[solox316]

Originally Posted by DCaplinger

Whaaaaaat? This is a new concept for me. Can you expand on that a bit?

Regards,

If one wanted to try to take care of the 170 first, then what I wrote is the same as what most others have posted. Give the correction at any time, wait to give the meal bolus until you feel like you are ready to eat.

That being said, if it is meal time, then eat. Your level will work itself out if you cover correctly, eventually.

[MinimedPumper07]

See thats what I'm getting at. I think its all in the timing. I worked my basals out a few weeks ago and I stayed 80-140 the whole time I was fasting. I think I am just eating my food too quickly. Sometimes I wish I could do the correction, and then wait like an hour, but I don't have that kind of time. Also I am not exercising enough :/

[shiftzor]

I thought that was the big reason for pumping, you could give yourself corrections without the usual MDI worries of changing sites etc. Can't see the point of taking a huge risk like taking all your bolus in one go and waiting an hour. As already said just give a correction bolus then bolus when you eat food, if your I:C is correct then 2 and a half hours later your bg will be within range. 4 hours later your bg should still be within range. If it’s not right then your I:C/basal rate is wrong.

[JediSkipdogg]

I am totally confused on what you are trying to prevent. You seem to be going against the reason for pumping. For example, I woke up at 10 this morning running 66. I gave myself some food to correct and by 1:00 I was 147. I gave a bolus to bring the 147 down to 100 at that time and then now I'm eating lunch at 1:40 and I gave my lunch bolus. I didn't hold or give a bolus early for either instance.

Why would you not correct a high immediately on a pump?

Why would you want to give a food bolus an hour early just to give it with the correction?

The main advantage of a pump is to give insulin when you need it and not have to wait.

[Eddy]

Originally Posted by MinimedPumper07

See thats what I'm getting at. I think its all in the timing. I worked my basals out a few weeks ago and I stayed 80-140 the whole time I was fasting.

How long of a time period was that? When did you see what numbers? If you steadily dropped or increased during an 18-hour period (e.g., dinner to lunch), I'd say that your basal still leaves much to be desired.

Originally Posted by MinimedPumper07

I think I am just eating my food too quickly.

Maybe. Or maybe it's what you eat. Or it could be that insulin kicks in slowly. There are many possible causes, which is why people are asking for more details; specific advice requires specific data.

Originally Posted by MinimedPumper07

Sometimes I wish I could do the correction, and then wait like an hour, but I don't have that kind of time.

I'll try to respond gently to that statement. Does your current situation really save you time? How time-consuming would it be to check an hour before mealtime, press a button to correct, and then return to what you were doing?

Originally Posted by MinimedPumper07

Also I am not exercising enough :/

Ehhhh.... it's a catch-22. Exercise helps control over the long haul, but can really mess with you during the short term.

[Eddy]

Re how long to wait after mealtime bolus before eating:

Originally Posted by xMenace

I've gone as high as 50 minutes once

Dude. That would put me in a coma if I tried it with a full-meal bolus. Novolog/Novorapid is on peak, and human insulin is nearly 50% spent... in me, at least.

Well, I guess that gets back to the original point: What can work for one might kill another.

[JediSkipdogg]

Originally Posted by MinimedPumper07

See thats what I'm getting at. I think its all in the timing. I worked my basals out a few weeks ago and I stayed 80-140 the whole time I was fasting. I think I am just eating my food too quickly. Sometimes I wish I could do the correction, and then wait like an hour, but I don't have that kind of time. Also I am not exercising enough :/

If during a basal test you ranged from 80-140 during that test then you definitely failed the test in my opinion. You should not move more than 10 mg/dl up or down during a basal test, I think some allow you 20 mg/dl.

As for the exercise, that's going to have nothing to do with how well your levels are. That will actually throw another mix into the mess you seem to have since you have to cut your basals back (or eat more) before you exercise and you need to maybe keep them lower depending on the type of exercise you do. If one does strength exercise then their muscles are more actively working during the 12-24 hours after the exercise has stopped, so that may change your BG during that period.

[shabbie]

Originally Posted by MinimedPumper07

If you are 150+ can you bolus and wait like an hour or is that too much?

i COULD wait an hour or so before i eat, BUT if i bolus that early i end up with too many carbs on board when the insulin ran out ~ make sense?

i would take a correction, wait for my bg's to start coming down (perhaps 1 hour?), then take a meal bolus and eat.

nothing wrong with taking that correction AND meal bolus and eat within say half an hour.

a lot depends on how many carbs i'm about to eat really

[solox316]

Originally Posted by MinimedPumper07

See thats what I'm getting at. I think its all in the timing. I worked my basals out a few weeks ago and I stayed 80-140 the whole time I was fasting. I think I am just eating my food too quickly. Sometimes I wish I could do the correction, and then wait like an hour, but I don't have that kind of time.

If you are testing for dinner, and you are 170, then correct with your meal bolus and eat. No big deal.

