell you they should be. It is unexpected to find that one unit of insulin brought blood sugar down 50 points last week, and tonight, for whatever reason, one unit only brings blood sugar down 10 points.
    [Bolus] Don't think about it.
    I send a friendly text to remind him to bolus and then I try to sleep. Did he just forget to bolus for a late night meal? He had a late night Taco Bell and forgot to bolus before he fell asleep. They eat, count carbohydrates, bolus insulin for their food, and leave for school. It’s all I think about, but I try not to think about it. I get numbers updated on my phone for all three boys, every five minutes, 24 hours a day. But, like I said, I try not to think about it.
    [Bolus] Endocrinologist Says She Can’t Compete to Artificial Pancreas
    Read “Why You Still Have to Bolus with the First Artificial Pancreas.” market, can automatically adjust basal insulin delivery to adjust to glucose levels, but still requires the user to bolus. The systems also especially helped another group with surging hormones who may “forget” to bolus, Dr. Sher said.
    [Bolus] Ascending Yosemite’s Half Dome While Balancing My Glucose Levels
    As we trained, I watched my glucose levels constantly on my Dexcom CGM and adjusted my basal and bolus dosages with my Omnipod insulin pump when I was encountering challenging terrain on the training hikes. I didn’t bolus for my breakfast as I knew we would start to climb fast and that would burn off some carbs. I had my insulin pump calculate a bolus, then reduced it a little to compensate for the next part of the hike – the cables.
    [Bolus] The Avalanche
    Maybe we need to remind them to bolus after dinner, even if they roll their eyes. Lately I’ve felt a pull to reach out. I know that the feeling of “me too” is an important one, and I know that the “power of same” can soothe shaken hearts and lift us during our darkest hours. Parents of teenagers with Diabetes, I don’t want you to think you’re alone. I don’t want you to think you’re a failure. I don’t want you to give up. Admittedly, it’s harder than I even thought it would be.
    [Bolus] The Game
    We bolused for the portion of the correction not given, due to the failure. Joe ate; bolused for that too. 5:18 am - no signal on his CGM. I should check him. If he is high, there is plenty of time to correct; a little over 5 hours. I was careful not to wake him. He needs his sleep; especially today. I lifted his ring finger and pressed the lancing device firm to his finger tip, hoping to avoid the need for multiple pokes to get a blood drop. He was 386. Not a great number.
  • TOPIX  |  SUNDAY, FEBRUARY 26, 2017
    [Bolus] Clarifying responsibility for self-management of diabetes in.
    To gain insight into and generate theoretical knowledge about the processes involved when insulin pump-treated adolescents take or miss taking their bolus doses To insert individual citation into a bibliography in a word-processor, select your preferred citation style below and drag-and-drop it into the document.
    [Bolus] 10 Ways to Spot Someone with Type 1
    Sure, it’s easy to spot someone with Type 1 diabetes if you catch them bolusing before a meal. That kind of Type 1 identification is for amateurs! At Insulin Nation, we have developed a unrealistic and impractical unique guide of lesser-known ways to identify people with Type 1 in crowd. You might have found someone with Type 1 if…. 1) You shake hands and can feel fingerprint calluses. 2) They describe a good night’s sleep as more than three hours, uninterrupted. sponsor.
    [Bolus] Is this normal?
    It happens with both my basal and bolus insulin, so that has not helped with the troubleshooting. I had my first endocrinology appointment after my Tresiba switch a few weeks ago. That was the true test of the switch to MDI compared to my insulin pump management. The good news is that my A1c came back at the exact same number as my blood draw from last October (a number within the professional guidelines that I decline to specifically list).
    [Bolus] Medtronic Warns of 640G Pump Software Problem
    This isn’t the first issue with the 640G; in 2015, Medtronic warned 640G users that there were instances when the screen for suggested bolus levels did not refresh properly. sponsor. A software problem has been detected in some Medtronic 640G pumps sold in international markets. However, that problem should not affect Medtronic pump users in the U.S. or Canada, as the 640G has not been released in these two countries.
    [Bolus] 25 Facts to Know on Exercise on Type 1 Diabetes
    You can reduce your bolus insulin dose the meal before you exercise to avoid hypoglycemia during prolonged exercise. To deal with increased insulin sensitivity after exercise, think about reducing your bolus dose by about 50 percent for your first post-exercise meal, and have a low-glycemic snack before bedtime. This past month, researchers from more than a dozen leading diabetes and exercise research teams published guidelines on how to exercise with Type 1 diabetes.
    [Bolus] 25 New Recommendations on Exercise on Type 1 Diabetes
    You can reduce your bolus insulin dose the meal before you exercise to avoid hypoglycemia during prolonged exercise. To deal with increased insulin sensitivity after exercise, think about reducing your bolus dose by about 50 percent for your first post-exercise meal, and have a low-glycemic snack before bedtime. This past month, researchers from more than a dozen leading diabetes and exercise research teams published guidelines on how to exercise with Type 1 diabetes.
