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    • 5 hours, 45 minutes ago
      AnitaS 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.
      Only "illness" that makes it really difficult to control my blood sugar is getting steroid injections into my cervical spine or fingers. I leave my basal rate on my pump at 250% and need much higher bolus doses and many "extra" doses if my blood sugar remains really high. I tell the MD's that it turns my insulin into tap water and try to avoid it, experience with having gotten these injections over the past few years has helped, but having blood sugars of 400-500 despite much higher basal and bolus dosing is so frustrating!
    • 5 hours, 46 minutes ago
      AnitaS has commented in the same post you commented in :
      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.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 46 minutes ago
      AnitaS has commented in the same post you commented in :
      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.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 46 minutes ago
      AnitaS has commented in the same post you commented in :
      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.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 46 minutes ago
      AnitaS has commented in the same post you commented in :
      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.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 46 minutes ago
      AnitaS has commented in the same post you commented in :
      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.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 46 minutes ago
      AnitaS has commented in the same post you commented in :
      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.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 46 minutes ago
      AnitaS has commented in the same post you commented in :
      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.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 46 minutes ago
      AnitaS has commented in the same post you commented in :
      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.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 46 minutes ago
      AnitaS has commented in the same post you commented in :
      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.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 46 minutes ago
      AnitaS has commented in the same post you commented in :
      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.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 46 minutes ago
      AnitaS has commented in the same post you commented in :
      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.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 46 minutes ago
      AnitaS has commented in the same post you commented in :
      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.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 46 minutes ago
      AnitaS has commented in the same post you commented in :
      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.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 46 minutes ago
      AnitaS has commented in the same post you commented in :
      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.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 46 minutes ago
      AnitaS has commented in the same post you commented in :
      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.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 46 minutes ago
      AnitaS has commented in the same post you commented in :
      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.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 46 minutes ago
      AnitaS has commented in the same post you commented in :
      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.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 46 minutes ago
      AnitaS has commented in the same post you commented in :
      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.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 46 minutes ago
      AnitaS has commented in the same post you commented in :
      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.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 5 hours, 46 minutes ago
      AnitaS has commented in the same post you commented in :
      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.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
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      Randell Cole has commented in the same post you commented in :
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    If you use an insulin pump that allows you to give extended boluses, on average how often do you give an extended bolus?

    Home > LC Polls > If you use an insulin pump that allows you to give extended boluses, on average how often do you give an extended bolus?
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    48 Comments

    1. Molly Jones

      I chose multiple times a month. It depends on how my BG / digestion is acting. This can be quite variable.

      3 months ago Log in to Reply
    2. MARIE

      My husband does an extended bolus every night. Otherwise a single insulin dose would peak before the carbs in his low carb/ high fat dinner were metabolized.

      1
      3 months ago Log in to Reply
    3. Ahh Life

      🪜 BG movements are like the Weeping Angels from Doctor Who—monsters that can move only when you’re not looking at them. Therefore . . . I extend the bolus several times a week. Then occasionally take a peek.

      3
      3 months ago Log in to Reply
    4. GLORIA MILLER

      The Omnipod 5 in automated mode does not allow an extended bolus. So I never have an extended bolus which means I have to tell the machine to give me more insulin in a few hours. It is unfortunate since the older models did. I assume they will fix this flaw when they come out with the next model in a few years.

      3 months ago Log in to Reply
    5. Mark Schweim

      Pumping since June 2003 and since then literally every Insulin Pump I’ve had has allowed extended Bolus options. Since 2003 I think I’ve used the Extended Bolus option a maximum of maybe 3 times in the past 19 years.

      3 months ago Log in to Reply
    6. stillarobyn

      My pump can do extended bolus, but not in automode with my CGM, so I am unable to use the feature as I would like. Instead I set reminders to split a bolus, for pizza or sugary breakfast for example.

      1
      3 months ago Log in to Reply
    7. Kathy Hanavan

      Because I eat a lot of fiber and have dark chocolate as a treat often, I use the extended wave most days. I wish it were able to go longer than 2 hours as it is hard to remember to rebolus.

      2
      3 months ago Log in to Reply
      1. Amanda Barras

        Same! My pizza hits 3-4 hours post meal! I do and extended bolus and it works great while it’s running, but after it stops I still get a spike.

        4
        3 months ago Log in to Reply
    8. Amanda Barras

      Rarely, only with pizza.

      2
      3 months ago Log in to Reply
    9. karolinamalecki7@gmail.com

      I clicked the wrong one. I accidentally clicked ā€œneverā€ but then saw the option for ā€œmy pump does not give extended bolusesā€

      3 months ago Log in to Reply
    10. Nevin Bowman

      Almost every bolus.

