• OUR DIABETIC LIFE  |  TUESDAY, MARCH 14, 2017
    [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. I don’t want you to think you’re a failure. They know what to do.
  • BETA BUDDIES  |  MONDAY, MARCH 6, 2017
    [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. 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.
  • INSULIN NATION  |  FRIDAY, FEBRUARY 24, 2017
    [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…. sponsor.
  • MOMENTS OF WONDERFUL  |  WEDNESDAY, FEBRUARY 22, 2017
    [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. They don’t itch ( but they sometimes burn until they disappear ).
  • INSULIN NATION  |  MONDAY, FEBRUARY 20, 2017
    [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. Delivery stopped. See User Guide.” sponsor. Subscribe here.
  • INSULIN NATION  |  WEDNESDAY, FEBRUARY 8, 2017
    [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. sponsor. sponsor.
  • INSULIN NATION  |  WEDNESDAY, FEBRUARY 8, 2017
    [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. sponsor. sponsor.
  • 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. Now is the time that many d-camps begin accepting applications for their summer camps. Thanks!
  • BETA BUDDIES  |  MONDAY, FEBRUARY 6, 2017
    [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. Joe currently has one. I was up at 3 am. As Dave woke, I updated him on the night care provided.
  • BETA BUDDIES  |  WEDNESDAY, FEBRUARY 1, 2017
    [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. The tasks are one thing. They are fairly straight forward. First do "this", then "this", and then "this". This is much more difficult and challenging to impart.
  • BRIDGE WRITES  |  TUESDAY, JANUARY 31, 2017
    [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. This program/ study has meant the world to our family. Until it did.
  • MOMENTS OF WONDERFUL  |  TUESDAY, JANUARY 31, 2017
    [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. I hesitated.
  • BETA BUDDIES  |  MONDAY, JANUARY 16, 2017
    [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
  • NINJABETIC  |  FRIDAY, JANUARY 13, 2017
    [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? 340 pounds. All was good.
  • JOSLIN DIABETES CENTER  |  WEDNESDAY, DECEMBER 28, 2016
    [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. Learn How Different Drinks Affect You.
  • INSULIN NATION  |  WEDNESDAY, DECEMBER 21, 2016
    [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. sponsor. In other words, ratings gold! Okay, pause. Not exactly.
  • INSULIN NATION  |  WEDNESDAY, DECEMBER 14, 2016
    [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. Below, we sum up the biggest artificial pancreas-themed stories of the year: sponsor.
  • 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. Hyperglycemia (High Blood Sugar). Learn More. Thanks!
  • 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.
  • INSULIN NATION  |  MONDAY, OCTOBER 31, 2016
    [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. Recently, Dr. Damiano spoke with Insulin Nation via telephone about the progress being made to bring the device to market. sponsor. sponsor.
  • OUR DIABETIC LIFE  |  TUESDAY, OCTOBER 18, 2016
    [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. The worry will change and it will evolve. I promise.
  • 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. When I am at the parties, I can watch how much my daughter eats and give her an appropriate bolus. Learn More. Thanks!
  • INSULIN NATION  |  TUESDAY, OCTOBER 4, 2016
    [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. The 670G should be seen as a step toward full automation. sponsor. Want more Type 1 news?
  • INSULIN NATION  |  MONDAY, OCTOBER 3, 2016
    [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. sponsor. Subscribe here.
  • INSULIN NATION  |  FRIDAY, SEPTEMBER 16, 2016
    [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. These insulins are not interchangeable. 45-carb meal. 2 p.m.
  • THE DIABETIC'S CORNER BOOTH  |  THURSDAY, SEPTEMBER 15, 2016
    [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.
  • INSULIN NATION  |  THURSDAY, SEPTEMBER 8, 2016
    [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. It usually takes a few months to get the basal and bolus doses regulated and to adjust to using the pump correctly. Fewer lows.
  • BITTER SWEET  |  WEDNESDAY, AUGUST 31, 2016
    [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 graze and randomly dose. Highs and Lows
  • INSULIN NATION  |  TUESDAY, AUGUST 30, 2016
    [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).
  • 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. Do you religiously count/weigh/measure to get accurate carb counts or do you tend to SWAG?
  • 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.
  • CANADIAN D-GAL  |  THURSDAY, AUGUST 25, 2016
    [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. Ryan, it was his idea. Blame him. pun intended.
  • INSULIN NATION  |  FRIDAY, AUGUST 19, 2016
    [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. 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? At our last check up the endocrinologist suggested we try an extended bolus next time. Each Thursday I am posing a type 1 diabetes-related question on Facebook. ” on Facebook. and How Low Can You Go?