  • D-MOM  |  MONDAY, FEBRUARY 6, 2017
    [Bolus] Kids First Diabetes Second Book: Diabetes Summer Camps
    Some goals are checking their own blood sugar, counting carbs, figuring out boluses, giving themselves injections, and changing their own pump or CGM sites. Q has said she wants to learn how to bolus using her pump while at camp this summer. Summary: One of the best ways for children to meet other d-kids is by going to diabetes camp. There are a variety of diabetes summer camps throughout the country, including family camps, day camps, and overnight camps.
  • D-MOM  |  MONDAY, FEBRUARY 6, 2017
    [Bolus] {Kids First Diabetes Second} Diabetes Camp
    Some goals are checking their own blood sugar, counting carbs, figuring out boluses, giving themselves injections, and changing their own pump or CGM sites. Q has said she wants to learn how to bolus using her pump while at camp this summer. You might be wondering why I am talking about summer diabetes camps during the middle of winter. Now is the time that many d-camps begin accepting applications for their summer camps.
    [Bolus] I'm a Checker, but not a Mice Checker.Yo
    checking a blood glucose, ketones, and then bolusing insulin. ve bolused twice over the last three hours." A few days ago. Pre-post note: We are currently besieged by mice. Traps are set in the basement and the main level of our home. The words "GI BUG" scare the BeJeezus outta even the most resilient, calm, cool, and collected of d' rents. Joe currently has one. I was up at 3 am. As Dave woke, I updated him on the night care provided.
    [Bolus] Growin' Up D'
    This approach can be used to teach checking a blood glucose, carb counting, and delivering a bolus of insulin. The thought of him learning to bolus was overwhelming. Just like when you questioned their ability to one day pee and poo on the potty, to feed themselves using a utensil, or to tie a shoelace, a parent of a child with t1d questions the ability of their child to perform the tasks involved in managing t1d, independently. The tasks are one thing.
    [Bolus] Early Detection of Type 1 Diabetes
    I tried so hard to soak in all the 'pre diabetes' moments of no testing, no bolusing, no shots, no concern with counting carbs, as short as it was, I enjoyed it all. That title may SHOCK some of you. You may be unfamiliar that Type 1 has the potential to be detected early. But we've experienced how remarkable the early detection of Type 1 diabetes can be. In fact, if you are reading this, chances are you have a family member who is touched with Type 1.
    [Bolus] My pump break
    When I bolus in the car and don’t end up twisted in the seatbelt. Just about a year ago, the four year warranty on my insulin pump ran out. I wasn’t too worried because the version of the pump that I was wearing had only been FDA approved about two years before, so the pump that I owned could only be that old. One of the best times to wear a waterproof pump with CGM integration is obviously at a water park.
    [Bolus] Choke It Down
    unit bolus was then cranking into his subcutaneous tissue to cover this muffin. If I don't, I can either cancel the bolus and drink a juice. A couple of weeks ago, after a hockey game, Joe bought an apple strudel-y muffin from the rink snack bar. He was going to eat it on our 30 minute trip home. 'My My number is 223.60 grams.I'm m not going to correct, but will cover the muffin.' which he hadn't yet tasted. I chimed in with a 'I sure hope you like it.' 'If
    [Bolus] Can I Celebrate?
    My post meal bg's are the best they have been (I also started using inhaled insulin for boluses) in a long time. This blog was started on this day in 2006. That was 11 years ago! For many of those years I wrote quite often but not recently. So can I celebrate an 11 year old blog when the past few have been sparse? The thing is I have a lot to share since a lot has happened. Stuff that falls into the category of why I started this in the first place.
    [Bolus] Drinking & Type 1: 4 tips for making it through New Year’s Eve
    Whether you take a bolus insulin to cover the extra carbohydrates in drinks really depends on the amount of alcohol you will consume, over what time period, how much you weigh, and what you will be eating. Somewhere between Thanksgiving and New Year’s Day, you might have one too many drinks. Or that one sugary margarita at the holiday office party may turn into three, or you party into the wee hours with old friends.
    [Bolus] Newscast Punches up Drama of Insulin Pump Theft
    In other words, he doesn’t have to go back to shots (one assumes he still boluses); he just would need to go back to shots if he didn’t have his insulin pump. Commentary. Sometimes, local news stations can overdramatize issues surrounding Type 1 diabetes in their coverage. That seems to have been the case with a North Carolina news station that reported on a recent theft of an insulin pump in Durham. sponsor. WTVD ABC-11 News did a series of reports on the theft, and at first glance.
