@bernfarr with the animus 2020 do you select say what you are eating for a meal and it injects you with insulin or do you still need a doctors dosage?
@BloodMoney0614 I try to estimate the amount of carbohydrates in the meal that I'm about to eat and then bolus (inject) insulin to cover the meal. I've worked with my doctor to develop a sliding scale that determines how much insulin to take for a certain amount of carbs. I think all of my friends with diabetes use sliding scales, it's fairly standard practice.
Thx for taking the time to post and reply to comments.
Your last Bolus and Total Daily Dose will both report incorrectly if using this technique.
IE, If you fill cannula, disconnect, then 30 minutes later (sooner than expected) someone hands you a snack. How much insulin do you take? If you had bolused you could check your history, but in this case youd have to go into the prime history and check the total primed amt. God forbid you changed your pump that morning, youd have no idea how much
...insulin youd taken, because this reports only a daily total amount.
2nd, it would take at most 20 seconds longer to simply bolus or ezBG. In this case, the pump releases one unit blasts (for comfort) rather than the entire dosage at once.
The correct way is to bolus and temp-off the basal (in any order). It delivers the same insulin in about the same time, while actually tracking it.
Regarding the insulin on board, ezBG reports total units w/ and w/out IOB, so just look at the figure w/out!
It's definitely not a perfect approach, but it works in many useful situations. What you're doing is moving your basal insulin forward in time, so over time it will balance out.
But in this situation it might not work well. I've used it to correct BIG highs, or sometimes to deal with high carbs meals.
Definitely not for everyone. Google [john walsh "super bolus"] for a detailed description of the approach.
After some searching I now see the benefit of super-bolusing. You still should change the method by which you super-bolus. I find combo bolus very useful for large meals. Your method is fine, but please replace fill cannula with a simple bolus. This would solve two problems: 1)record-keeping 2)occlusions
A (rare) problem with "filling cannula" is that it does not stop or alarm if an occlusion is detected, which, In my five years of owning an Animas pump, occurred maybe 3 times~Thanks Again :)
I usually do this when I'm eating a low carb snack but if you're going to eat, you won't need to set the temp basal. By the way, just commenting on what you said about speedy delivery, I just got a new one and they now have a new feature were you can set delivery rate at a slower pace. Good for when you have a bad site and the delivery stings a little.
TenorPlayer1800, this is a technique that works well for some people. You definitely need to read up about it and check before using it.
If you disconnect and then use a bolus to cover the disconnect it will alter your insulin on board reading. Disconnecting means you miss some basal insulin, replacing this with bolus insulin means later boluses will likely be inaccurate.
Good question. If you give it as a bolus it affects the insulin on board calculations. So if you need to give another correction say 90 minutes later, it'll add to the remaining insulin amount. If you fill the cannula, then it doesn't affect pump calculations.
This is how basal insulin is normally treated by a pump. So you are really moving the basal insulin forward.
This technique DOES modify the total daily insulin value. So if you happen to be tracking that, the value will be off.
I use a Minimed Paradigm 512 (upgrading to a 722 with continuous glucose monitoring in the next couple of weeks) and would be really concerned about doing this. I use a square wave bolus for meals that will raise my sugars slowly over time. For times where I need to lower my blood sugars, I just do a normal bolus using the bolus wizard which calculates how much insulin is needed to correct a high blood sugar. If it works for you, that's great, but I'd be really nervous about it, personally.
dance4ever I typically use this technique when my blood sugar is HIGH. Say over 230. It gets it back to normal quicker than just using the bolus dose. By moving some of the basal forward in time, I can take advantage of this to get quicker results.
A friend of mine has also used this technique when eating meals that are going to raise her blood sugar quickly.
Generally I've not had lows when using this. When they do occur they aren't too bad.
dance4ever, You could do a super bolus if you were getting into a hot-tub after disconnecting from your pump. You'd give the super bolus for the expected time you'd be off the pump. If you tried to get into a hot-tub while wearing your pump, you'd cook your insulin. Of course, you could just d/c and check your blood glucose from time to time. If your levels get high, you could re-connect and give yourself a corrective bolus to fix it.
dance4ever, You could do a super bolus if you were going to be getting into a hottub. You would give the super bolus, disconnect from your pump, and then get into the tub. Otherwise, if you get into a hottub while wearing your pump, (hottubs are usually around 108 degrees), you'd cook your insulin. Of course, you could just d/c from the pump, and just check your glucose every 30-60 mins, re-connect, and do a corrective bolus as needed. It's up to the user's preference.
@bernfarr with the animus 2020 do you select say what you are eating for a meal and it injects you with insulin or do you still need a doctors dosage?
BloodMoney0614 11 months ago
@BloodMoney0614 I try to estimate the amount of carbohydrates in the meal that I'm about to eat and then bolus (inject) insulin to cover the meal. I've worked with my doctor to develop a sliding scale that determines how much insulin to take for a certain amount of carbs. I think all of my friends with diabetes use sliding scales, it's fairly standard practice.
bernfarr 11 months ago
I don't wear a pump. I would love to be able to afford one, because making precise BG corrections would be awesome.
HaligonianType1 1 year ago
Comment removed
philobishay 2 years ago
I'm curious, why do you say this?
bernfarr 2 years ago
Thx for taking the time to post and reply to comments.
Your last Bolus and Total Daily Dose will both report incorrectly if using this technique.
IE, If you fill cannula, disconnect, then 30 minutes later (sooner than expected) someone hands you a snack. How much insulin do you take? If you had bolused you could check your history, but in this case youd have to go into the prime history and check the total primed amt. God forbid you changed your pump that morning, youd have no idea how much
philobishay 2 years ago
...insulin youd taken, because this reports only a daily total amount.