Maybe the better question is why was your reading 170? I am not faulting the 170, just saying that if you can solve that, then you won't need the answers in the thread about bolusing early.

If elevated not at a meal time, why not (as Jedi said) correct right away, as long as you are conscious of insulin possibly on board.

If you are spiking too badly after eating, which I gathered from your comment of eating too quickly, talk to your dr. about symlin... but you really have to have your basals and IC ratio in pretty good check, and understanding...

[MinimedPumper07]

Originally Posted by JediSkipdogg

For example, I woke up at 10 this morning running 66. I gave myself some food to correct and by 1:00 I was 147. I gave a bolus to bring the 147 down to 100 at that time and then now I'm eating lunch at 1:40 and I gave my lunch bolus. I didn't hold or give a bolus early for either instance.

what im getting at is that at 1 u were at 147, so u corrected, and did not eat until 1:40, at which point u ate and gave a meal bolus. If instead at 1 u would have corrected the 147 and ate and meal bolused all at the same time, you would have spiked, but you didn't spike because you waited 40 minutes for your correction to take effect before eating and meal bolusing.

if i am at 170, correct and meal bolus at the same time, it will take around 4 hours to get back into range than if i were at 170, corrected, waited an hour then ate and meal bolused - that would just take 2 hours to get into range.

[JediSkipdogg]

Originally Posted by MinimedPumper07

what im getting at is that at 1 u were at 147, so u corrected, and did not eat until 1:40, at which point u ate and gave a meal bolus. If instead at 1 u would have corrected the 147 and ate and meal bolused all at the same time, you would have spiked, but you didn't spike because you waited 40 minutes for your correction to take effect before eating and meal bolusing.

Yeah, I probably would, but it's not going to kill you. I'm not going to change my life because a number goes above 200 for 30 minutes. In the long run that isn't going to cause any complications by itself whereas the waiting an hour to bring the BG down because I don't want a correction and food bolus at the same time is going to cause more harm, probably in the area of depression and/or stress.

I see alot on here that say diabetes is stressful....in my opinion it only is if you make it stressful. 26 years of it here and I don't let a random high bother me or a low stop me. I correct and get on with my life.

[Eddy]

Originally Posted by MinimedPumper07

If instead at 1 u would have corrected the 147 and ate and meal bolused all at the same time, you would have spiked

Maybe, maybe not. It depends. With the right food, I can inject an hour after eating, and still go hypo.

Originally Posted by MinimedPumper07

if i am at 170, correct and meal bolus at the same time, it will take around 4 hours to get back into range than if i were at 170, corrected, waited an hour then ate and meal bolused - that would just take 2 hours to get into range.

Oh well. If you're at 170, how long have you been there? The best answer is to stay in range if at all possible.

As people have suggested... take a second look at your basal. Varying 60 mg/dL during a basal test shows opportunity for improvement. Let's start at the beginning. How much of an overnight drop do you usually see?

[MinimedPumper07]

I have messed with my basals as much as I can stand. There are just too many factors that influence my fasting bg. Most of the tests I did I started the test at around 110 and by the end of the test 5 or 6 hours later I would be at 80-90. I am happy with that.

[Eddy]

Originally Posted by MinimedPumper07

I have messed with my basals as much as I can stand. There are just too many factors that influence my fasting bg.

People here are trying to help you. However, the "I'm too busy" and "there are just too many complications" comments do not help. Perhaps I am perceiving your attitude incorrectly, but you seem to discount that others might be equally -- or even more -- busy and complicated.

Originally Posted by MinimedPumper07

Most of the tests I did I started the test at around 110 and by the end of the test 5 or 6 hours later I would be at 80-90.

Extrapolating, that's a daily drop of about 100 mg/dL. That's not normal. That's excessive.

What do you see overnight?

Originally Posted by MinimedPumper07

I am happy with that.

Ultimately, that's the bottom line. If you are happy with what your approach provides, that's what counts.

[cheryl]

I can honestly say, that I don't like eating at a 170...errrr nope not at all...unless I noticed that it is coming down from corrections and I cannot stand it anymore....very rare I do that though...

Honestly 140's do not make me nervous to eat with unless my reading a couple of hours before were lower...then I might be thinking ok what is the deal...

Anyhow, if I am 146 as for instance today at lunch.....I was 187 after breakfast did a tiny correction...I knew I was on my way down I waited 20 minutes or so to start eating....that is what I do....oh by the way my IC ratio is off for breakfast again errrrr...so I know what my issue's have been LOL

It's hard....I know I work and am a Mom of four kids....I used to think I don't have time for this....but I find it....even if I have to bring my food with me....if I have to go out....LOL....or I make sure if I am super duper busy...I might attempt to eat two hours before I am about to be busy....or lets say your having these higher issue's why don't you try to test your bg like 45 minutes before your gonna eat so if your higher you have corrected and when you are ready to eat....your lower or somewhat by this point...see my drift...I do things like this so I can still eat, still be busy and still get things situated takes a few seconds to test.....so I would do that....

Cheryl