      1
      3 months ago Log in to Reply
    11. Conniekaycox

      Newish to the type 1 life will be three years for me in March. See this option on my pump don’t know what it is for how it would benefit to use it! So much to still figure out. Will see what I can learn from your comments and ask the Endo šŸ™‚

      4
      3 months ago Log in to Reply
      1. ELYSSE HELLER

        Don’t worry about “so much to figure out”. I have been a T1D for 47 years and have been on a pump since 1983 and have never used the extended bolus or square wave option. After reading these comments I realized that extended boluses might have been beneficial to me, especially when eating pasta. I am going on the Omnipod 5 next week and am sincerely hoping that this will make my life easier.

        1
        3 months ago Log in to Reply
    12. Mike S

      Extended bolus gave me pizza and pasta back. Sure it’s just a slice/small bowl at a time, but using it prevents the future spike that invariably hits about an hour or two later (depending on what’s on the pizza/pasta of course). So thankful for the tech that makes this disease easier. (even if that same tech sometimes drives me crazy with beeps and unnecessary alerts)

      4
      3 months ago Log in to Reply
    13. Ms Cris

      Extended boluses are crucial to my management! MDI was not working well in the beginning at all. Novolog just does not last long in me, done acting in 2.5-3 hours. And especially now with my GLP1 regimen, even more crucial.

      I pre-bolus and avoid lows during each meal, bolusing for the carbs up front and extending the protein portion (at a different ratio) over 1.5 hours.

      3 months ago Log in to Reply
      1. K Ro

        You have an MD who prescribed a GLP1 ??? I’m jealous- would love to try that

        1
        3 months ago Log in to Reply
      2. Ms Cris

        @K Ro Yes! My Endo is at a research hospital. They understand that T1s can benefit greatly from off-label meds…being that the only reason they’re not approved for T1s is because “they can lower BG”. Duh, that’s the point.

        My Endo does this only for T1s who really get the math, understand the potential dangers. We stepped into it very slowly and carefully. The GLP1 has helped calm my liver (excess glucagon), replaces the effects of amylin (she’s full!), and has reduced my total insulin needs by 50%. I do so much better. Without it, my carb ratio is 1:6 and ISF 1:80 (difficult to manage!). With GLP1, I’m 1:15 and 1:90, respectively, and basal is down by 40%.
        I use less than a typical T2 dose. It’s been wonderful.

        3 months ago Log in to Reply
    14. Mick Martin

      That REALLY depends on the type of meal that I’m eating. i.e. I give extended boluses when I eat high fat content meals, such as chips [fries] or pizza, but I don’t eat these types of foods on a regular basis.

      3 months ago Log in to Reply
    15. William Bennett

      Took me until fairly recently, after many years with a pump, to discover “dual wave” bolus as an answer to the Pizza Dilemma. Before that I avoided pizza like the plague for the first 20 yrs after dx, when I was on R/N and then basal/bolus MDI. Just too difficult.

      1
      3 months ago Log in to Reply
    16. lis be

      Only when i have a slice of pizza, maybe once every 6 months.

      3 months ago Log in to Reply
    17. Bea Anderson

      It us useful for a little movie popcorn. I also use with temporary bolus often with extend bolus. Fast acting insulin is amazing, and so grateful for pumps that can help with special treats. That said, I don’t generally use for food, but unexpected highs when sick. T1 is not casually managed. I monitor bg’s more closely during these uses. I know question wasn’t about how or why, so monthly multiple times!

      3 months ago Log in to Reply
    18. George Lovelace

      On a Tandem w/CIQ, who needs that?

      3 months ago Log in to Reply
      1. Yerachmiel

        George – how do you deal with Gastro (or are you fortunate enough to have avoided it). I’d love to discuss IQ with you as has failed for me when I tried it

        1
        3 months ago Log in to Reply
      2. George Lovelace

        Yerachmiel, I have been fortunate enough to avoid Gastro and lucky enough to have such ease with the Dexcom

        3 months ago Log in to Reply
    19. Yerachmiel

      Almost every meal bolus is a dual bolus (extended and straight) due to gastroparesis.

      3 months ago Log in to Reply
    20. anj1832

      When I was pregnant I used extended boluses all the time because I was much more vigilant about having good control. Now I hardly ever use it.

      3 months ago Log in to Reply
    21. Mig Vascos

      extended bolus dont seem to work for me with my tandem pump. i always end up cancelling them and adding a bolus later on

      3 months ago Log in to Reply
    22. Sherolyn Newell

      A large number of foods hit me quite a while after eating them, so I use it often. Most of the time, it’s 25% right after I eat and the other 75% over the next 1/2 to 1 hour. With something really high in fat, like pizza, I have to wait for 1/2 hour after eating to start the bolus.