    [Bolus] 2016 Was the Last Best Year for the Artificial Pancreas
    Some of that debate centers on the shortcomings of the system, including that it doesn’t automate bolus insulin injections. There were major advancements in automated insulin delivery this year, and also a large debate over the name for such a system. We will look back at 2016 as the year that the artificial pancreas went from the theoretical to the practical, as the FDA approved at least one artificial pancreas system, at least in air quotes.
  • D-MOM  |  MONDAY, NOVEMBER 21, 2016
    [Bolus] {Kids First, Diabetes Second} Hyperglycemia (High Blood Sugar)
    If a high blood sugar is a single occurrence, it might be chalked up to a missed bolus, incorrect carb counting, or a high-carb or sugary meal. Recently I shared a section of the book about hypoglycemia (low blood sugar). Today I am sharing a bit about high blood sugar. For us, Q has had quite a few growth spurts this past year that have caused some unmanageable high blood sugars, particularly overnight when no amount of insulin seems to bring her back into range.
  • D-MOM  |  FRIDAY, NOVEMBER 11, 2016
    [Bolus] {Diabetes Awareness Month} Thought 11
    “Pre-bolusing, or giving insulin for at least part of the meal up front, can help reduce post prandial blood sugar spikes. The goal is to match the peaks of the insulin and the carbs.” ” Every day during Diabetes Awareness Month , I will share a fact, tip, or thought on Twitter, Facebook , Pinterest , and Instagram. Please remember that I never give medical advice. Ask your endocrinologist or pediatrician for advice about your own child.
    [Bolus] Dual-Hormone ILet Poised to Begin FDA Testing in 2017
    Over several days of continuous use, the system memorizes changes in the the user’s glucose levels and the user’s eating pattern to create a history for calculating appropriate basal and bolus amounts. For the past 14 years, Dr. Ed Damiano, a Boston University engineering professor, has been working on the iLet, a compact artificial pancreas system by Beta Bionics now in its third generation of design after three years of investigational human trials.
    [Bolus] I wanted you to know 6 years ago, and today too.
    I want you to know, when you forget to bolus your child for dinner, and their bedtime number is 508. Today is the sixth anniversary of the words I posted below. Today I want you to know that Diabetes isn’t the same in teenagers as it is in children. It isn’t the same in babies as adults. There are seasons to this disease, and where you are now is just that: a season. The worry will change and it will evolve. I want you to know that hard times don’t last forever.
  • D-MOM  |  MONDAY, OCTOBER 17, 2016
    [Bolus] {Kids First, Diabetes Second} And Then There Are The Parties
    In first grade, the nurse was there more often, so the teachers, nurse, and I decided that birthday snacks would be given right after lunch, and the nurse would estimate the carbs and bolus with her insulin pump. In second grade, we decided that birthday treats would be given at the end of the school day, and I would bolus for them at pick up. When I am at the parties, I can watch how much my daughter eats and give her an appropriate bolus.
    [Bolus] Why You Still Have to Bolus with the First Artificial Pancreas
    For example, users of the pump system will still have to bolus for meals. A chief hurdle toward full automation is that the insulin currently on the market is not fast-absorbing enough for the bolus corrections needed in an automated system. During a webinar held shortly after the FDA announced approval for the Medtronic 670G, JDRF chief mission officer Dr. Aaron Kowalski discussed why he believes the pump system merits the label of an artificial pancreas.
    [Bolus] How did the 670G and the iLet Perform in Trials?
    The 670G is a hybrid system, meaning that patients will still have to count carbs, give meal boluses, and do corrections. Last week, the FDA announced approval of the Medtronic 670G, which is considered by some ( including Insulin Nation’s editor) to be the first pump system worthy of the label of artificial pancreas.
    [Bolus] Why Walmart Insulins Aren’t the Answer to High Insulin Prices
    If you’re hungry for a snack, you must bolus the insulin and then wait an hour. Commentary. Some people don’t understand why people with diabetes get upset at the price of insulin. They see insulin for sale at a relatively reasonable price in Walmart and don’t see the problem.
    [Bolus] Which Don To Respect?
    Remember how I used to occasionally reference the "Don of Rage Bolusing?" a rage bolus , as it were ( hat tip to Kerri ). Well buh-bye, Don of Rage Bolusing. With that, I've hung up my hat (at least temporarily) as the " Don of Rage Bolusing ". You know, that was mostly a term of endearment for my insulin pump. Even though sometimes, I used it to describe myself from time to time.
    [Bolus] The Pros and Cons of Insulin Pump Therapy
    Modern pumps come equipped with a bolus calculator that helps the user determine mealtime doses based on carb intake, blood glucose levels, and the amount of insulin still active from previous boluses. The ability to deliver boluses all at once or over a prolonged period of time can be instrumental in achieving optimal after-meal glucose control. It usually takes a few months to get the basal and bolus doses regulated and to adjust to using the pump correctly.
    [Bolus] Tune-Out.
