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    • 7 seconds ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      Being on Medicare and required to see my Endo. every three months, my next appointment is made prior to departure from my Endo's office.
    • 20 seconds ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      If I were not on Medicare, it would be difficult to get an appointment within 3 months, even in an emergency. In an emergency, they would assign me a nurse practitioner to see. It is possible to contact them through their "portal." Whether I get a timely response depends on whether there is a reliable nurse to respond.
    • 15 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      When I saw my endo a year ago, I wasn't able to make an appointment 6 months later because all available appointments were fully booked. I have to see her CDE who has more availability in order to meet Medicare requirements for quarterly visits. Many, many healthcare providers in my area burned out and quit during Covid. I injured my knee badly last June and can't get a consult with an orthopedic surgeon until May due to the backlog of people needing help. I'm on crutches until then. My sports medicine doctor stopped practicing medicine last month. Our healthcare system is in crisis with no solution in sight.
    • 16 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      On hold or actually talking about the issue and calling back to ensure someone follow's up as everyone seems to be over their head. Honestly, it varies. It can take considerable time just to raise the visibility of an issue, then the follow up can take weeks/months and patience to resolve. Another problem is patients without the cognitive skills for follow-up. These days i doubt anyone pays attention to them.
    • 2 hours, 37 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      I try to make my appointment for my next appointment when I check out. The scheduler always asks maki g it easier to remember. If I was to forget there would be a wait to get back int the rotation.
    • 9 hours, 46 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      Before the onslaught of Type 2 Diabetes, I, as a T1D, could get an appointment almost anytime I needed one. Now, I cannot get an appointment within 3 months, which is the time within I must see rhe doctor for Medicare benefits. My doctor cancelled 2 (half ) of my sppointments last year. Caused ma a lot of problems. I live in Florida, a place where modern medicine does not seem to have reached yet.
    • 9 hours, 46 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      I routinely see my Endo every three months. At the end of my appointment I schedule the next quarterly meeting date. But if I ever have to reschedule it, then it takes anywhere from two to four weeks to find a time that works for us.
    • 11 hours, 42 minutes ago
      Mike S likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      It all depends on the urgency of my needs. I’ve gotten in the next day before, but those days may be gone! It also depends on who I see. But these days, even the PA is often booked. Of course, cancellations happen, so that can be a factor as well.
    • 11 hours, 58 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 23 hours, 9 minutes ago
      Gerald Oefelein likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 1 day, 2 hours ago
      Wanacure likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Most of the 3-4 hours is way ting on a phone
    • 1 day, 3 hours ago
      Wanacure likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 3 hours ago
      Wanacure likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      The resources I use in managing my glucose levels once sick is my own personal experience after living with t1d for 46 years
    • 1 day, 3 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Switching to Medicare has created (seemingly) endless hours and day making this transition with all things diabetes related. We’re still in the midst of making this ā€˜delightful’ change. This week we learned that Medicare covers Either CGM stuff OR glucose test strips. Thank goodness that God is sovereign over all these details. He helps me walk through these challenges without despair.
    • 1 day, 3 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The last 3 months have been filled with frustrating phone calls now that I switched back to traditional Medicare from a Medicare Advantage plan. I have been fighting to get strips authorized in addition to CGM- they did not authorize them because I had no proof that I had a meter!! Crazy making! I had to write an appeal letter in order to get them, but finally got it worked out. I also had some pump replacement issues, trouble getting insulin, etc.
    • 1 day, 3 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 3 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Much too much time! Part of it, I know, is my own fault, for not keeping anxiety at bay when I have to sort out which plan will work best, annually. But it is something I dread, every single year. When I call to get some help understanding, the people are almost always very nice, but I have had times when the information was incorrect or not explained clearly. I usually commiserate with the person on the phone for having such an annoying system, and agreement seems to rule the day. But I never chose to make sorting out insurance management a career!
    • 1 day, 3 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 1 day, 3 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 1 day, 3 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I’m a reasonably satisfied MDI user with Lantus and Fiasp. I’ve looked into getting a pump but honestly, until I find one that does everything I want, I’ll probably hold off. My wish list for a pump: 1) no tubes 2) works well with Fiasp 3) controls that allow me to stay at my target of 70-90 mg/dl all night long.
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      MDI for the past 60 years and do not see any alternative that I would prefer. The needles for my pens are so thin and sharp that they are painless (a far cry from the lancets I once used). chiefly, I am glad not to have to deal with setting up a pump and. Although I love my libre, I am not good candidate for having devices affixed to me. If my insulin delivery got interrupted they way i have interrupted my cgm service, I would have been in trouble. Furthermore, I have a track record of having both mechanicall and electronic things malfunction. (Seriously, I sometimes act as a beta-tester for technology folks. Maybe I push to many buttons?)
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I've had Tandem x2 and Dexcom since September. Previously on Medtronic for around 15 years. Grew to HATE the sensors and switched before the warranty on my last Medtronic was up. So far, I absolutely LOVE the Tandem and the Dexcom. I'm disappointed, however, in the amount of waste and plastic that this pair creates. Of course there will always be plastic waste from any pumps/sensors, but the amount of non-reusable stuff for insertions is ghastly.
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      Have your doctor prescribe the syringes with .5 unit increments instead of the 1 unit syringes. Not quite a .1 unit which you are hoping for, but .5 is better than 1 unit increments.
    • 1 day, 6 hours ago
      Ahh Life likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
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    How do you bolus for pizza? If you typically use multiple strategies, please select all that apply.