2nd, it would take at most 20 seconds longer to simply bolus or ezBG. In this case, the pump releases one unit blasts (for comfort) rather than the entire dosage at once.
The correct way is to bolus and temp-off the basal (in any order). It delivers the same insulin in about the same time, while actually tracking it.
Regarding the insulin on board, ezBG reports total units w/ and w/out IOB, so just look at the figure w/out!
philobishay 2 years ago
It's definitely not a perfect approach, but it works in many useful situations. What you're doing is moving your basal insulin forward in time, so over time it will balance out.
But in this situation it might not work well. I've used it to correct BIG highs, or sometimes to deal with high carbs meals.
Definitely not for everyone. Google [john walsh "super bolus"] for a detailed description of the approach.
bernfarr 2 years ago
Comment removed
philobishay 2 years ago
After some searching I now see the benefit of super-bolusing. You still should change the method by which you super-bolus. I find combo bolus very useful for large meals. Your method is fine, but please replace fill cannula with a simple bolus. This would solve two problems: 1)record-keeping 2)occlusions
A (rare) problem with "filling cannula" is that it does not stop or alarm if an occlusion is detected, which, In my five years of owning an Animas pump, occurred maybe 3 times~Thanks Again :)
philobishay 2 years ago
I usually do this when I'm eating a low carb snack but if you're going to eat, you won't need to set the temp basal. By the way, just commenting on what you said about speedy delivery, I just got a new one and they now have a new feature were you can set delivery rate at a slower pace. Good for when you have a bad site and the delivery stings a little.
xTater2000x 2 years ago
As to that comment to use it when your blood sugar is HIGH. WRONG!!!!
you use this when your blood sugar is high and you'll just become higher and higher 'till your sick. PLEASE DON'T DO THIS,
the only reason you would need to do this is if you disconnect for an hour n half. then you could BOLUS some insulin to cover for that time.
TenorPlayer1800 2 years ago
TenorPlayer1800, this is a technique that works well for some people. You definitely need to read up about it and check before using it.
If you disconnect and then use a bolus to cover the disconnect it will alter your insulin on board reading. Disconnecting means you miss some basal insulin, replacing this with bolus insulin means later boluses will likely be inaccurate.
bernfarr 2 years ago
PLEASE DO NOT DO THIS, THIS WILL ALTER YOUR BLOOD SUGARS HORRENDOUSLY AND CAUSE HYPERGLYCEMIA FOR A LONG PERIOD OF TIME!
See your endocrinologist for more information on HOW to BOLUS and how to ALTER BASAL rates.
If you would like me to explain more about basal and bolus rates, reply back and I would be happy to write it up.
TenorPlayer1800 2 years ago
My endo. told me to do exactly this when i go swimming or something so you shouldn't jump to conclusions.
All diabetics are different so maybe whats bad for you is good for others.
xTater2000x 2 years ago
whats a super bolus??
dobbomasterdude2000 2 years ago
Exactly what he just did...
xTater2000x 2 years ago
Ok, i understand how it all works and stuff. But why not give a bolus? Why do you have to do it through filling canula?
Lauralouise42 3 years ago
Good question. If you give it as a bolus it affects the insulin on board calculations. So if you need to give another correction say 90 minutes later, it'll add to the remaining insulin amount. If you fill the cannula, then it doesn't affect pump calculations.
This is how basal insulin is normally treated by a pump. So you are really moving the basal insulin forward.
This technique DOES modify the total daily insulin value. So if you happen to be tracking that, the value will be off.
bernfarr 3 years ago
oh ok thanks. How exactly does it modify the total daily insulin value? Would it be out by the basal amount??
Lauralouise42 3 years ago
I use a Minimed Paradigm 512 (upgrading to a 722 with continuous glucose monitoring in the next couple of weeks) and would be really concerned about doing this. I use a square wave bolus for meals that will raise my sugars slowly over time. For times where I need to lower my blood sugars, I just do a normal bolus using the bolus wizard which calculates how much insulin is needed to correct a high blood sugar. If it works for you, that's great, but I'd be really nervous about it, personally.
dreamcastdre 3 years ago
dance4ever I typically use this technique when my blood sugar is HIGH. Say over 230. It gets it back to normal quicker than just using the bolus dose. By moving some of the basal forward in time, I can take advantage of this to get quicker results.
A friend of mine has also used this technique when eating meals that are going to raise her blood sugar quickly.
Generally I've not had lows when using this. When they do occur they aren't too bad.
bernfarr 4 years ago
This has been flagged as spam show
i just got mine in december
nickLEE159 4 years ago
This has been flagged as spam show
i just got mine in december
nickLEE159 4 years ago
dance4ever, You could do a super bolus if you were getting into a hot-tub after disconnecting from your pump. You'd give the super bolus for the expected time you'd be off the pump. If you tried to get into a hot-tub while wearing your pump, you'd cook your insulin. Of course, you could just d/c and check your blood glucose from time to time. If your levels get high, you could re-connect and give yourself a corrective bolus to fix it.
dyne2199 4 years ago
dance4ever, You could do a super bolus if you were going to be getting into a hottub. You would give the super bolus, disconnect from your pump, and then get into the tub. Otherwise, if you get into a hottub while wearing your pump, (hottubs are usually around 108 degrees), you'd cook your insulin. Of course, you could just d/c from the pump, and just check your glucose every 30-60 mins, re-connect, and do a corrective bolus as needed. It's up to the user's preference.
dyne2199 4 years ago
Why would you want to do that?
dance4ever5678 4 years ago