    I swag bolus more than I carb count. I don’t pre-bolus. This isn’t Diabetes Burnout. At least this isn’t what burnout looks like for me. But there is definitely something going on. And I’ve realized it’s best described as Diabetes Tune-out. When I’m in burnout, things get really sloppy. I dose off my CGM rather than doing finger sticks. I graze and randomly dose. I take CGM breaks. Highs and Lows
    [Bolus] How DKA Happens and What to Do About it
    Missing an occasional meal bolus will not typically cause the body to become totally devoid of insulin, but missed basal insulin injections or repeated missed boluses can have serious consequences. (excerpted from Think Like A Pancreas: A Practical Guide to Managing Diabetes With Insulin by Gary Scheiner MS, CDE, DaCapo Press, 2011). Diabetic Ketoacidosis (DKA) is a condition in which the blood becomes highly acidic as a result of dehydration and excessive ketone (acid) production.
  • D-MOM  |  MONDAY, AUGUST 29, 2016
    [Bolus] {Thoughts on Thursday} August 2016
    My Answer: I think that allowing Q to go to the front of the lunch line helps tremendously because she has time to eat the food she has bolused for without being rushed. Each Thursday I am posing a type 1 diabetes-related question on Facebook. Leave a comment with your answers here and also click through to Facebook to see how others answered. Do you religiously count/weigh/measure to get accurate carb counts or do you tend to SWAG? SWAG = scientific wild ass guess).
  • TOPIX  |  SUNDAY, AUGUST 28, 2016
    [Bolus] Confusion Regarding Duration of Insulin Action: A Potential Source.
    People with diabetes on insulin pumps often use a bolus calculator to obtain insulin dose recommendations To insert individual citation into a bibliography in a word-processor, select your preferred citation style below and drag-and-drop it into the document.
    [Bolus] the 300 club
    Consumed about 1/2 my oatmeal, bolused 2u 7:00am 5.4mmol/l - ate 1 date and bolused my routine Lantus (8u instead of 10) Our first stop for coffee. bolused 1.5u and no I'm not talking about the American blood glucose value. Yesterday, Ryan and I joined the 300km club on our bikes. Hang in for the length of this post, as per usual there are plenty of pics to enjoy and a good story.
    [Bolus] I Was Hooked Up to Bigfoot’s Artificial Pancreas
    It seemed awfully far-fetched, since the only way to monitor blood sugar levels was intravenously, and we still had to bolus 30 minutes before meals. For breakfast that day, an extra 30 percent was added to the bolus. When it came time for dinner, we just ate with no bolus. I was diagnosed with Type 1 diabetes in 1974, and heard about the possibility of an artificial pancreas two decades later. Recently, I got to wear one from Bigfoot Biomedical.
  • D-MOM  |  THURSDAY, JULY 28, 2016
    [Bolus] {Thoughts on Thursday} July 2016
    What’s the food that you can never successfully bolus for that always results in a high or low blood sugar later on? My answer: Q loves going to Panda Express and although they are great about having the nutrition information available and we always bolus for the carbs that she consumes, she’s always crazy high for hours afterwards. At our last check up the endocrinologist suggested we try an extended bolus next time.
    [Bolus] FDA Panel Recommends Expanded Use of CGMs
    If the panel’s recommendations are adopted by the FDA, that would mean that Dexcom G5 users would not need to do a separate fingerstick with a meter to get a blood sugar reading for basal and bolus insulin dosing; they would, however, still need to do daily fingersticks to calibrate the device.
    [Bolus] Anxiety, Courage, Bravery
    Will he bolus for the carbs consumed? Thoughts of Joe low and unconscious splayed out in the middle of our town, after the bike ride or after a miscalculated bolus crept into my mind. This summer, in particular, I am aware of it. Raising a child with t1d takes courage. This post, in no way is meant to take away from those living with t1d. Persons with t1d are perhaps the most strong, brave, and courageous people I know. I live it. I watch it day in and out.
  • BETA BUDDIES  |  MONDAY, JULY 11, 2016
    [Bolus] The Tree
    Stopping to check a blood sugar, to count carbs, to bolus, to do a site change. Yes, the title has nothing to do with the post. I just loved the photo I took of the area where we waited out the low. Over the past 10 years, diabetes, for the most part, has become routine in the day-to-day, the hour-to-hour, the meal-to-meal, the night-to-night. It blends in and really, at times, doesn't seem to be too big of a deal until it stops your child in his tracks.
    [Bolus] Readers Speak About Injecting in Public
    I don’t mind bolusing in public, but I am discreet about it. On Facebook, we asked our readers about whether they are comfortable injecting insulin in public, and whether they noticed a generational divide on this subject. We received a lot of great responses on the subject, many in favor of injecting in public. Here are some of the best*: I’ve never had a problem injecting insulin in public, although I try and be as discreet about it as I can.
