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    • 33 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?
      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.
    • 33 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?
      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.
    • 49 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.
    • 50 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.
    • 3 hours, 10 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.
    • 10 hours, 19 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.
    • 10 hours, 19 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.
    • 12 hours, 16 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.
    • 12 hours, 32 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, 42 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, 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.?
      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, 4 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, 4 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, 4 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, 4 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, 4 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, 4 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, 4 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, 4 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, 5 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, 5 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, 5 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, 5 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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    If you wear an insulin pump that has the capability to give extended boluses, on average how often do you give an extended bolus? Share in the comments how you decide when to give an extended bolus!

    Home > LC Polls > If you wear an insulin pump that has the capability to give extended boluses, on average how often do you give an extended bolus? Share in the comments how you decide when to give an extended bolus!
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    Sarah Howard

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    42 Comments

    1. Abigail Elias

      Sometimes when fat content is high and may cause a delay in the bg peak from carbs – though I don’t do that often. Must often is because I’m headed to hypoglycemia and may be over treating because I don’t have quick access to the right (small enough) amount of carbs. I may extend all or only some of the dose, and only for about 29 minutes – to avoid dropping my bg even more, but to make sure my bg doesn’t spike from the fast acting carbs.

      1
      1 year ago Log in to Reply
    2. Ahh Life

      20 minutes to up to 2 hours extend the bolus. Gastroparesis [known as ā€œroll the diceā€ for when or even if your digestion is going to kick in, grrrh! (ง︔’-‘ļø )ąø‡ ]. The extended bolus can even out the high or lows. However, the opposite can also occur. The insulin can stack up and hit like a sledgehammer. ā›

      7
      1 year ago Log in to Reply
    3. Chrisanda

      I use it for high fat foods (pizza) which due to the issues with high blood sugars I rarely eat, and occasionally if I know I’m going to be “grazing,” like at a party.

      2
      1 year ago Log in to Reply
    4. Sahran Holiday

      Extended bolus too much of a wild guess. Thanks to CGM I just bolus for carbohydrates and correct later, rarely necessary.

      1
      1 year ago Log in to Reply
    5. Joan McGinnis

      I give extended if I eat a high fat and/or protein meal which is not often. When I was younger it was a bit more often, like for pizza, or lasagna. Dont eat pizza like that very often now.

      1
      1 year ago Log in to Reply
    6. Mary Dexter

      I do not use a pump, no longer trusting them to deliver insulin, and have switched back to pens, which I happily use.

      1 year ago Log in to Reply
    7. Patricia Dalrymple

      I said other because it all depends. You have to learn how your body reacts. When I go out to eat, I know I automatically have to bolus for 90 carbs. Any higher and I go low. Then about 1.5 hours later, I need to add 1.8 units of insulin. Then, I may up my basal rate. There are no hard clear answers when dealing with T1D. It’s about knowing your body and how it reacts, and even then you can be like: how/why did THAT happen?

      3
      1 year ago Log in to Reply
    8. Kristen Clifford

      My current pump, the Medtronic 550G, doesn’t have the extended bolus option, but my previous pump did. It was an Animas model, and the term they used was “combo bolus”. I used it for carb-heavy dinners: pizza, pasta, Chinese, etc. It was very helpful and the one thing I miss about that pump.

      1 year ago Log in to Reply
    9. brettsmith115

      Every time I eat pizza!

      6
      1 year ago Log in to Reply
    10. Jeff Perzan

      Because I’m on a Medtronic closed loop system, specific extended boluses aren’t necessary because of the continuous updating of my insulin based on the sensor readings. When not in auto mode and I bolus, I would dual wave (usually for two hours) since I bolus for proteins as well as carbs.

      1
      1 year ago Log in to Reply
    11. Lawrence Stearns

      Honestly, I almost never used my extended bolus, except for a rare slice of homemade, gluten free pizza, or eating dinner out at a restaurant (which is also a rarity). However, recently, I’ve used the extended bolus a few times per week (when I remember to use it) because my Endocrinologist suggested that I use it with my supper meals because of lows I have after that meal. I still forget to use the extended bolus most of the time. I also deal with the gastroparesis problem, so I never know how or when my digestive system is going to work.

