My set goal on my pump is 100. If I check my blood and it’s 95 before my meal, then I just bolus for the carbs and say “no” when the pump asks if I want to lower my insulin based on my BG. If I’m say, 65, then I adjust my insulin to bring my BG closer to 100. I play it by ear, though, nothing is set is stone.
I don’t make my correction at the same time because I don’t like to eat if my blood sugar is too high. If I’m 200 and I eat 15 carbs, I’m going to spike before I come down, causing me to be high for even longer. If I correct and bolus for my food then wait my BG to come down, and then eat, I end up with horribly high numbers around the four hour mark. It seems as though the insulin is no longer working but the food still is.
For example (and remember I work 2nd shift so my schedule is wonky at best): I set my alarm for 7AM. If I check my blood sugar and it’s 160, I do a correction. I get out of bed at 8AM, but I wait until my blood sugar to have dropped into range to eat breakfast. I do this by keeping an eye on my CGM. So, then I will check my blood sugar again. If it’s in range, I put that number into my pump, enter in my carbs, decide if I need to adjust based on my carbs. I won’t need to do a correction with my breakfast since I am in range.
While at work, if I know my lunch break is about 2 hours away, I check my blood sugar. If it’s a little high, I will do a correction. Now, at work, it’s a little different. If I’m still out of range at lunch break time, I have to decide if I’m going to eat then or not eat until much later. Let’s say my BG is 130 (with IOB) and I decide to eat. First, I type my BG into my pump and it will ask me one of 3 things (1) to add more insulin because my IOB is not enough to lower my BG into range (2) it will tell me I don’t need to do a correction beucase my IOB is right on or (3) it will tell my that I have too much IOB and I may go low. So, pretend that I get option 2. I don’t need a correction nor do I have too much IOB. I put in my carb count then eat.
I can’t believe that I’m the only one doing corrections while it’s not meal time. I just see it a different way. I know that it is best if I am in range before meal time and that is what I’m aiming for, so when meal time is approaching, I start making sure that my BG are good enough to eat. I always try to think about the future and plan ahead.
Oh, and yes, I am fully functioning down to 60, usually.