    [Bolus] The FDA Describes Efforts to Speed Up Artificial Pancreas Development
    It’s described as a hybrid system because there remains the need for periodic calibration, mealtime bolus dosing, and manual input when exercising. The Diabetes Patient Advocacy Coalition (DPAC) and the FDA paired up to host a webinar on the FDA’s efforts to speed up its premarket regulatory approval process for the artificial pancreas. During the webinar, the FDA also signaled its goal to make the technology suitable for insulin therapy for children with diabetes.
  • TOPIX  |  WEDNESDAY, JUNE 15, 2016
    [Bolus] Diabetes: Faster-acting insulin aspart vs NovoRapid results
    In type 1 patients, findings show that adults treated with faster-acting insulin aspart had significantly reduced HbA1c and improved postprandial glucose control after 2-hours when compared with NovoRapid in a basal-bolus regimen1
    [Bolus] Managing Diabetes Care at Camp
    They are regularly checking blood sugars, ensuring the right dosage/type of insulin is taken, and pump users are bolusing and making dosage adjustments as needed. Photo by Arthur Pollock. Last week we talked about how to choose a camp when your child has diabetes, and this week we will discuss how to help your child manage their diabetes at camp.
    [Bolus] How Technology Influences Diabetes Care
    However, users will still need to take bolus insulin, or fast acting insulin, for meals and during exercise. This study could help demonstrate that using CGM for insulin bolusing is safe and therefore would minimize the number of finger stick measurements per day, easing the burden of managing type 1 diabetes for patients, “said Dr. Toschi.
    [Bolus] Exercising with an Insulin Pump
    A small bolus is often required immediately before or after the exercise session ends to turn off glucose production by the liver. People with diabetes are more insulin sensitive after exercising, so you may need a smaller bolus infusion for carbs during dinner and a smaller basal infusion overnight. In some people, the issue with the pump is that is so easy to take bolus insulin, so for some people on the pump it is easier to snack and eat extra,” said Dr. Wolpert. “If
  • NERDY APRIL  |  FRIDAY, MAY 20, 2016
    [Bolus] Don't Forget to LIVE
    For me it's easy to get caught up in the minutia of Diabetes - test strips, insulin, carbs, insurance, backup supples, needles, pens, CGMs, pumps, A1cs, basal rates, bolus equations, eye appointments, and bloodwork. Today's #DBlogWeek prompt: Let's round out the week by sharing our best diabetes tips and diabetes tricks. From how you organize supplies to how you manage gear on the go/vacation (beach, or skiing, or whatever).
    [Bolus] Insulin Reigns Supreme
    If possible, I try to have Joe avoid a large bolus of insulin within 2 hours of a workout that will last for an hour or longer. D' Blog Week: Day 4: I went with the Wildcard of getting physical. Managing diabetes during exercise can be tricky, so share what works for you or your loved one with diabetes and maybe it can help someone else. What do you do when you want to work out, but your blood sugar is lower or higher than you would want? How do you cope with this?
  • D-MOM  |  MONDAY, MAY 16, 2016
    [Bolus] {Kids First, Diabetes Second} Celebrate Diabetes
    Just remember to bolus for them!) This month’s excerpt from Kids First, Diabetes Second comes from the chapter “Comfort for Kids.” ” Because diabetes is a day in and day out medical condition, it’s great to find ways to make it a little more fun. Celebrate Diabetes. That’s right, I said we should celebrate. When the one-year anniversary of my child’s diagnosis came, I didn’t mark the occasion.
    [Bolus] How to Avoid Overcorrecting for a Low
    That’s important when you’re very low and need to quickly raise your blood sugar levels, especially if you already have insulin in your system from a previous bolus. Integrated Diabetes Services (IDS) provides detailed advice and coaching on diabetes management from certified diabetes educators and dieticians. Insulin Nation hosts a regular Q&A column from IDS that answers questions submitted from the Type 1 diabetes community. Q – How do I treat a low without over-correcting for it?
    [Bolus] Hey UHC, Here are 16 Reasons Pumps Aren’t a Commodity
    Bolus maximum – Some of those who require large doses at mealtimes will also need a pump that can deliver the full dose without having to bolus twice. Bolus Maximum” allowances vary from pump to pump. Rate of delivery – For those taking large doses at meals, too-rapid bolus delivery can result in discomfort or leakage of insulin at the infusion site. The rate of delivery for normal boluses varies from pump to pump.
    [Bolus] Why I'm Not (Yet) Supporting #MyPumpChoice
    While this particular difference no longer exists, it did back in the early 2000's, and we might see potential new innovations, such as smarter bolusing technology, etc. This week, there was a bit of a brew-ha-ha over the joint announcement [see HERE for the news] from United Healthcare (the largest for-profit healthcare insurer in the U.S.)
