Replies to This Discussion

Permalink Reply by Ahmad on May 30, 2012 at 4:51pm

Congrats, I had the same experience when I switched to using the pump.

Permalink Reply by MegaMinxX on May 31, 2012 at 7:26pm

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 !

Permalink Reply by wallskev on June 5, 2012 at 12:37pm

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.