TAGgers UNITED

Information

"Total Available Glucose. The premise behind TAG is that a portion of the protein and fat content of the meal will also contribute to carb loading above and beyond the actual carbs in the meal."

Members: 201
Latest Activity: May 19

4 members like this

THE WAVE OF THE FUTURE FOR DIABETES MANAGEMENT....

Do you feel like bolusing for carbohydrates alone is not enough? That most of the time when you bolus for carbohydrates alone you are chasing high blood sugars 2-8 hours after eating your meal? I created this group to discuss how to perfect extending our bolus to compensate for the portion of protein and fats that will eventually be converted to glucose.

"The premise behind TAG is that a portion of the protein and fat content of the meal will also contribute to carb loading above and beyond the actual carbs in the meal. Whereas 100% of the carbs are accounted for when calculating the bolus, only a percentage of the protein and fats are expected to be eventually converted to glucose. The carb bolus is delivered immediately and the protein and fat bolus is delivered using the square wave/ extended bolus." -Ricardo

ALL FOODS ARE NOT CREATED EQUAL! So why bolus as if they were?

Jump in a discussion or create a discussion of your own! Ask a lot of questions, together we can find the next best thing to a cure for Diabetes.... perfecting TAG (extended bolus)! :)

Discussion Forum

View All

Comment Wall

Comment

You need to be a member of TAGgers UNITED to add comments!

Comment by Natalie ._c- on March 3, 2012 at 10:09pm: The square wave bolus is a Medtronic term, and it means spreading out an insulin dose -- you set the amount of insulin and the time over which you want to spread it out. You could use a temporary basal to accomplish exactly the same thing, I think. But there is also a dual wave bolus, for which you take a certain amount of insulin up front and then spread out the remainder over the time period you select.

I was never given any specific formula like you describe, so for me it has been all trial and error (emphasize the error part) but today, I FINALLY managed to do a square wave for a hamburger patty, and it worked. :-) Dunno if it will ever work again, but at least I'm pleased for the moment! LOL!

Comment by roadsterchic on March 3, 2012 at 8:49pm: Hi everyone...
I was referred to this group by MegaMinx. (Thank you)
I use the OmniPod pump which has the temp basal setting so I am able to spread my insulin bolus out. However, I am confused by the Square Bolus reference. Is this the same thing as taking a portion of the insulin now and spreading the remaining amount over time? I know that my exucTor told me about using a combination of the temp basal as well as finding out how much the bolus would befor the carbs eaten, dividing that amount by two and adding one half of that back into the total bolus and spreading it out over say, a four hour period. She suggested that I use this formula when eating thing like pizza or burgers. Is that the idea behind the Square Bolus Wave?

Comment by knittykat on February 11, 2012 at 7:14am: This is all so incredibly helpful! I love you all.

Comment by jrtpup on October 29, 2011 at 8:03pm: Thanks for posting this Susi!

Comment by Susi (Ladalife) on October 29, 2011 at 6:30pm: Are we are we starting to go mainstream? Check this latest article from an Australian endocrinology site called: Carbohydrates insufficient to determine mealtime insulin - (page 2)

Comment by Ricardo on July 12, 2011 at 9:30am: Hi rickselvik,

I finally got a chance to watch the video and it is inspiring. I can see the parallel between the "Let Patients Help" theme of the message and TAG. TAG is about taking ownership of your BG control. It requires more work than just counting carbs, but the results are usually worth it. The doctors don't know everything and the sooner we come to this realization, the sooner we can achieve better control of our health.

Comment by rickselvik on July 9, 2011 at 12:46pm: http://youtu.be/oTxvic-NnAM

This is a great video that encourages patients to help in their own treatment, a great 15 minute video story of a guy that found his own successful treatment that his physcian did not find.

http://www.ted.com When Dave deBronkart learned he had a rare and terminal cancer, he turned to a group of fellow patients online -- and found a medical treatment that even his own doctors didn't know. It saved his life. Now he calls on all patients to talk with one another, know their own health data, and make health care better one e-Patient at a time.

Comment by jrtpup on May 23, 2011 at 1:57pm: Oo what a nice tool. Thanks Ben, and Ricardo for directing me to it.

Comment by Ricardo on May 23, 2011 at 1:53pm: Hi Again jrtpup,

You won't have to reinvent the wheel, but with a little Excel skills you would have to put one or 2 spokes into Ben's TAG Excel Spreadsheet:

Comment by jrtpup on May 23, 2011 at 11:02am: Has anyone made a spreadsheet with different I:C ratios for different times of day. One that will keep the info on food/bolus/duration etc somewhere for future reference? Don't want to reinvent the wheel!