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If your blood glucose is rising rapidly for no clear reason, which of the following ranges includes the glucose level at which you would most likely give a correction bolus in this situation?
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It depends on how soon this occurs after I’ve eaten, what I hate, whether I think I might have erred in my insulin calculation for what I ate, how much insulin is in board, whether I’m about to become active or out my feet up, and whether something has come up tgat is causing stress. All that said, I don’t like my bg level going above 140 with good control or 120 with better control, and I aim for 90-110.
It would depend on how long it’s been elevated. Every situation is different. In the ideal world after being elevated for an extending period of time I would give a bolus correction for the ranges between 140 – 159 mg/dl.
140-159 depending on when I last ate and how much insulin my pump says is still on board.
I would guess that I fix not properly estimate carbs and take a correction dose.
It would depend on if I had already taken any insulin, like for a meal. I use an insulin pump so it will not allow me to double dip.
Over 120 if I hadn’t eaten recently and wasn’t active. If active or about to be leave it alone and test again during a break. Not overnight though. Learned the hard way to leave anything lower than 160 alone even though I’ve adjusted my night boluses down. The most usual no reason for me is the Omnipod either coming loose or error.
It depends upon how much insulin is “on board”. I may not bolus anything if there is a significant amount already in my system. Using a CGM allows me to monitor closely.
It’s going to do that after a meal. Everyone’s does, but nondiabetics aren’t watching it on a CGM.
Before I correct, I think if 2 hours have passed since I ate.
If this seems to have nothing to do with food, I take a correction with fresh insulin. When I wore a pump, I would check for the inevitable bubbles and inject with a syringe, which is why I switched back to pens and won’t use a pump ever again.
It depends on what I’m doing at the time and what I expect to be doing in the next hour or so.
This actually just happened to me this morning, but the reason was uncertain but clear. The syringe needle bent going into the vial and when I injected it felt like only air. So then what????? I waited and watched numbers and have taken 2 units, then 3 more, and the numbers are down but declined rather quickly. So I am uncertain how much active insulin is in my body, so that’s life with T1D!!!!!
It depends- because for me there really is rarely no clear reason this would happen-its either diet intake or pump site problems. That’s not to say there is not a lot of variation in my response to the same meal under the same circumstances on different days, which drives all of us crazy…
If it’s really “no clear reason” I’d do the correction but I’d also keep an eye on it and consider swapping out my infusion set.
My alarm is set at 120 but if my arrow is straight up at 110, I would give myself a bit of insulin to level it out assuming I have checked my pump and site and IOB. No more than .5units. If I could get out and walk I might do nothing. If I had insulin on board I might do nothing. In the morning I get this because of dawn effect. I have my basal adjusted for that but sometimes I will need more insulin.
What everyone else has said and depends on where my bg level actually is while it’s doing a fast rise. I’d probably start correcting >150 if there’s no iob, I’ve not recently eaten anything, it isn’t toward the end of the insulin in my cartridge or I don’t think my site has gone bad.
Varies by situation, but usually, if the CGM arrow is straight up I’ll take a correction bolus at 140 and above.
My BG has never risen rapidly for any other reason besides eating or because of a fault with insulin delivery. Bodily stress usually makes mine fall.
If mine were to suddenly start to rise rapidly by 80 from wherever it may have been, I would calibrate my sensor, try a correction dose on my pump and probably end up changing my pump’s cartridge and insertion site.
Since I’m using CIQ I wouldn’t Bolus at all and instead look at the Infusion Site and diagnose where the issue is
My TIR is 150
My BGs rise so rapidly, I have to take corrections in the 140-149 range. I have a ‘High Alert’ set at 140 on my pump and have a Rise Alert set at 2 mg/dL. The Rise and Fall Alert is set at 2 instead of 3 because Dexcom’s Trend arrow shows “level” when BGs are actually changing slowly (less than or equal to 15 mg/dL in 15 mins).
If the CGM arrow is stable, at this range, but if the arrow is heading up higher I’ll bolus sooner, especially if Ive just eaten more than planned!