That’s a great book. So is Think Like a Pancreas. The website IntegratedDiabetes.com contains some excerpts from the book.
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Bolusing for fat and protein is new to me! I use a t-slim which calculates bolus using carb of course, so how do you calculate for fat/protein as well?
Suz
This older post may be helpful, related to using T-A-G, Total Available Glucose, to include fats and proteins.
Like Richard I don’t like to eat unless I am around 80 or less, and I won’t eat if I am over 100. I give my pre dinner shot usually about 10 minutes before I eat. I rarely go off my meal plan which is low fat and vegan so it eliminates my need to count carbs. I eat about 275 to 300 carbs a day. I am usually back down to 14O two hrs after I eat. I rarely go high.
I went out to dinner the other night and really went off my eating plan. I ate some salad with sweetened nuts, a portobello burger without cheese but with a bun, and I ate friend’s sweet potato fries. Oh, I also had a couple of bites of a dessert. I upped my dinner shot from 4 to 5 units. I dropped rapidly after dinner. Go figure. I don’t understand why I didn’t need a lot more insulin to cover that meal.
My insulin resistance is really dropping with the low fat vegan diet.
The reason I stick to an eating plan is because it makes my diabetes so much easier to handle. Over the 60 yrs, I have eaten every way imaginable.
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I am really uncertain how these strategies will work with Loop.
I am uncertain how well Loop will be able to deal with postpranials.
I am hopeful about the new fast acting insulin.
I will have to try this list of strategies one by one and see what works. Thanks everybody
Hi, I started the omnipod a few weeks ago and am really struggling with postprandials that I just can’t understand. Just to give an example, I started lunch at 140, had an apple and pepper with hummus today for lunch, counted at 30 g carbs, which led to 3.8 units for my bolus (I:C currently set at 7 g/u). I then promptly skyrocketed to 260. When I see myself headed up that fast, I try to do extra boluses because if I don’t I just hang out in the stratosphere for hours. Even with extra boluses (3 units total), I was stuck in the 200s for 3 hours. But then of course I crashed from overcorrecting.
I like to call overcorrecting “revenge bolusing” because I feel like it comes from trying to get even with these pesky highs. But I can’t figure out how to address them. I’ve tried taking insulin earlier to have carbs hit when the insulin takes effect, but so far that hasn’t worked.
This is the first time I’ve been on a pump where I don’t have absorption problems! I can tell because my basal rates seem spot on, I stay level if I’m not eating. But the second food passes my lips, it’s sky’s the limit and I’m worried about increasing the I:C ratio again. My boluses weren’t so big before the pump?
I’m a bit lost as to how to figure out what I’m doing wrong with the pump. Can someone suggest something very simple as a starting point?
Hi @Karen_in_Michigan! I use OmniPod too. I had similar problems. I now use the OmniPod only for basal and I bolus via injection. Why not try that with your next pod change and see if it makes any difference.
I use an Omnipod and love it!
I like to start out eating at a lower number. Under 110 say? Even lower is nicer. I like to not go over 150 after eating. I do not low carb, I eat what I want, but I do prebolus. I take half my dose a half hour before I eat and the other half when I eat for a normal meal. If I have higher fat I do change what I am doing. And if I start out with a really low number I won’t prebolus as early.
I’m not sure why the pump is causing a difference? But we all have different places we prefer. When I gave myself shots, I used my lower stomach the most. But that doesn’t work as well for my pump. Maybe more scar tissue there that inhibits absorption? I also can’t put my pump on my lower back/buttocks or love handles, really bad absorption areas for me. So maybe try some different areas, a pod can go so many different areas!!! Make sure you pinch up the fat when you start the insertion process too. That is suppose to help it seat properly.
I hope this helps!
hahahahahahaha - “revenge bolus”
After being on Omnipod a long time, sometimes my meal bolus works like a charm and sometimes it just doesn’t work. I’m in a doesn’t work phase right now. I attribute failure to my body, not to the tech. But, everyone kinda agrees that smaller boluses get absorbed better than large ones.
Iv’e been taking more insulin than I need and then just eating when it inevitably starts to drop. Helps stave off the highs, but I eventually plummet post-meal.
I had some luck yesterday eating a bagel and delivering 7 units - extended 20% bolus for one hour. When I dropped, it wasn’t a real severe drop, but I dropped for a couple hours straight and had to keep eating.
Anytime in the past when my sugars have been stubborn about not responding as well, there is a reason? Like getting sick, or a tooth infection has gotten me a couple of times. Sometimes placement of my pod for a couple of days. I am quicker to switch them out now.
But it really starts to get to you when it happens, my solution is usually to cut way back on eating period. I always have some extra pounds I can lose so it seems to work well for me.
Maybe try some afrezza?? There seems to be a bunch of people that just use it off and on to bring down their BG’s when needed. So many people say it has helped solve their issues.
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