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06-23-2009, 08:48 PM
|  | Senior Member
I am a: Type 1 | | Join Date: Jan 2009 Location: ɐıʇoɔs ɐʌou 'xɐɟılɐɥ
Posts: 1,006
| | | - The Most Rapid You Have Bolused -
I know you have to cover your carbs, but is there a limit? Some kind of ceiling where the amount of insulin doesn't make much of a difference?
Seems like an odd question, and I have never really needed to bolus an unusually large amount of rapids yet, so I am curious.
Or no matter what, you match your carbs? Even if you hit a buffet and devour 235 carbs of foods?
I have a huge appetite, and don't have any weight issues... yet.
My appetite is almost legendary. Hah...
__________________ 
+++ Jason
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06-23-2009, 08:52 PM
|  | Senior Member
I am a: Type 1 | | Join Date: Jun 2006 Location: New Brunswick Canada, eh
Posts: 8,672
| | | A couple of years ago I ate a whole 16" pizza and a choc-pb brownie. I bolused 50 units of humalog and stayed on target! |
06-23-2009, 09:02 PM
| | Member
I am a: Type 1.5 | | Join Date: Jun 2009
Posts: 373
| |  Woah! (That's all I can say about that)
The most I've ever bolused was probably 13 units of humalog for a burrito that I HAD to have when I was pregnant.
__________________
Rachel 
type 1.5 since 12/04
2000 mg metformin, levothyroxine, symlin
paradigm 522 pump w/humalog & cgms
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06-23-2009, 09:58 PM
|  | Senior Member
I am a: Type 1.5 | | Join Date: May 2007 Location: Federal Way, Wa
Posts: 1,958
| | | I did a square wave of 30 units one night for my wifes 8 cheese lasagna and garlic bread. 2, 3, and 4 hour tests were all under 130. A.M. reading was a bit high, but not horrible. |
06-23-2009, 10:12 PM
|  | Senior Member
I am a: Type 1.5 | | Join Date: Oct 2008 Location: NJ
Posts: 2,437
| | | omg....i am so out of my league here....maybe 10 total and that included corrections...think I'm too carb wary to compete with you champs
__________________ lori
Type 1.5
Lower carbing and exercise
Humalog & Levemir...trying novolog fp
but i'm cool with that  a1c..5.3 sorry had to post it! True: Insulin is NOT a cure... |
06-23-2009, 10:19 PM
|  | Senior Member
I am a: Type 1 | | Join Date: Feb 2008 Location: Melbourne Australia
Posts: 4,473
| | | I've probably pushed 20 units a couple of times when I thought "f it", I was really hungry, having a great time, whatever.
But anything above 12 units and I really can't remember a good result. For me, that means about... 80g carbs, and I'd have to be very lucky for it to work out and qualify as any kind of effective bolus.
__________________
−− Type 1 since 1991
≈≈ Minimed Paradigm 722 since 2007
~~ Metformin ER since Sep 2009 |
06-23-2009, 10:21 PM
| | Senior Member
I am a: Type 1 | | Join Date: Feb 2008 Location: Melbourne Australia
Posts: 4,473
| | Quote:
Originally Posted by lorilei  omg....i am so out of my league here....maybe 10 total and that included corrections...think I'm too carb wary to compete with you champs | Don't forget, for some of us our insulin use stretches back over decades... in that time, I think you might need to be superhuman not to have had some more extreme scenarios once or twice...
Now delph... he's something else entirely
__________________
−− Type 1 since 1991
≈≈ Minimed Paradigm 722 since 2007
~~ Metformin ER since Sep 2009 |
06-23-2009, 10:31 PM
| | Member
I am a: Type 1.5 | | Join Date: Jun 2009
Posts: 373
| | Quote:
Originally Posted by Delphinus
Or no matter what, you match your carbs? Even if you hit a buffet and devour 235 carbs of foods?
I have a huge appetite, and don't have any weight issues... yet.
My appetite is almost legendary. Hah...
|
Out of curiosity...
Have you been too scared/cautious/good/disciplined to eat the "235 carbs" at the buffet, or do you have a reasonably low insulin/carb ratio so that you don't yet have to take a mega bolus for that? Are you planning a trip to the buffet in the near future?
I'd be too scared to eat that many carbs all at once. I think I'd have to take 40 units to cover that. Yikes. Couldn't do it.