  • INSULIN NATION  |  FRIDAY, JULY 22, 2016
    [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. Although 14 U.S. Want more Type 1 news?
  • BETA BUDDIES  |  WEDNESDAY, JULY 13, 2016
    [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. I live it. I watch it day in and out. But, sometimes. I have to.
  • 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. 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. even maybe when he was 7 or 8.
  • INSULIN NATION  |  FRIDAY, JUNE 24, 2016
    [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. Ula K. Eliza S. Laura S.
  • INSULIN NATION  |  MONDAY, JUNE 20, 2016
    [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.
  • 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
  • JOSLIN DIABETES CENTER  |  MONDAY, JUNE 6, 2016
    [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. Diabetes Camps. The biggest change is that the increased activity at camp often leads to a decreased insulin dose. stated. Non-Diabetes Camps.
  • JOSLIN DIABETES CENTER  |  WEDNESDAY, JUNE 1, 2016
    [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.
  • JOSLIN DIABETES CENTER  |  MONDAY, MAY 23, 2016
    [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. May is National Exercise Month.
  • 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.
  • BETA BUDDIES  |  THURSDAY, MAY 19, 2016
    [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.
  • 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.
  • INSULIN NATION  |  FRIDAY, MAY 13, 2016
    [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. If you weigh 100-160 lbs.,
  • INSULIN NATION  |  MONDAY, MAY 9, 2016
    [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. The rate of delivery for normal boluses varies from pump to pump. This move has far-reaching implications. Subscribe here.
  • SCOTT'S WEB LOG  |  THURSDAY, MAY 5, 2016
    [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.)
  • NERDY APRIL  |  THURSDAY, MAY 5, 2016
    [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. REPEAT!!!
  • INSULIN NATION  |  TUESDAY, MAY 3, 2016
    [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. In the U.S.,
  • BETA BUDDIES  |  SUNDAY, APRIL 24, 2016
    [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! The trampoline park went well.
  • BETA BUDDIES  |  FRIDAY, APRIL 22, 2016
    [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.
  • JOSLIN DIABETES CENTER  |  WEDNESDAY, APRIL 20, 2016
    [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. Dr. Alyne Ricker, M.D., Will it be by car? By Plane? said Dr. Ricker.
  • INSULIN NATION  |  WEDNESDAY, APRIL 13, 2016
    [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. Subscribe here.
  • OUR DIABETIC LIFE  |  MONDAY, APRIL 11, 2016
    [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.” My guess is I don’t want Diabetes to have a future.
  • OUR DIABETIC LIFE  |  THURSDAY, APRIL 7, 2016
    [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. Other days, I rebel against it. Every minute of every day.
  • INSULIN NATION  |  MONDAY, APRIL 4, 2016
    [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. Subscribe here.
  • CANADIAN D-GAL  |  FRIDAY, APRIL 1, 2016
    [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. Morning BG rise? One thing is for certain, carbs.
  • OUR DIABETIC LIFE  |  TUESDAY, MARCH 29, 2016
    [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.
  • 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'm lucky if I have the essentials.
  • INSULIN NATION  |  MONDAY, MARCH 28, 2016
    [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?
  • 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. With just the push of a few buttons we can give her additional boluses if more carbs are consumed. Learn More. Thanks!
  • BITTER SWEET  |  MONDAY, FEBRUARY 29, 2016
    [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?” HOLD THIS.
  • JOSLIN DIABETES CENTER  |  WEDNESDAY, FEBRUARY 17, 2016
    [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. For people managing diabetes, mountains present a unique set of challenges.
  • INSULIN NATION  |  THURSDAY, JANUARY 21, 2016
    [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. Twenty-five years ago, the number of people with diabetes in China was less than one percent. Treatment
  • INSULIN NATION  |  THURSDAY, JANUARY 21, 2016
    [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. Twenty-five years ago, the number of people with diabetes in China was less than one percent. Treatment
  • INSULIN NATION  |  THURSDAY, JANUARY 21, 2016
    [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. Twenty-five years ago, the number of people with diabetes in China was less than one percent. Devices Pump
  • THE DIABETIC'S CORNER BOOTH  |  FRIDAY, JANUARY 15, 2016
    [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. Not sure, but wherever I am and wherever I'm heading, I am ready. Dinner takes me to China. Correct, correct, climb back up.
  • INSULIN NATION  |  MONDAY, JANUARY 11, 2016
    [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. I wore a CGM before it was FDA approved.”
  • BETA BUDDIES  |  WEDNESDAY, JANUARY 6, 2016
    [Bolus] Sled Dread
    I asked him if he'd bolused insulin recently. He had bolused for a snack 10 minutes prior. Many of the thoughts are typical of most parents I suppose; except for the low part and the Woodchuck part. Yesterday. I dropped off Joe to go sledding with his friends. The drop-off was about 5 minutes away from our home. He's almost 13 now.
