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I was wondering what % other moms are using for their TAG formulas. If you don't mind sharing I think it could help us all!

I love TAG! I don't quite have it perfected yet, but my gosh it really puts some rhyme to the reason. I could not make sense of so many of our highs until I found TAG. I would increase my DD's basal rates since I knew my carb counts were good, and that just created a mess.

Here's my scoop:

Age: DD is almost 14, T1 for 3+ years

TAG Formula: All Carbs up front, Then 40% of protein and 20% of fat dosed in an extended bolus over 2 hours.

Challenges: This formula seems to work well for us on combo foods such as pizza and chinese food...Yes!!! Sometimes she will run a little low with this, so we watch carefully.
**Our formula doesn't work as well for us on foods that are only high in Fat OR Protein (but not both) such as nuts or plain grilled chicken. It is not enough insulin in these cases...not sure what I am missing.

I'd love to hear any advice or feedback. I'm trying to just use one universal TAG formula to keep things doable for my DD. I'm asking a lot of her already, LOL

This is how we do it... your child may need something completely different :)

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Replies to This Discussion

do you use TAG on every meal or just ones that are high in fat/protein or both? just started this with my 5 yr old. I figure the earlier we get started with this the easier it will be by the time she's 13........
I started tag with our problem foods like pizza. For other meals, it kind of depends on how insulin sensitive/resistant she is running and what the food is (I'm still working on this). I wish I could give you a more concrete much of T1 is flying by the seat of your pants!

Let us know how it works for you!
It seems to be working well so far. I've been using it on every meal, even cereal. I learned tonight though that if you suspend the omnipod to make a change in lets say the basal rate the extended bolus doesn't restart when you resume. I'm pretty sure it gave me two choices when I hit suspend, either cancel the extended bolus or suspend all insulin delivery. I picked the latter thinking when I resumed the pump the current running "program" would also resume. Also, when she finished her meal she asked for a frosty which she NEVER does and I got it for her. Pump won't run an additional or add on to the current extended bolus so I just figured it up and gave her the entire TAG in one bolus. Not sure if that was the way to go but with the above fiasco she only got 0.05 of her 0.30 extended anyway. So, the Wendy's meal experiment went up in smoke.....
I've read here that adults when using TAG approach give all the carb amount up front and use extended bolus for fats and proteins only... But I noticed with my son that he always goes low in the first hour if I do that, today he had a pizza which was 38g carbs about 25g fat and 20g protein, I covered the carbs with normal bolus and then did 40% for fat and 50% for protein extended over 4 hours, he was 53 an hour later, treated the low. After that he stayed between 90 and 110 for 4 hours.
I was just wondering if anybody else noticed that giving all the carbs up front causes a low? It's not the first time it happened to us... next time Im going to do maybe 70-80% upfront and the rest included in extended bolus.
I use 20% for protein and 10% for fat then divide the bolus amt for carbs by the total TAG and that usually adds up to about 90-95% up front and the rest I extend over 2-3 hours. She tends to run low about the third hour if she is going to so I have been playing with her I/C ratio and basal rate a bit. All in all, this is working out really well and she's been several days where her highest bg is 140!! I do check her more often though especially at night and had to treat a 65 at 12:30 a.m. two nights ago.........
I have heard other parents saying that. In fact, I think I hear that more often than not. The fat may be delaying the carbs from hitting, so you have a low in the first hour. For some reason my DD needs all the carbs up front plus the extended bolus for fat and protein.

I'm not sure you need to add anything into the extended since you are using 40% and 50% already. Maybe the first time try it without adding it into the extended??
Just checked him, 6 hours after dinner he is at 172, the pump didn't give correction, havet to wait and see if he keeps rising...




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