__________________
Rachel
type 1.5 since 12/04
2000 mg metformin, levothyroxine, symlin
paradigm 522 pump w/humalog & cgms
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06-23-2009, 10:45 PM
| | Member
I am a: Type 1 | | Join Date: Feb 2009 Location: California
Posts: 106
| | | 40...
I've done 40 before in an attempt to cover an obscene amount of carbs.
It's SO unsafe to do that. When you're eating that much carb, it's a total shot in the dark to know how to cover it.
IF you push that much insulin, do it A LONG TIME before you go to bed. And don't take any naps. You may wake up in a weird place with machines hooked up to you and funny men and women in white coats all around you. |
06-24-2009, 12:24 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Dec 2006 Location: Hastings Melbourne Australia
Posts: 4,292
| |  The knwolage of how much.
Ever since that I had an idea how many carbs there is I would then be able to calculate the Bolus.
There have been cases that there have been 70U!!! I am not joking. Plus the BG was quite low too. Once that the shot was taken I had a pizza at 15" Yea... I know.  But it's the knowledge that you must know when to take that much.
McDonalds is well known to blow carb values. And of course TEST!!! Like a madman. 
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06-24-2009, 06:51 AM
| | Member
I am a: Type 1 | | Join Date: May 2009 Location: Raleigh, NC soon Portsmouth, VA
Posts: 140
| | | I've done over 20 before, though now I have my pump limited to twenty (200 carbs) so I don't get any wise ideas.
Of course, once the carb levels get too high it does become quite a feat to try and count everything. Especially with certain fast food meals. Recently I've had days where I absolutely just HAD to eat a heck of a lot of food. My sleep's been screwed up (but not today!) and I've missed a number of meals.
As crazy as it sounds, though, this has been a GREAT time to figure out whether my basal rates are on target, hahaha.
__________________
I may as well provide my A1C's as well!
05/2009: 6.2%
01/2009: 6.5%
Time passes (???)
12/2007: 6.3%
08/2007: 6.7%
I don't remember before this but my A1C's were in the 5.7% area before I went to college...
These numbers should improve as I'm no longer trapped by the outrageous school/work schedules of college and will be starting a job with fantastic working conditions soon! |
06-24-2009, 06:52 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Oct 2006
Posts: 1,325
| | | I think 16 units of Novolog is the most I've ever done and that was for correcting a badly wayward blood sugar.
__________________
MDI, Lantus and Novolog
A1c 10/09 -- 5.8%
A1c 4/09 -- 5.7%
A1c 10/08 -- 5.4%
A1c 4/08 -- 5.7%
A1c 8/07 -- 5.6%
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06-24-2009, 07:07 AM
| | Senior Member
I am a: Type 1.5 | | Join Date: Oct 2008 Location: NJ
Posts: 2,437
| | Quote:
Originally Posted by Subby Don't forget, for some of us our insulin use stretches back over decades... in that time, I think you might need to be superhuman not to have had some more extreme scenarios once or twice...
Now delph... he's something else entirely | Jason sounds rather like a hulk doesn't he??
__________________ lori
Type 1.5
Lower carbing and exercise
Humalog & Levemir...trying novolog fp
but i'm cool with that a1c..5.3 sorry had to post it! True: Insulin is NOT a cure... |
06-24-2009, 07:14 AM
| | Senior Member
I am a: Type 1 | | Join Date: Dec 2006 Location: Hastings Melbourne Australia
Posts: 4,292
| | | |
06-24-2009, 07:22 AM
| | Member
I am a: Type 1 | | Join Date: Oct 2007 Location: Scotland
Posts: 274
| | Quote:
Originally Posted by Subby Don't forget, for some of us our insulin use stretches back over decades... in that time, I think you might need to be superhuman not to have had some more extreme scenarios once or twice... | Hi Subby:
Does your insulin use stretch back to the days of one-shot per day of cloudy insulin (Lente or NPH)? There was no way you could bolus, let alone bolus extra.
Actually, about the first thing I was told after I walked in the ER with a BG of >600/33, was that I would be given a strict diet and a fixed daily dose of insulin and that under NO CIRCUMSTANCES WHATSOEVER should I EVER EVER think about increasing my insulin in order to eat more! It was drummed into me that only BAD DIABETICS did this (and that the wages of sin, if not death, were most certainly amputation and blindness).
Joel
__________________
T1 since 1977
MM522/Apidra since July 08 |
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