    Home > LC Polls > How do you bolus for pizza? If you typically use multiple strategies, please select all that apply.
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    37 Comments

    1. William Bennett

      Dual wave, baby, only way to go for that stuff. I think I’ve finally figured it out to where I no longer avoid one of my favorite foods.

      5
      5 months ago Log in to Reply
    2. Mick Martin

      I use a dual-wave bolus, giving 2 thirds of the dose immediately, followed with the remaining third over a period of 1.5 hours.

      5 months ago Log in to Reply
    3. Annie Wall

      Traditional pizza is too challenging for me. My husband and I make our own with very thin crust, a small bit of pesto and a small bit of hummus, peppers, onions, fresh tomatoes, kalamata olives, and a dusting of shredded Parmesan. I bolus for the carbs before I eat. This works for me and it’s healthier.

      2
      5 months ago Log in to Reply
    4. Joan McGinnis

      Extended bolus 60/40 the 2nd half over 1 hr for high fat pizza 70/30 the 2nd half over 1 hr. for less fat and protein

      5 months ago Log in to Reply
    5. Richard Vaughn

      The local pizza place makes my pizza thin. I wat one slice when mu bloos sugar is below 100. Then I exercise. No problem. I can do that again later in the day. No more than two slices per day. There are 8 slices in a large pizza. I have to watch my wife. She will eat four slices in one day, then she may eat some of my slices if I don’t watch her. lol

      2
      5 months ago Log in to Reply
    6. Louise Robinson

      If I were to ever eat a piece of a regular pizza, I would use an extended bolus. I will make regular pizza for my husband but for myself, I put the sauce, toppings and cheese on a low-carb crust alternative like low-carb pita or low-carb wrap to seriously curtail the total carbohydrates.

      1
      5 months ago Log in to Reply
    7. mojoseje

      This is a big drawback for using CGM with my pump. It does not allow dual or square boluses when Auto mode is on so I have to bolus for the carbs, then monitor my pump and bolus again when my bg starts to rise.

      5
      5 months ago Log in to Reply
      1. Karington Johnston

        I’m having this same issue. I had pizza last night actually — my only high all day. I’m trying to refigure out how to bolus for it, when I had mastered the extended bolus

        2
        5 months ago Log in to Reply
      2. mbulzomi@optonline.net

        If you are using a Tandem X2, when you are ready to start the Bolus, there is a selection to use Extended mode even if you are using Control IQ. Hope this helps.

        2
        5 months ago Log in to Reply
    8. mbulzomi@optonline.net

      A Real New York slice of Pizza is equal to approx. 60-80 Carbs. I usually put 40% up front and 60% over a three-five (3-5) hour time span. Sometimes it works and of course sometimes it doesn’t?? Subject to change depending on is I eat more than one (1) slice.

      3
      5 months ago Log in to Reply
    9. Ehamilton0722

      Extended bolus, but also turn off control IQ and run a temp basal of above 150% for around 8 hours after the meal. I’ll monitor my glucose and turn back on control IQ if it’s running on the lower end.

