I started wearing my insulin pump on March 1st and at that time, my A1C was 10.2.
Today, I saw my endo. and my A1C is 8.4!!! Yeah! Improvement!!!
Also, I learned that checking my blood sugar for a meal, and not eating immediately should not be done. Sometimes, I will test, then take time to set the table or finish cooking something and a half hour can go by, then I take my insulin at mealtime after calculating the carbs. I was told to take the insulin and the reading right before I eat for the best result.
Congrats, I had the same experience when I switched to using the pump.
Great job on lowering your A1C !!!
Everyone is different regarding how fast the insulin kicks in. Many here, myself included, need to wait 15-30 minutes after bolus, then start eating. A lot depends on how active I've been, and what my BG is to start with. So unless you are super sensitive to insulin, then you may want to take your bolus when you test, and eat 15-20 min later.
If you follow you dr's advice and eat right after bolus, you can test your BG again after 1-2 hours to see how much it is spiking. And compare that to what happens if you wait a bit. If you wait, you are more likely to get a smaller spike, which will really help to get your A1C down even more. You can also try a few repeat BG checks 15 minutes after bolus, to get a better idea of how fast your insulin kicks in.
I do agree that your BG check, and bolus should happen at the same time, unless you also have CGMS and are confident it's been pretty flat.
If I'm around 80 when I check, and still preparing the meal, I might do a dual or square wave bolus on the pump, or have a small nibble when I bolus. But still eat most of the meal 15-20 min after bolus.
Figure out what works best for you !
Great ... Keep it up and it will improve.
For me it took 2 years but I am now down to 5.8 and holding for the past 6 months.