      3 months ago Log in to Reply
    23. Gary Taylor

      I said never. I use the Medtronic 770 with the sensor 3. When I use the “Auto Mode” extended boluses are not an option. On the rare occasion when I’m not in Auto Mode, then extended boluses are an option. I wish Medtronic would allow extended boluses with Auto Mode.

      3 months ago Log in to Reply
    24. Katrina Mundinger

      When I used Medtronic, and when not on Auto Mode, I would _always_ used dual wave for pizza. In my experience pizza hits my BGs about 6 hours after eating. Worked a charm except for the Auto Mode business. Didn’t like that at all.

      Now I’m on the Tandem and while I really love the possibility of adding an extended bolus, I do _not_ like the limit to 2 hours! šŸ˜‰

      3 months ago Log in to Reply
    25. Janis Senungetuk

      I use an extended bolus several times a week to help with pasta/cream sauces and fried rice dinners. I would extend the bolus longer than 2 hours if I could. Since the extra time isn’t allowed by my pump I almost always need a correction bolus 4 house later.

      3 months ago Log in to Reply
      1. Janis Senungetuk

        hours later

        3 months ago Log in to Reply
    26. Pauline M Reynolds

      Multiple times per week because I have mile gastroparesis and I sometimes can get ahead of it using extended boluses, especially midday.

      2
      3 months ago Log in to Reply
    27. Lawrence S.

      Rarely for me. I use extended bolus for high fat foods. I don’t eat a high fat diet.

      3 months ago Log in to Reply
    28. Bob Durstenfeld

      I use extended bolus for pizza and Indian food. Both of which spike me hours after eating.

      1
      3 months ago Log in to Reply
    29. Eve Rabbiner

      I use a temporary basal rate instead of extended bolus. Works pretty much the same way.

      1
      3 months ago Log in to Reply
    30. LizB

      I have Medtronic and use manual mode. I am very sensitive to insulin later in the day and no matter what I eat for dinner I absolutely need a dual wave bolus or else I will crash. I use it when I eat out every time. I think Tandem is the only algorithm that allows an extended bolus and I would love to be able to try that pump.

      3 months ago Log in to Reply
    31. Judy U

      I use the extended bolus almost always at dinner, and especially if my pre-dinner BG is below 100. I decide on the percentage of immediate bolus on the basis of that BG. The lower the BG the lower the percent of total bolus. I, too wish I could extend for longer than 2 hours.

      1
      3 months ago Log in to Reply
    32. ellencherry

      I use extended bolus a few times each week in several instances. 1) If my blood sugar is low-ish before I eat, I’ll extend some of the bolus over 30 minutes to alleviate the potential low. 2) If my bolus is going to be over 3 units, I’ll extend over 30 minutes to prevent leaking / tunneling which happens to me with bigger boluses. 3) High protein meals, which for me is dinner most nights. I use the Warsaw method to figure out the dose and duration and extend for 4-5 hours to prevent a protein / fat rise.

      1
      3 months ago Log in to Reply
      1. Velika Peterson

        What is the Warsaw method?

        3 months ago Log in to Reply
    33. Jen Farley

      Only for Pizza.

      3 months ago Log in to Reply
    34. Bruce Johnson

      Not currently using a pump

      3 months ago Log in to Reply
    35. Bruce Johnson

      Not currently on a pump

      3 months ago Log in to Reply
    36. Velika Peterson

      Only for pizza (which only happens 1-2 times a month) and other fried food (which is also rare). I use increased temp basal after a meal with more success. I wish extended boluses could be extended for more than 2 hours as my daughter peaks 4-5 hours later.

      1
      3 months ago Log in to Reply
    37. Marissa Machado

      I haven’t started using my insulin pumps yet

      3 months ago Log in to Reply
    38. Fernando Cuneo

      Depending what I eat is what determines if I do extended bolus or not

      3 months ago Log in to Reply
    39. Randell Cole

      Have never tried it, enough to deal with already

      3 months ago Log in to Reply
    40. T1D4LongTime

      Nearly every bolus is Extended. I have a lot of scar tissue and very little fatty tissue, so infusion sites give me problems. Medtronic had a ‘slow delivery’ option that helped, but Tandem shoots the insulin into the site in ‘spurts’. I’ve found the Extended bolus over 15 mins (the minimum time) emulates the ‘slow delivery’ option and has increased my TIR and site comfort.

      3 months ago Log in to Reply

    If you use an insulin pump that allows you to give extended boluses, on average how often do you give an extended bolus? Cancel reply

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