Not entirely new, but totally worth revisiting: pumping aficionado John Walsh’s “Super Bolus” method for smacking down high post-prandial glucose levels even before they hit.
The idea here is to combat the effects of high-carb (high glycemic index) foods by taking BOTH the necessary bolus AND the amount of basal you normally get for the next few hours up-front. To prevent going low, you just slash your basal for the next 2 to 3 hours.
I think of the concept as a little bit like “pay it forward” for diabetes: do the good deed in advance and your body will respond threefold.
Check out John Walsh’s latest slideshow presentation on the subject HERE.
I know at least one D-blogger who’s tried it (on her son), and was very pleased with the results. A while back, Martha O’Connor reported on a candy encounter:
“Normally these 3 candy canes would send my child’s blood sugar skyrocketing! But not with the Super Bolus. All I did was give the insulin for the carbs and for any correction we needed to do, and then ADDED UP the basal insulin that my child was going to receive for the next 2 hours. My son gets 0.45 units/hour, and for 2 hours that makes 0.90 units. I gave the 0.90 units as upfront insulin (remember, in addition to, NOT instead of, the insulin I would normally give according to my child’s insulin/carb ratio as well as the insulin I would normally give as a high blood sugar correction).”
“Then I SET A TEMPORARY RATE of ZERO for 2 hours. I was giving the same amount of insulin, just having it “hit” differently so as to attack those spike-causing carbs in the candy canes. 1.5 hours after the candy canes we had a bg of 126, yeahhhhh! And it stayed stable until we checked again around dinnertime!”
I’m working up my nerve to try it myself soon. I promise to report back. Meanwhile, I’ll just keep up my
usual blue-skying (brainstorming) routine here…