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Permalink Reply by Tom on February 21, 2012 at 5:13pm

Thanks Amy- yep i'm still on omnipod. You usually extend for an half hour or one hour? And do you ever extend on non fat/protein meals?/ what happens?

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Permalink Reply by Jacob's mom on February 22, 2012 at 5:53pm

lots of trial and error, but if it is really fatty foods, like most restaurant food or icecream we would extend and hour usually 50/50 more up front if his blood sugar is higher to start, i would do a 1/2 hour for less fatty food, we honestly dont use the feature as much as we had been, we usually dont extend for a normal meal, maybe if your issue is you are not sure how much you are going to eat you can at least bolus for part of the meal and definitely the correction, in this situation when you are later calculating how much insulin to give, input your bs at 100 so you are not getting the correction again if you are high, there are so many variables and everyone is different, are you overall happy with the omnipod? we have had our ups and downs but at least we have fine tuned a little better and have figured out how to work around pod change highs, if you are struggling with this i can tell you what works for us. good luck and keep asking we all learn from each other it helps when you don't feel alone in this. amy

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Permalink Reply by Tom on February 24, 2012 at 11:18pm

I'll have to play around- trial and error. My problem isn't not knowing my carbs- it's just that I HATE taking a bolus before I eat- because i usually eat a ton of food and sometimes worry i won't be able to eat all my food and have insulin on board- I've gotten low a few times in the past. An omnipod rep told me to try splitting my dose or using the extended but i'm not sure about timing extended boluses.

I have my ups and downs with the omnipod as well- I'm still getting my settings correct- and dealing with this bolus issue (had this on MDIs as well) My average sugars have gone up since pumping- but trial and error. The biggest issues with the pod itself is that I can only wear it mostly on my sides and lower back. I've tried all the other sites but it is too uncomfortable- I had some reps examine my body and sites and told me I'm too muscular for most sites because and the muscles bend them up... but i'll take that as a compliment. I've gotten occlusions every time i tried wearing it on my butt. Have you had occlusion errors? The butt is a place i'd like to wear it but haven't found a sweet spot.

I also have some reactions from the adhesive- i'm ripping off a layer of skin every time i take my pod of. I started using baby oil -it's helping some.

Sorry for the long message =]

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Permalink Reply by Jacob's mom on February 25, 2012 at 8:26am

hi tom, jacobs fav spot is his sides like you, arms are a distant second he wears it way up close to his arm pit he has a little bit to pinch there, i have wanted him to try his low back but he his hesitant, with legs and rare instance arms we have had occlusions so i am fearful of legs now although we will try again in the summer, better with a bathing suit! if you have two good sites you are probably doing ok because you can turn the pod to make two sites out of one so to speak so you really have 8 sites if you can finangle it! the butt site seems tricky but if you are making the low back area work i'd say you are doing good. don't appologize for the long message that is how we get things out around here, good luck with everything, we are all learning to deal the best we can and lets face it visits with the endo ussually dont cover it all and they are not in the trenches everyday so ask away we are here! have a good weekend amy

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Permalink Reply by JohnG on February 21, 2012 at 8:25am

See no reason why you can't split your bolus...you just may not achieve the best results...

I usually will not bolus ahead of time at a strange restaurant but if it is a place that I'm very familiar with I do and I will always use the most appropriate type of bolus for the type of food I'm going to consume in the end I must cover every carb with insulin or cover insulin with a carb. Your pump assumes that all of your settings are correct and the carb portion of your bolus is 100% correct. If everything is correct including your carb count you never stack insulin that's covered by carbs.

We know it's not a perfect world and our pump settings are not correct for every situation so many of us consider our IOB if we have some at the time of a bolus, IOB and our BG data at the time of a bolus can help us determine if we are overloaded with insulin and need to change our bolus wizard recommendation.

I don't think the omnipod will show you how much active insulin is in your system.

 

 

 

 

 

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Permalink Reply by shoshana27 on February 25, 2012 at 6:01am

i have gastroparesis so i split the bolus 2u. before meal & 1.5 after.more or less.manually.it works better that way for me.also if i don't feel well i eat first & then bolus.

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Permalink Reply by AustinMom on February 25, 2012 at 6:00pm

My son does this virtually every day. Just as he sits down to dinner, he boluses for what he thinks he'll eat the first go around. If he goes back for 2nds (which, being a teenage boy, he does most days), he'll bolus for those carbs when he eats them. If he ever gets full before he finishes what he's bolused for, he'll usually make up the difference with a glass of milk.

I believe stacking refers to correction boluses and not to bolusing to cover carbs, so I think you're fine. The only issue could be whether your timing of food/insulin matches. That's different for everyone and seems to be a very inexact science. If your postprandial numbers are where you'd like them to be, your method must be working for you.

Good luck!

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