Thanks Brian–you found your way through the maze so I don’t have to!
Yes, Caleb is a pumper. 8 years and counting. He uses a different pump than you as I don’t know the precise definition of dual wave and wizard feature. We make use of what is referred to as extended boluses - where you can deliver a bolus over a period of time, or deliver a portion now and a portion over a period of time, and temp basals, to achieve insulin delivery that he needs with these kinds of foods.
He has tailored basal rates. The difference bt lunch and dinner I attribute to the fact that he’s sleeping and the lack of physical activity combined with no subsequent meal boluses changes the equation completely. I have found this not to be uncommon from others’ experiences.
That sounds like it corresponds to what Medtronic pumps label “Square wave” and “Dual bolus” respectively.
FYI, different basal rates for different times of day is a standard thing for adult pump users as well. Just the way metabolism works I guess. Kids have their own special complications in that respect of course.
Of course. Was just explaining the language we use for OmniPod as it differs from Medtronic. There is no OmniPod wizard!
I remember the sophistication of Cosmo which was beyond the delivery that any of the current pumps have.
Not to get too wrapped around the axle here, but my response was to @acidrock23’s suggestion for a bed-time correction for a high. You are describing a different scenario.
I totally understand that insulin delivered via a pump makes basal/bolus somewhat meaningless if you are trying to deliver a certain amount of insulin over time, and I have used all of the options (TBR, square wave, dual bolus - which on the Roche is laughingly called a multi-wave bolus).
Understood–and “wrapped around the axle” is very good. I appreciate the addition of a nifty new idiom to my store of expressions.
I do not understand why there are people that mix the bolus and the basel settings.
Basel is like a long time acting insulin and shut not be used for short time insulin. If you do that you can get irregular bloodsucker.
Please do not mix bolus and basel use.
FP1966, Insulin pumps only use fast acting, so changing the basal on a temp basis can be identical to setting up a square wave bolus (for a fairly small bolus, as basals don’t go very high); i.e., not to worry!
makes complete sense to me. thanks a lot.
daisy mae