    [Bolus] Dexcom Vacation
    A quick recap of a T1D pregnancy for anyone who doesn't know: test blood sugar, test blood sugar, freak out about blood sugar on Continuous Glucose Monitor (Dexcom), eat, bolus like crazy, test blood sugar, test blood sugar, freak out, test blood sugar, breathe in, test blood sugar, breathe out, test blood sugar.
    [Bolus] 9 Things We Learned About Afrezza’s Future
    It was supposed to be a great marriage of a new product and deep pockets. In 2014, the pharmaceutical giant Sanofi agreed to market Afrezza, an inhalable insulin created by Mannkind Corporation. It didn’t work out that way. In the beginning of 2016, the two companies parted ways after a disappointing rollout and terrible Afrezza sales. Following the demise of the Sanofi-Mannkind agreement, speculation swirled about MannKind’s commercial future and Sanofi’s motivations.
    [Bolus] The Solo Sleepover
    Yes, he is independent, but it is reassuring to have a some sorta supervision over all the blood sugar checking, carb counting, bolusing, and equipment management; not-to-mention the whole sleeping thing. And, there are times I write about the day-in-the-life to let you know you are not alone. And, we did it! We made it through some new situation alive, some-what happy, and with some sorta glucose stability. Words like "trampoline park" and uh.
    [Bolus] A Free Meal
    I had pre-bolused for the 120 gram meal of 3 chocolate chip pancakes and a full cup of OJ. It's one, of many, difficult concepts to explain to those who do not intimately know t1d; the tasks that accompany the simple act of eating. Typically, a blood glucose level should be obtained. The number, if high, should be corrected with insulin. The number, if low, should be treated with fast acting carbs. The food that will be consumed should be counted for grams of carbohydrate.
    [Bolus] How to Plan for Travel with Kids With Diabetes
    Likewise, if you’re pumping and you’re going to spend a lot of time in the water, you might want to consider using injected long acting insulin for your basal insulin and only hooking up to the pump for boluses.” This article originally appeared on February 3, 2014. Traveling with children always requires a great deal of planning and there are usually a few bumps along the way.
    [Bolus] Lifting Helped My A1C
    This year, I decided to put together a live event called “Bolus and Barbells” on June 11, 2016 in Austin, Texas. I was diagnosed with Type 1 diabetes at the age of four when I registered an astounding blood sugar reading of 880 mg/dl. I spent 2 weeks in a coma after that, and I don’t remember anything from that hospital stay. After those two weeks, my family and I were packed up and sent home with a dietary chart and a blood glucose meter.
    [Bolus] My Novo Nordisk Summit Overview
    She used it for months, keeping her pump on only for bolusing. Multimillion-dollar companies don’t need to reach out to patients and caregivers, so I was happy to receive an invitation from Novo Nordisk to attend an advocate summit with the less than happy title, “The Future of Diabetes.” I’m not exactly sure why the title seemed uncomfortable to me. My guess is I don’t want Diabetes to have a future.
    [Bolus] Tired
    There is always someone bolusing. I wrote this post on the airplane while traveling to an Advocate Forum given by Novo Nordisk. On Monday I will post my thoughts about our meeting. Until then, I'll just leave my emotions here. With prompting from a friend, I left it raw and unedited. For the past 18 years my life has been submersed in the familial relationship of Mom and Type 1. My tolerance for the disease ebbs and flows like everything else in life.
    [Bolus] Bigfoot’s Artificial Pancreas Could Hit the Market by 2018
    At meals, you’ll tell it how many grams of carbohydrate you’re eating to allow the system to deliver your bolus dose of insulin. There are several companies and groups of researchers racing to bring an artificial pancreas to market, be it one that automates insulin delivery or one that does this and provides glucagon, as well. One of the more intriguing entrants into this race is Bigfoot Biomedical, which grew out of a DIY artificial pancreas project created by co-founder Bryan Mazlish.
    [Bolus] pre-bolusing and carb allowance
    Lately, I've really come to value the pre-bolus. If I don't pre-bolus and eat all willy-nilly I suffer. I hate the pre-bolus with a passion. Carbs. Diabetic Kryptonite. Carbs are how we make or break our hour to hour lives with diabetes. It's what diabetes is all about. There are debates about how fat and protein affect blood sugar. Some people take insulin for something that has no carbs and some people do not.
    [Bolus] Nighttime Fitbit Blowup
    He needed a little bolus chaser, and I was satisfied he’d be good for the night. I rolled over, positioning my knee up for satisfying comfortability. My eyes were heavy, stinging with tiredness, as my body sank blissfully into the mattress signaling its readiness for sleep. Then began the nightly random thoughts dancing through my mind. That night produced a list similar to: Did we take the puppy out to do his business? Do I have enough milk for the morning?