      5 months ago Log in to Reply
      1. Ehamilton0722

        Of about 150%…*

        1
        5 months ago Log in to Reply
      2. AnitaS

        That is one thing I don’t like about temp basals. I would love for the control IQ to be able to be used with the temp basals. Hopefully one day in the not too distant future.

        1
        5 months ago Log in to Reply
    10. kflying1@yahoo.com

      Pizza falls into the category of “”I can eat whatever I want as long as I willing to pay the price for it.” I dose for the approximental carb load, then spend the next 18 hours adjusting doses to compensate for the sauce, meats and white flour. Same way as with Chinese chow mmmm – maybe go for Panda Express later.

      4
      5 months ago Log in to Reply
      1. Wanacure

        Since I’m not on a pump, I must do the same with multiple injections of Humalog (lispro). I take an increased dose before eating, then additional doses as needed, preferably 4 hours apart. Sometimes a one unit dose, if rapidly rising, but to avoid piling on insulin, I wait at least 2 hours before adding a half unit or 1 unit. I must frequently check blood glucose readings. But I don’t eat pizza that much anymore, since cutting back on carbs and using Dexcom. I tried Panda Express only once, but found it way too greasy and way too sweet. I avoid Thai because I’ve read it’s very sugary also. But authentic Vietnamese, Chinese, Japanese with lots of veggies is safer. I just avoid the rice and sometimes ask the waiter for help. Unfortunately, many ethnic restaurants cater to American tastes for sugar, grease, salt. BTW 1 tablespoon of soy sauce has 50% of the minimum daily requirement for sodium.

        5 months ago Log in to Reply
    11. kristina blake

      I usually don’t do pizza – can’t afford the calories (you’ve read my rants about my Endo’s weight goals for me – rail thin!) Wen I do I use a broccoli or cauliflower crust and an extended bolus. In terms of restaurant pizza’s, I go to the salad bar!

      2
      5 months ago Log in to Reply
    12. Linda Zottoli

      When had kids at home, and before my celiac diagnosis, I chose pizza restaurants with salad bars and thin crusts and ate mostly salad, was kind of a treat for me with anchovy. That was in 1970s and 80s, so no pump or cgm, but learned to give an extra bolus eventually. Gluten-free crusts I’ve tried just haven’t been worth the bother.

      1
      5 months ago Log in to Reply
    13. Kathy Morison

      I will normally give myself a smaller dose of insulin for anything contained on the pizza that might be considered more simple sugar but wait about an hour or so to take more for the starch and other ingredients that take longer to digest and affect the sugar. I found if I took all insulin at the beginning covering the carbs of the pizza that I would go low and then go high before the starchier more complex carbs took effect.

      3
      5 months ago Log in to Reply
    14. Kris Sykes-David

      I haven’t eaten pizza in a while. My hubby is dairy free and the low carb pizza I made was full of dairy. I don’t want all the fat anyways!

      5 months ago Log in to Reply
    15. Henry Renn

      Pizza is off my diet for gastroparesis.

      5 months ago Log in to Reply
    16. Janis Senungetuk

      Order thin crust and use extended bolus for a 2 hour total. I often will need to add a correction bolus 2 – 3 hours later, depending on the pizza ingredients.

      2
      5 months ago Log in to Reply
    17. Elle Hamann

      If it’s a thick crust order at night:

      Increase basal 20% as soon as we know we’re having pizza, or an hour before (whichever is shorter).
      Bolus 60/40 for 2hrs.
      After 2 hrs, if needed bolus fat & protein 50/50 for 2hrs.
      Keep basal higher until morning.

      1
      5 months ago Log in to Reply
    18. sdimond

      Used to eat the toppings and throw the crust away. Now I make a low carb crust with almond flour, oat fiber, and mozarella cheese with egg white and xanthan gum as the binder. Dose R insulin for the protein and a little Humalog to cover the tomato sauce.

      5 months ago Log in to Reply
    19. Dave Akers

      With Inhaled insulin I find I take 1/3 my dose at meal time. W/in the next 90-120 minutes, I inhale the other 2/3’s and I’m Sittin’ pretty!

