Hello!  I started on the Omnipod a few months back.  Similarly to MDI, I generally scale back the insulin a bit when I'm bolusing for a snack but have a "lower" bs (ie. maybe 80).  Obviously, my pump calculates that for me and suggests a dose.  However, I'm noticing that even when I count carbs correctly and take a "reverse corrected" dose, I will spike after the meal.  Seems to me that I really have to take almost, if not all, the full dose required based on my I:C ratio even if my bs is on the lower side.  I am not sure, but I didn't notice this happening as much on MDI.  Course, I had fewer "reverse corrections" on MDI since I only had 1/2 units to play with.


Obviously if I hit 50 or 40, I don't take a full bolus (or any for that matter, depending on the carbs).  I'm just talking about reverse corrections for bs readings of around 80-100 (my target being 110 generally).


Does anyone else have a similar experience, or does reverse correction work for most ppl?


Thanks!  :)

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I never heard it called " reverse corrections" before, but you explained it well. No, I don't scale down my bolus if I am around 80. To me, 80 is a great place to start pre-meal! If I did this, I would end up high. The only time I feel I have to make decisions about my bolus is if I am actually low (say in the 60s). Even then I have gone high by bolusing less than my I:C ratio suggests so will sometimes just bolus the full amount but eat immediately rather than waiting my usual 15 minutes. If I'm lower than that I usually take glucose tabs for the low and wait to bolus and eat.
You also had background insulin running when you were on MDI. Now that you're only on a fast-acting, you may have fewer reverse corrections.
Hm. Reverse corrections work great for me. Are you sure you have your I:C ratio correct?
yes, but only b/c going on the pump really forced the issue. i am sure now! i think - based on some other comments - the prob is that i don't need reverse corrections if i'm already in a good, albeit lower, place to begin eating. i should save the reverse corrections for the 60s and 50s.




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