  • 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
  • INSULIN NATION  |  TUESDAY, DECEMBER 15, 2015
    [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? One brave soul heeded our call, and found a way to substitute “Santa Claus” with a high-carb holiday favorite. Living
  • BETA BUDDIES  |  SUNDAY, DECEMBER 13, 2015
    [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.
  • JOSLIN DIABETES CENTER  |  WEDNESDAY, DECEMBER 2, 2015
    [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. You wince.
  • CANADIAN D-GAL  |  SUNDAY, NOVEMBER 29, 2015
    [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.
  • BETA BUDDIES  |  WEDNESDAY, NOVEMBER 18, 2015
    [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's not a big deal.
  • BETA BUDDIES  |  MONDAY, NOVEMBER 16, 2015
    [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,
  • 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. It’s even easy for the parent or caregiver to get burned out! Thanks!
  • BETA BUDDIES  |  THURSDAY, NOVEMBER 5, 2015
    [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. I answered. I didn't.
  • THE D-LOG CABIN  |  SATURDAY, OCTOBER 24, 2015
    [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. Last weekend, my dreams came true. Well, kind of.It Fed two more glucose tabs.
  • D-MOM  |  MONDAY, OCTOBER 19, 2015
    [Bolus] Being Prepared For A Broken Pump
    You can double check that against what the pump suggests for the bolus. Please remember that I never give medical advice. Ask your endocrinologist or pediatrician for advice about your own child. Make your own informed decisions for your own child. A few months ago I shared with you our preparedness kit. Pumps break. They just do.
  • INSULIN NATION  |  FRIDAY, OCTOBER 16, 2015
    [Bolus] Diabetes Takes Halloween Off
    In this fanciful flight of fiction, we imagine such a scenario: News quickly spread throughout the diabetes online community that Type 1 diabetes has decided to give 15-year-old Jimmy Smith of Pougensburg, Pennsylvania all Halloween off to lackadaisically consume candy without counting carbs or needing to bolus. JD: Of course it is. IN: How?
  • INSULIN NATION  |  FRIDAY, OCTOBER 16, 2015
    [Bolus] Diabetes Takes Halloween Off
    In this fanciful flight of fiction, we imagine such a scenario: News quickly spread throughout the diabetes online community that Type 1 diabetes has decided to give 15-year-old Jimmy Smith of Pougensburg, Pennsylvania all Halloween off to lackadaisically consume candy without counting carbs or needing to bolus. JD: Of course it is. IN: How?
  • JOSLIN DIABETES CENTER  |  FRIDAY, OCTOBER 16, 2015
    [Bolus] What to Know Before Using an Insulin Pump
    The pump delivers insulin in two ways: a basal rate, which is a continuous, small trickle of insulin that keeps blood glucose stable between meals and overnight; and a bolus rate, which is a much higher rate of insulin taken before eating to “cover” the food you plan to eat. Reddy shares the pros and cons of using an insulin pump.
  • OUR DIABETIC LIFE  |  THURSDAY, SEPTEMBER 24, 2015
    [Bolus] My display.
    In there are the days I forget to bolus for dinner. Dear world: You see what I let you see. I let you see my trophy shelf. I shine it so it will distract you. You see my triumphs, you see my joy. And the tarnish you see? That’s there because I’m human. I’m not perfect. I let you see my happiness. I dust my shelf, and it shines. Sureness.
  • INSULIN NATION  |  FRIDAY, SEPTEMBER 18, 2015
    [Bolus] Injecting Movies with Type 1 Diabetes
    Titanic Bolus. Frozen…Insulin. Diagnosed with diabetes at a young age, Princess Elsa of Arendelle was taught by her crass father, the king, to keep her hands covered with gloves so nobody would see the small scars from repeated blood glucose tests. Elsa also can make snow come out of her fingertips, but no one really cares about that.
  • YOUR DIABETES MAY VARY  |  THURSDAY, SEPTEMBER 17, 2015
    [Bolus] T1D Exchange Abstracts at European Association for the Study of Diabetes (EASD)
    Do patients use their insulin pump’s built-in bolus calculator? Researchers analyzed data from the T1D Exchange Clinic Registry to assess the frequency of bolus calculator use and determine associated demographics, clinical characteristics and outcomes.