      5 months ago Log in to Reply
    20. TomH

      We make our own thin crust using flat outs coated with olive oil, baked at 300-350 for a few minutes (browned slightly), then some sauce and a little cheese, then pepperoni and onion, some more cheese and back to the oven to melt. Makes four slices. Dosing is reduced but cheese forces extended.

      1
      5 months ago Log in to Reply
    21. Pete Murphy

      I’m onn a Tandem x2 w/ G6 pump, so typically will guestimate 30-40 carbs a slice; example DIgiorno Supreme frozen is 38 per serving x 6 servings per container, works out to 228 carbs…I’ll add 12 to make it easier on calculations as 240 is much easier when computing in your head. So take 240 carbs and devide by actual number of pieces cut from the pie…usually 8 so it’s 30 carbs a slice. Typically deliver at the beginning of the meal and use a 50/50 extended bolus over 1-2 hours.
      Based on experience…it usually works out fairly accurate most pizzas I’ve found are between 30-40 carbs a slice. Course also depends on thick vs thin etc etc.

      5 months ago Log in to Reply
    22. Donna Condi

      I now only eat pizza at a restaurant named AZZIP pizza. I get the kids meal and it is a very thin crust 6ā€ pizza. Because of this I can give a regular 20 carb bolus. Any other pizza I would give an extended bolus and follow up with additional bonuses.

      5 months ago Log in to Reply
    23. Christine Ward

      I only eat Quest pizza and it does not spike my BG. So I am able to bolus for the carb count and stay pretty level.

      5 months ago Log in to Reply
    24. Phyllis Biederman

      Combo bolus- correction + 65-70% upfront as Normal bolus and 35-30% as Extended bolus over 1.5-2 hours. All depends on type of pizza.

      5 months ago Log in to Reply
    25. Brian Vodehnal

      Pre bolus for sure to handle the white flour spike…

      5 months ago Log in to Reply
    26. Kristine Warmecke

      It depends on what my blood sugar is at the time. If I’m low, I’ll eat a few bites first. If I’m in range it’s an extended bolus. If im out of range it’s an extended bolus, waiting 15 minutes at least to begin eating.

      5 months ago Log in to Reply
      1. ChrisW

        Pizza has the same irregular effect on me. I handle it the same way except I’m doing MDI.

        1
        5 months ago Log in to Reply
    27. Lawrence S.

      Because of Celiac disease, I have not eaten “real” pizza in over 15 years. The only pizza I eat is home made gluten free. I use low fat Kraft Parmesean cheese and lots of vegetables. However, there have been times were I have used the Extended bolus, some of the insulin delayed for 2 hours.

      1
      5 months ago Log in to Reply
    28. AnitaS

      I first use an extended bbolus with some insulin now and some delivered over a few hours. Many times after that type of bolus, I may use another extended bolus or another regular bolus depending on how my sugar is doing. I just tried cauliflour crust pizza a few days ago for the first time. OMG was it good. It tasted like regular pizza dough but was just like a thin0crust pizza, not a regular crust. A friend took a piece just to try it and he said he would not have known it was made of cauliflour if I had not told him. I did an extended bolus for that pizza because of the fat in the cheese but did not have to extend it

      5 months ago Log in to Reply
    29. brettsmith115

      I avoid pizza as much as possible, which is really sad to say. I love pizza, but as a T1D AND celiac, I’m left with either rice flour crusts (or cauliflower crust if I’m lucky), and they make my blood sugar levels skyrocket for an extended period of time. If I eat pizza, it doesn’t seem to matter what bolus strategy I use to cover the carbs, I usually end up high-sugar for the following 2-6 hour period. It’s just not worth it to me anymore.

      5 months ago Log in to Reply
    30. Cheryl Seibert

      Extended (aka Dual Wave for those Medtronic users) works best for me for pizza. 50% immediately for the sugar in the tomato sauce and 50% over 30 minutes for the carbs in the dough. NOTE on your choice of questions: Extended Bolus can also be equivalent to a Square Wave bolus on TSlim (0% now, 100% over time). I have not found Square Wave useful for pizza unless there is very little sauce or a veggie pizza. Lots of sugary sauce more up front, thinner crust or cauliflower crust then fewer units extended over time.

      5 months ago Log in to Reply
    31. wyndare3

      Depends on the style of crust but I generally add at least a unit above the carb count.

      4 months ago Log in to Reply

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