      2
      1 year ago Log in to Reply
    12. George Lovelace

      Only Rarely now I’m using CIQ on my Tandem

      1 year ago Log in to Reply
    13. Gary Taylor

      With the Medtronic 770G in Auto Mode, the extended bolus option is disabled. I would use it if available. For those rare times when I am not auto Mode I do use it for pizza and kettle cooked potato chips.

      1 year ago Log in to Reply
    14. Beth Baskett

      I do it almost every time I’m bolusing more than 2 units and I’m under 90. I also do it every time the carbs might take a while to hit because of fat. So it’s almost every day, because the Tandem CIA is good, but it’s not THAT good if I’m 85 and I give 2.34u. I’ll drop like a stone.

      2
      1 year ago Log in to Reply
    15. Kayla Kelso

      I’m sure it would benefit my daughter more than not bc we have foods like: pizza/pasta/starch, etc quite a bit but I haven’t done extended boluses when dosing my daughter bc I don’t understand how to go about doing it/when to do it, etc.

      2
      1 year ago Log in to Reply
    16. Sheldon Schwartz

      Based on fat content of food

      1 year ago Log in to Reply
    17. Stacia Wohlford

      I eat steel cut oats every morning. Bolus 75% and extend 25% over 1.5 hours. Took a month to get it right!

      2
      1 year ago Log in to Reply
    18. Becky Hertz

      Following a renal diet. Rarely have enough meat and fat to warrant an extended bonus.

      1 year ago Log in to Reply
    19. Brandon Denson

      If you’re referring to a dual or square wave option for extended boluses then yes I have used this option. If I use this option it’s based on what I’ll be eating.

      1 year ago Log in to Reply
    20. Sarah Berry

      I do an extended bolus if my sugars are low at mealtime. Also of I am eating a low glycemic food like bean soup.

      1
      1 year ago Log in to Reply
    21. Janis Senungetuk

      I use the 2 hr. extended bolus if I’m eating pizza or a meal with rice. Because 2 hrs. is the longest I can extend the bolus with my Tandem pump, the Control IQ app is usually very busy adjusting the basal rate for the next 4 hours. Although I no longer eat pizza very often I do enjoy Thai and Japanese recipes and miss the longer extended bolas that was available on my Animas Vibe pump.

      1 year ago Log in to Reply
    22. Vickie Baumgartner

      Whenever I have a large meal.

      1 year ago Log in to Reply
    23. Sasha Wooldridge

      I use temp basals rather than extended boluses. Temp basals are more than enough for me and feel more manageable.

      1
      1 year ago Log in to Reply
    24. LizB

      I don’t know if I have the start of stomach issues but almost every meal I eat, no matter the fat/protein content, I have to give as a dual wave or else I’ll go low as I’m eating.

      1
      1 year ago Log in to Reply
    25. AnitaS

      Sometimes it is difficult to know when I should do an extended bolus or not, but I definitely do for obvious foods like pizza or lasagna and some fatty desserts. I also do extended boluses for eggs as they raise my blood sugar fairly quickly and my blood sugar will stay in the 160’s for hours on end unless I do an extended bolus. Because eggs do not let my blood sugars come down, I find eating an egg before exercise very beneficial.

      1
      1 year ago Log in to Reply
    26. Anita Galliher

      I use an extended bolus or temp basal and sometimes both. I use it/them for pizza and anything fatty. After dinner I almost always have some CarbSmart ice cream and take 3-4 units with 50% extended for 1-1 1/2 hours. Usually works great. I’m on an Omnipod pump and Dexcom G6 CGM.

      1 year ago Log in to Reply
    27. M C

      If I’m eating something that can cause the BG to go high, and remain high (eg. some pizza), I’ll use the extended bolus. Generally, I may use this option once a week, but there have been other times where I’ve used it more frequently… Just depends on what the meals are going to be over the week.

      1 year ago Log in to Reply
    28. Sue Herflicker

      I always use an extended bolus for pizza, and i use it when I am going to eat and my test is on the lower side. I give myself a small percent and then the rest over 1/2 hour or 45 mins, depending on what I am eating. I usually do this because if I don’t I forget to bolus and then of course go high!