  • DIABETES IN CONTROL  |  THURSDAY, SEPTEMBER 10, 2015
    [Bolus] Imperium: World’s First Instant Insulin Patch
    Imperium is a prefilled, preassembled, multi-day wearable insulin pump for continuous subcutaneous insulin infusion and on-demand bolus delivery through the push of a button. Unilife Corporation has launched the world’s first instant insulin patch, Imperium. It connects to your smartphone via Bluetooth. See item #2
  • DIABETES IN CONTROL  |  MONDAY, SEPTEMBER 7, 2015
    [Bolus] When Assessing Glucose Levels and Treatment, Look for the Patterns
    Patient, type 2 diabetes and obesity, on basal/bolus insulin with an A1C of 10.7%. He was not following any particular meal plan, and was, for the most part, consuming a high carb diet. Diabetes education was provided, including how carbohydrates affect glucose levels, lowering his carbs, and ideal target glucose levels.
  • NINJABETIC  |  TUESDAY, SEPTEMBER 1, 2015
    [Bolus] Burnt - #DOCBurnout2015
    So much so that I have almost given up on ever bolusing before a meal and would rather play catch up correcting. Oh how fitting a day to post this. Friends, I have been burned out. Not just in the DOC but all over my D life. Diabetes has been a complete a **e lately. And even correcting is not working at all like any other time in my life.
  • D-MOM  |  MONDAY, AUGUST 31, 2015
    [Bolus] How Many Carbs Should Your D-Kid Eat Each Day?
    Maybe it’s “who cares how many carbs it is, let’s just be happy that this d-kid is counting carbs and actually bolusing!” Please remember that I never give medical advice. Ask your endocrinologist or pediatrician for advice about your own child. Make your own informed decisions for your own child. Dietary Guidelines.
  • INSULIN NATION  |  THURSDAY, AUGUST 20, 2015
    [Bolus] Adventures in Summertime Diabetes Management
    We’ve gotten bolder and more precise with rage bolusing. Dear summer, I cry uncle. We thought managing our daughter’s Type 1 diabetes during summertime would be a breeze. School is finally out, fun summer activities are in, so increased physical activity and closer monitoring at home would result in a tighter blood sugar control, right?
  • DIABETES IN CONTROL  |  WEDNESDAY, AUGUST 19, 2015
    [Bolus] Test Your Knowledge Question 795: One of your patients is a 3-state regional salesman who has a.
    You are in agreement that he needs to add a bolus insulin dose to his regimen. One of your patients is a 3-state regional salesman who has a fairly unpredictable work schedule. When he gets hungry while on the road, he tends to eat at the first restaurant he sees. Despite this regimen, his current A1C is 7.8%.
  • INSULIN NATION  |  WEDNESDAY, AUGUST 19, 2015
    [Bolus] The Pump Failure Reporting System is Flawed
    recalls between 2002 and 2014, five were related to infusion sets, two to power supplies, and two to the pumps themselves (one due to a malfunction in bolus dosing and the other due to false warning alarms). In the first two parts of this series on insulin pump safety, European and U.S. recalls, the most recent in January of 2014.
  • OUR DIABETIC LIFE  |  TUESDAY, AUGUST 18, 2015
    [Bolus] Diabetes follows
    Have you bolused?” How many carbs are you going to bolus for that?” “Did Have you bolused?” We live in a new state. Diabetes followed us. We bought a new house. Diabetes lives here. The boys go to new schools. Diabetes attends there. We sleep in new beds. Diabetes sleeps with us. It acts as though part of the family.
  • INSULIN NATION  |  FRIDAY, AUGUST 14, 2015
    [Bolus] Tougher EU Pump Safety Standards Needed
    This past month, the FDA warned that the 640G could give an inaccurate bolus suggestion. In recent years, newer models of insulin pumps have often been released in the European Union before they receive FDA approval in the U.S. There’s a trade-off for pump users in the EU. Australia, Brazil, Canada, China, Europe, Japan, Russia, and the U.S.
  • NERDY APRIL  |  WEDNESDAY, AUGUST 12, 2015
    [Bolus] RDT (Random Diabetes Thought)
    Half an hour later I woke up in a complete panic, I had just dreamed about the most amazingly delicious Wendy's hamburger (I don't even really like Wendy's, or hamburgers) and freaked out because I "forgot to bolus for it". I guess it's "whatever Wednesday". Oh boy. It was a Diabetic nightmare. Mission: Diabetes Control Type-1 Diabetes
  • DIABETES IN CONTROL  |  TUESDAY, AUGUST 4, 2015
    [Bolus] TYK, Mobile App of the Week, August 22, 2015
    You are in agreement that he needs to add a bolus insulin dose to his regimen. Sheri Colberg, PhD: A Muscle Primer: What It Is, Why It Matters. Skeletal muscle mass is likely the most important tissue in your body when it comes to managing insulin action and blood glucose levels. Despite this regimen, his current A1C is 7.8%.
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