  • THE D-LOG CABIN  |  MONDAY, MARCH 28, 2016
    [Bolus] Hello April
    And then have to bolus it down. to where I couldn't bolus for anything I ate) This was with the lowest dose,once a day. It's hard to believe that it's the end of March and April will be here by the end of the week. I'm busy (isn't everyone?), but it's Spring Break,so I'm feeling a little less stress. I am deep into the second semester of new nursing school,& that means OBGYN/Medical Surgical 1.
    [Bolus] 8 Knock Knock Jokes About Type 1 Diabetes
    Did you bolus? April Fools’ Day is upon us once again. In celebration, the Insulin Nation staff has come up with a few corny knock knock jokes with a Type 1 diabetes theme. Do you have any to add to this list? Knock knock. Who’s there? The Bee Gees. The Bee Gees who? The BG’s a little high. Knock knock. Who’s there? High who? Knock knock. Who’s there? Low who? Knock knock. Who’s there? A malfunctioning meter. Please test again. Knock knock. Who’s there? A cure for diabetes.
  • D-MOM  |  MONDAY, MARCH 14, 2016
    [Bolus] {Kids First, Diabetes Second} Advantages and Disadvantages of the Insulin Pump
    The pump can measure insulin more accurately than you can using syringes or pen needles, giving boluses in dosages as small as 0.05 units, which is an advantage for little ones who require very small boluses. Most insulins work best when a bolus is given before the meal so that the peak of the insulin and the peak of the carbs are closely timed. With just the push of a few buttons we can give her additional boluses if more carbs are consumed.
    [Bolus] Bolus.
    I’m really good at multi-tasking. However, I’m not so good at functioning in a pre-caffeinated state. Which explains why I ran into a bit of trouble while trying to simultaneously brew the coffee and feed the cat on a recent morning. I suddenly needed a third hand, but luckily my husband was standing in the kitchen with me. Hold this?” My request was met with a blank stare. HOLD THIS. Just being silly
    [Bolus] Ain’t No Mountain High Enough: Managing Diabetes in High Altitudes (Part I)
    It’s very important to cut down mealtime (bolus) insulin by 20-50% and reduce long acting insulin by 10-20% for activities that last several days. Zack McCune snowboarding in Jackson Hole, Wyoming. Most people think of the beach when they think vacation. But there are many people, especially in the winter, that flock to the mountains for skiing, hiking or just to take in the views. For people managing diabetes, mountains present a unique set of challenges.
    [Bolus] Medtronic to Build Pump Factory for Chinese Market
    In 2015, the FDA warned that there was a flaw detected in the 640G system that caused the device to not refresh bolus readings properly. Pump-maker Medtronic recently announced it will be expanding its insulin pump operations in China. According to a Fierce Medical Devices report, Medtronic plans to build a manufacturing plant in Chengdu that will create next-generation versions of the insulin pumps and sensors the company currently offers in China.
    [Bolus] Medtronic to Build Pump Factory for Chinese Market
    In 2015, the FDA warned that there was a flaw detected in the 640G system that caused the device to not refresh bolus readings properly. Pump-maker Medtronic recently announced it will be expanding its insulin pump operations in China. According to a Fierce Medical Devices report, Medtronic plans to build a manufacturing plant in Chengdu that will create next-generation versions of the insulin pumps and sensors the company currently offers in China.
    [Bolus] Medtronic to Build Pump Factory for Chinese Market
    In 2015, the FDA warned that there was a flaw detected in the 640G system that caused the device to not refresh bolus readings properly. Pump-maker Medtronic recently announced it will be expanding its insulin pump operations in China. According to a Fierce Medical Devices report, Medtronic plans to build a manufacturing plant in Chengdu that will create next-generation versions of the insulin pumps and sensors the company currently offers in China.
    [Bolus] Mountains + Valleys + Mittelgebirge of Diabetes
    Pre-bolus, with 40% now and 60% stretched out over three hours. A new day begins. All is smooth, as I coast along the waters and taking in as much of my surroundings as possible as I go about my daily business. My waters get rocky and I make a dash to the coastline, journeying onto land and venturing toward a spot that's somewhere between a short hill and high mountain.
    [Bolus] Stuff a Hipster with Type 1 Might Say
    I keep a small supply of insulin in the fridge of a Starbucks I frequent so I can take a shot of it to bolus for my PSL. From composting to toast, the ubiquitous hipster is always trying to jazz up aspects of daily life, discover what’s cool before it becomes cool, and look nonchalant while doing it. That got us thinking of what a hipster with Type 1 might sound like. Here are 5 things we think a hipster with Type 1 might say about his or her condition: 1. “I
    [Bolus] Sled Dread
    I asked him if he'd bolused insulin recently. He had bolused for a snack 10 minutes prior. Driving away my thoughts were many: 1) a low Joe slumped and crumpled on a cold, icy snow bank at the bottom of the sled hill, 2) a lost Woodchuck (the diabetes bag that houses sugar and Joe's pump) in the dark woods, 3) guilt over our current typical mother-teen power struggles, and 4) fear of something happening to him, like an untimely death, and our last conversation was me nagging him.
