Samantha Walsh has lived with type 1 diabetes for over five years since 2017. After her T1D diagnosis, she was eager to give back to the diabetes community. She is the Community and Partner Manager for T1D Exchange and helps to manage the Online Community and recruit for the T1D Exchange Registry. Prior to T1D Exchange, Samantha fundraised at Joslin Diabetes Center. She graduated from the University of Massachusetts with a Bachelors degree in sociology and early childhood education.
I answered “almost always” and that’s true. Those boluses, however, are usually done moments before I eat rather than the recommended 15 to 30 minutes before.
On MDI with InPen so can only use humalog. Usually bolus prior. I may go back to Lyumjev and put info manually into pen. Wish they made a cartridge. But Lyumjev so much faster. Oh well
Almost always. Two times I don’t pre-bolus are when I forget to pre-bolus, and when my blood glucose level is dangerously low. Then, I take my insulin when I start eating.
It is generally not as far in advance as I would like.
At work I never know if I will be interrupted before eating and we pretty much eat when I get home from work so no extended time to pre bolus at that time either.
Rarely sounds so bad and not 100% true. Almost always isn’t true either. 50% is accurate. Eating Keto with 14 grams total carbs daily, 3-5 g per meal hardly requires a bolus of any kind. I’m climbing out of a stretch of overeating and rollercoaster BGs. This is hard, but works.
My answer choice was “other” because it’s usually 50/50. Breakfast is bolus as soon as the coffee’s ready. If there’s lunch it’s a small low carb snack, not enough to pre-bolus for. Dinner is almost always 15 – 20 minutes pre and 2 hr extended bolus, unless I’m trending low.
I said almost always, but if my sugar reads below 90 sometimes I wait until halfway through the meal. (depending on how many carbs)
“almost always” because I forget on rare occurrences, but otherwise “always”.
I answered “almost always” and that’s true. Those boluses, however, are usually done moments before I eat rather than the recommended 15 to 30 minutes before.
Fast acting insulin works in 3-5 minutes.
On MDI with InPen so can only use humalog. Usually bolus prior. I may go back to Lyumjev and put info manually into pen. Wish they made a cartridge. But Lyumjev so much faster. Oh well
Almost always. Two times I don’t pre-bolus are when I forget to pre-bolus, and when my blood glucose level is dangerously low. Then, I take my insulin when I start eating.
I always bolus before I eat, but find it hard to pre bolus for the recommended 15″ or so. Working on it!!
Bad question. There’s a large range between “Almost always” and “rarely”. I would guess that many of us live there.
It is generally not as far in advance as I would like.
At work I never know if I will be interrupted before eating and we pretty much eat when I get home from work so no extended time to pre bolus at that time either.
Rarely sounds so bad and not 100% true. Almost always isn’t true either. 50% is accurate. Eating Keto with 14 grams total carbs daily, 3-5 g per meal hardly requires a bolus of any kind. I’m climbing out of a stretch of overeating and rollercoaster BGs. This is hard, but works.
My answer choice was “other” because it’s usually 50/50. Breakfast is bolus as soon as the coffee’s ready. If there’s lunch it’s a small low carb snack, not enough to pre-bolus for. Dinner is almost always 15 – 20 minutes pre and 2 hr extended bolus, unless I’m trending low.
I wasn’t really sure how to answer this. I always do a pre-bolus but as an extended bolus. So only 100% upfront is rare.
I would put my answer at sometimes. Maybe 50% of the time (I’m working on getting better with it).
On Medtronic I rarely prebolused. Now on omnipod5 and Dexcom almost always.
Almost always. Certainly not when my glucose is already low. Then I wait till after I begin eating.
Before I eat
About 50/50.
Sometimes. It depends on my current glucose reading and the GI of what I’m about to eat (and in what order).