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6 Responses

  1. Lori
    Lori March 16, 2013 at 7:24 am | | Reply

    Thank you. Your articles are always informative. You mentioned a book in your article called “Think Like a Pancreas”. My 20 year old son was diagnosed 9 months ago with Type 1 and I am looking for some good information for him. So many of the books are geared for people on pumps. At this point he is not interested in a pump. Would this book still be helpful for him to read or would he yet again be frustrated because of the pressure from pumpers that it is the only way to manage diabetes well?

    1. Terry
      Terry March 16, 2013 at 9:13 am | | Reply

      Think Like a Pancreas is a great resource for someone using multiple daily injections (MDI), like your son. It explains how basal/bolus insulin treatment works. including all the arithmetic necessary to calculate insulin doses. Learning all the math is a great way to understand why blood glucose acts the way it does. The book applies to both MDI and pumps. Knowledge is one of the most potent weapons used to treat Type 1 diabetes. This book is an excellent source of useful tactics to treat T1D.

      1. Jessica
        Jessica March 18, 2013 at 6:01 pm | | Reply

        Thanks for the tip. I was looking for a good book to treat Type 1 diabetes.

  2. Scott E
    Scott E March 19, 2013 at 6:04 am | | Reply

    Do you have any idea how extended/square/dual/combo boluses factor into active insulin times for the various pumps? I find it hard to believe that, for a 3-hour extended bolus, that they factor in each minute-by-minute insulin delivery.

  3. truelytics
    truelytics March 20, 2013 at 2:32 am | | Reply

    This site so is nice. I get me needed information about health in to your site. And garymbolton is also informative site for health. I also love it.

  4. Sarah Howard
    Sarah Howard March 21, 2013 at 7:08 am | | Reply

    Last night I had a great opportunity to test this; I was high at 3 AM and wearing a cgms. I bolused and my BG was still going steadily down at 9 AM. Much longer than I thought it would. Didn’t eat obviously, and didn’t have to test every hour with a cgms. Just slept through it. But this is a rare situation, to be able to test a correction without other factors getting in the way.

    John Walsh makes me cry. I have found his advice essentially impossible to follow. To adjust your settings, you have to meet all these requirements, like not having a recent low (huh?), or have exercised, or have your period, or have eaten, or bolused… the stars just never align that way for me.

    I also just cannot manage to fast, and he recommends fasting for just about every situation, as if going 8 hours without food is no big deal. Well, I’ve somehow managed to figure out how to do all my pump settings (and my son’s) without ever fasting. (I am certainly not going to ask a toddler to fast, or a child, or a teenaged boy! And I was either nursing or pregnant for many years with diabetes, and not able to fast then either). I wish someone would write a book on how to adjust pump levels without fasting– it is possible! If it’s broke, I change something and hope for the best …

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