  • TOPIX  |  SUNDAY, JANUARY 3, 2016
    [Bolus] Insulin pumps: Beyond basal-bolus.
    Insulin pumps are a major advance in diabetes management, making insulin dosing easier and more accurate and providing great flexibility, safety, and efficacy for people who need basal-bolus insulin therapy To insert individual citation into a bibliography in a word-processor, select your preferred citation style below and drag-and-drop it into the document.
    [Bolus] Another Type 1 Holiday Tune
    Here’s how he did it: “Here Comes Vichyssoise” (sung to the tune of “Here Comes Santa Claus”) Here comes vichyssoise* Here comes vichyssoise Cream and taters again Should I bolus so I can eat it Or instead abstain? Earlier this month, we gave the song “White Christmas” a Type 1 diabetes makeover, with new lyrics dreaming of a new endocrinologist. When we posted that bit of holiday fluff, we challenged the Type 1 community to come up with their own diabetes-themed holiday songs.
    [Bolus] Pump Chucking
    We will put in a pump right when we get home and bolus then." He bolused. As I picked up the pizza-grease-laden pump ( yes, as in insulin pump ), I outwardly sighed and firmly stated "we are having a 'family moment' here". I may or may not have said something about "losing my $*%#" at some point during this story. I was driving. I was driving like highway speed. I missed the lobbing of the pump, but I had a feeling it was coming. Joe was frustrated.
    [Bolus] The Dos and Don’ts of Supporting Someone with Diabetes
    You excuse yourself to bolus and someone spots a needle. This story was originally posted on April 13, 2015. Living with diabetes can be hard. Really hard. The constant blood monitoring, thinking about every morsel of food you put in your mouth, trying to avoid scary, life threatening complications. The stress can be exhausting.
    [Bolus] 11 of my 'betes lifestyle HACKS!
    Like 16+mmol/l (280mg/dl+) high I will take a rage bolus of about 4 units. These are my diabetes hacks. Or if you prefer, the tricks to how I "get by" with my treatments. Sharpie Marker. This one I recently wrote a post about. It's how I "remember" that I've taken my Lantus (or not taken it yet) without relying on a stupid smart phone app. It may seem archaic and simplistic, that's because it is! Listerine strips container. This one is an oldy, but a goody.
    [Bolus] Not So Easy
    If Joe doesn't do his diabetes jobs, checking blood sugars and bolusing, there is a consequence. Henry - black/Oscar - salt and pepper He didn’t bolus for an after dinner snack. The bolusing is where we are struggling a bit. Why don’t you bolus Joe?” Diabetes care is non-negotiable. Joe knows it. It is the loss of his phone for the following 24 hours. Some people think this is harsh; like he is being punished for having a disease.
    [Bolus] The Smiley Face Did The Trick
    Have you bolused?” “Did Did you bolus?” “Joe, Joe, bolus.” “Did Joe finds it annoying. The questions. The questions of a head pancreas, who is supervising a pancreas in training. It was much easier when I did all of the diabetes care. Did you check?” “Did Did you wash your hands?” What is your number?” What was your number?” “Joe, Joe, check your number?” What is Dexter saying?” What was Dexter saying?” Did you eat sugar?” “Eat Eat sugar.” “Do Do you have your supplies?” “Don’t
  • D-MOM  |  MONDAY, NOVEMBER 16, 2015
    [Bolus] {Kids First, Diabetes Second} Diabetes Burnout
    Sometimes burnout is not as blatant, and comes in the form of kids “forgetting” to check their blood sugar, or “forgetting” to bolus for a meal, which makes it harder to recognize. Another sign might be doing all their checks and bolusing behind closed doors. November is Diabetes Awareness Month and you might be saying “Yeah, but diabetes is every single day.” ” When Diabetes Awareness Month is over, our child’s diabetes continues.
    [Bolus] Changing
    How's the carbohydrate counting, the blood sugar checking, and the bolusing going?' 'I'm don't want to recommend changes to your settings if you are missing boluses or if your carb counting is off.' Joe responded, admitting he forgets to bolus for afternoon snacks. The intake questions were directed to Joe. Do you use Apidra in your pump?' 'Yes' Yes' 'Are you on any other medications?' 'No' No' 'Have you been to the hospital for diabetes since your last appointment?' 'Yes'
    [Bolus] A Rendevous With the Artificial Pancreas
    I had to eat breakfast between 8-9 am (protocol), so I wandered out to the dining room to check a blood sugar, guess the amount of carbs in the breakfast, and bolus through the AP. Checked a blood sugar, decided to eat a snack bar/drink water/and not bolus. I confirmed with the MD that I wasn't bolusing for the snack I was going to eat. Last weekend, my dreams came true. Well, kind of.It
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