# Re: The nurse moved me up to 10u of Humalog before every meal today

"Grandpa Chuck" <GrandpaChuck@xxxxxxxx> wrote in message
news:ijas9498l7s4jla6f931okdvqjo2okaocu@xxxxxxxxxx
On Sat, 09 Aug 2008 00:54:08 -0400, Màck©®
<Màck@xxxxxxxxxxxxxxxxxxxxxxxxxxxx> wrote:

On Fri, 8 Aug 2008 19:45:59 -0700, "Julie Bove"
<juliebove@xxxxxxxxxxx> wrote:

you calculate your premeal dose based on what you are about to eat.
You take that dose then eat. 2 hours later you test again and your BG
is high, you calculate how much to take based on your current BG only.

I wonder why they aren't having me do that then. OTOH, I think the
amount I
am injecting at meals is still wrong. If it were right, I wouldn't
consistently have a problem.

Just curious... How much do you inject per serving of carbs? Serving
being
15g.

Please keep in mind that I am type 1 and will always use less insulin
than any type 2. Even when Ineed to increase my ratios for sick days.

I take 1 unit of Novolog for every 25 BG points above my target BG.

I take 1 unit for every 10 grams of carbs I eat.

The neat thing about my pump is that the meter is attached so when I
test my BG it is transferred to the pump and the pump does the math
for me and tells me how much insulin I need. It does the same with
meals, I test before the meal, then program how many carbs I am going
to eat, the pump does the math and figures up the insulin based on
both the current BG and the amount of carbs eaten. If I eat less
carbs and I stop the delivery and have the pump recalculate based on
the correct amount of carbs actually eaten, the pump takes into
account how much insulin was already delivered and delivers the
correct amount.

If something happens that causes me to have a high BG at 2 hours after
eating when I test again, the pump will give a correction bolus if my
BG is higher than it should be. examples would be eating more than
programmed, being sick, etc.

This same process works for anyone taking injections. You can get the
written instructions from the how to section of the
insulin-pumpers.org web site. Ignore anything to with basal rates.
Focus on carb to insulin ratios and BG to insulin ratios. Print out
everything that it has on both of those and discuss them with your
medical team. It clearly shows you how to get the ratios and then do
the math when the ratios are correct. And it really is very simple
math.

What is "bolus"?

The fast acting insulin you take to cover the carbs that you eat.

.

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