      1 year ago Log in to Reply
    29. Leona Hanson

      I don’t use the extended bolus on mine because I don’t know how to use it or I probably will use it just don’t know when to use it

      1 year ago Log in to Reply
    30. Jneticdiabetic

      Dual wave boluses definitely comes in handy for pizza and burger/fries. I miss it when I’m in automode with my Medtronic 670G.

      2
      1 year ago Log in to Reply
    31. ellencherry

      I do it almost every meal for protein because it usually the highest macro for me. I have a formula in a spreadsheet that has fat and protein as inputs and it tells me how much insulin (in addition to the bolus for carbs) over how many hours. Tonight it was .8 over 3.5 hours.

      1 year ago Log in to Reply
    32. Marvin Shotkin

      I have stopped using extended boluses, since my boluses don’t impact my BG for 2 or 3 hours anyway.

      1 year ago Log in to Reply
    33. Nicholas Argento

      Multiple times per week with higher fat foods like pizza or lasagna, or where the food will raise the BG but not based on carbs- like cheese + chicken as main part of meal- few carbs but raises BG slowly.

      1
      1 year ago Log in to Reply
      1. Nicholas Argento

        I also do a lot of split boluses- for pizza, 70% now 30% in 2 hours to prevent a delayed otherwise inevitable spike-rise

        2
        1 year ago Log in to Reply
    34. Antsy

      I definitely use dual wave for pizza or restaurant meals, which means I must disable Auto-Mode. I hope future Medtronic pumps will have an option to combine the two, rather than having to choose one or the other. My endocrinologist stated that future hybrid closed-loop pumps will check sensor glucose every minute instead of every five, so maybe we won’t even need to use extended boluses. I hope she is right!

      2
      1 year ago Log in to Reply
    35. Marsha Miller

      Pizza & anything else with high fat content.

      1
      1 year ago Log in to Reply
    36. Bonnie Lundblom

      Always if eating pizza and frequently for my breakfast high protein meal to prevent a spike several hours later.

      1 year ago Log in to Reply
    37. ConnieT1D62

      Depends on my BG and what I am eating. Similar to what Dr Nick and others have shared I use it for pizza and pasta with cheese meals, and with rice, veggie and protein combo meals. Based on experience gained from experiments with how my body processes and digests various foods, I may use a 25/75, 70/30, 60/40 or a 50/50 extended bolus.

      1 year ago Log in to Reply
    38. Sadie Robinson

      Depends on if eating a large amount of carbs

      1 year ago Log in to Reply
    39. Janet Wilson

      Since Control IQ, we don’t extend boluses for my daughter anymore. CIQ seems to work better if we DON’T. On Medtronic (minus any of their CGMs) and Basal IQ, we used extended boluses quite often; whenever she ate a high carb/high fat meal like pizza or mac & cheese. Control IQ has made it so that the micromanaging that we used to do isn’t necessary anymore. CIQ keeps her in excellent control – as long as the settings are tweaked to suit her needs.

      1 year ago Log in to Reply
    40. Cheryl Seibert

      I LOVE Extended Bolus!! I selected “Multiple times per day”, but it really depends on my carb input and current BG. If BG is low or dropping rapidly, I do an extended bolus with carbs over a 15 or 30 min period. For pizza, its 50% now 50% over 45min or 1 hr. Complex carbs is a good use for the “dual bolus (Medtronic term)” – some now some later. Extended bolus is extremely valuable to correct extreme (< 60 pts) lows so the insulin takes effect after the BG is rising.

      1 year ago Log in to Reply
    41. Sparklee

      I use the extended bolus primarily when eating a meal that includes higher fat content because the fat slows down the digestion process. (I am on a modified keto diet, so this occurs fairly frequently.)
      I also use the extended bolus when my blood sugar is really too low to bolus for my carbs at the time, but I don’t want to forget to bolus later on.

      1 year ago Log in to Reply

    If you wear an insulin pump that has the capability to give extended boluses, on average how often do you give an extended bolus? Share in the comments how you decide when to give an extended bolus! Cancel reply

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