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On average, how many adjustment boluses would you estimate you manually give yourself in a day? For the purposes of this question, these “adjustment boluses” do not include insulin automatically dosed by an algorithm without user input, and exclude doses given when also bolusing for food.
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Even though I have CIQ, I still give correction boluses sooner and more aggressively than it would.
On MDI. Maybe one or two a day.
More 10 days
I answered “2” times per day. But, it’s not a statistic I keep track of. It may be more than 2.
I use the Tandem/Dexcom Control IQ. However, my life is very active, in that I run/exercise daily. I also do a lot of work around my house (as well as my neighbors’). I am constantly decreasing or increasing my insulin doses, depending upon what I am doing and where my blood glucose is. As a matter of fact, I just skipped my breakfast bolus because I’m getting ready to go for a run.
See you all later ….
Sounds familiar! With lots of activity, the automatic corrections don’t work as well. I hate getting an auto correction during exercise. I have thought about turning off CIQ during heavy exercise just for this reason.
Kathy Hanavan, I’m happy you said that, because that’s a real problem that I have just noticed. My Control IQ is giving me insulin at the same time I’m trying to raise my blood sugar before I run. Now, I’m disconnecting my pump, and putting it in “exercise” long before I start my run. I reconnect when I finish my run (or other exercise).
Hi Lawrence S!! I do a lot of cycling and don’t use exercise mode as it never worked well for me, but I have a profile with 45% of my usual basal with really low CF and I:C, but still if it auto corrects me, I will go low while out on a long ride. It is SO frustrating. I think I need to make an even less aggressive CF. The other day, I started to go up quickly after correcting and then not starting to ride as quickly as expected and unbeknowst to me, it gave a tiny bolus, but enough to drop me later as I was climbing a steep hill. Grrr…
I turn control iq off during my rides. Set a temp basal and give 1/2 normal bonus if any for food. I turn CIQ back on twenty minutes it less from end of ride. Seems to work well for me.
Kathy and Becky,
Good stuff. Thanks.
I find it more comfortable to remove my insulin pump when I’m running so it does not rub against me and give me a sore. When I’m on my bike, I put the pump in my “stash bag” until I’m done with the ride. I find that I burn plenty of calories while I’m working out, and don’t need insulin.
I also drink protein drinks before I work out to get my blood glucose up, and keep it up for most, or all, of the work out.
Because my pump/CGM Auto mode doesn’t allow for square or dual boluses, I end up taking boluses after two and four hours for higher-fat meals.
I have the Tandem X2 and all my settings are preset. My correction bolus is preset by my endocrinologist. So, the adjustment boluses I do not notice unless it is not working. and lately we have been on a roll. minimal low readings and some high readings. I will take the high over low any day.
The question is incomplete. I often turn off my insulin delivery for exercise, of course, depends on my starting point.
Most of my adjustment boluses turn out to be adjustments to adjustments. I often misjudge how much of a bolus is going to be adequate to cover whatever I’ve eaten, so I tend to add a bit later to get my blood sugar back where I like it to be. After 70 years of doing this I know it’s not an exact science, and over the years have discovered that being reactionary doesn’t work well for me. The gentle approach works, usually, and avoids a lot of seesawing all over the place. Just broke a hip for the second time in 3 years, so have been trying to be a little more aware of health care in general. Getting kind of a kick out of staying ahead of the grim reaper:*)!!!
I don’t use a pump so I don’t have any set amount that I take every day. Every day is different and subjective to what I eat, how I’m feeling, whether my body is absorbing the insulin or not. With me it’s hit or miss if I don’t take enough I’ll take more after 4 hours.
Even on a pump, every day is different.
It depends. For example, if I am on the court and the match is heated (tensions running high) and adrenaline pumping, I will likely need to correct. If I am not playing tennis, then I only need to make corrections when I go out to eat and I don’t know how much fat was in the meal. I’m usually pretty good with estimating my carbs – it’s the fat that get me
I’m on CIQ but often have days where I’m more insulin resistant or possibly my site isn’t absorbing quite as well. In those cases I’ll do a manual correction bolus 3-4 times per day. Sometimes more, sometimes less.
Prior to my right thumb starting to hurt again, I was never needing more than tSlim Control IQ delivered, but since the pain has returned, I’m unable to find a pump setting that works to keep me where I belong other than 5 to 10 manual correction boluses usually increasing pump calculated amount by 20 to 120%.
Surgeon says I need surgical fusion of the thumb to get it to stop hurting, but Broadspire and Alabama Worker’s Comp continue to refuse to cover the MRI needed prior to the surgical fusion.
Had they approved an MRI back in January 2018, one simple surgery to repair the damaged tendon supposedly would have had me 100% recovered and back to full duty, but instead they didn’t approve the first surgery until January 2022, paid for two surgeries that didn’t resolve the problems, and they are still denying requests for the needed MRI!!!
Mark, we’ve got to improve healthcare. Here’s some links: https://PNHP.org/
https://whole Washington.org/
https://PSARA.org/
Are you mad enough to take some action? Click on a link!
Hard to determine since my days are rarely the same. Some days the answer would be 0, some days the answer is 3. So, I guess anywhere between 0 and 3?
That is me, so I just chose 2 as my answer.
On the Tandem X2 running in Sleep Mode 24/7. A1c runs 5.4 to 6.1, I have 0 extreme Lows and Low maybe 4 times a week. I do correction Boluses when changing a Site otherwise it Auto-corrects
I’m a little confused and I realize you probably can’t answer, but if you are on sleep mode 24/7, how are you getting auto-corrects? When in sleep mode, there are no auto corrections.
Before wearing a CGM, I’d been cautioned by my PCP to wait 4 hours before taking another bolus for a high bg. After CGM I think my endo cautioned me it was OK to take a SMALL correction dose (1 unit Humalog/49 above 100) after 2 hours of high bg. I’m on MDI and using Skyler’s sliding scale guidelines for decades. Long ago I learned meal timing, injection timing, exercise timing needed mindful co-ordination. Days of TIR can result in lower insulin needs, more mindfulness required. Awareness of stress, more mindfulness.
I chose “other” because this varies day to day. Some days I don’t need any adjustments, but others I need 8 or more and everything in between!
I run Sleep Mode on the TSlim X2 24/7, so do my own correction boluses.
MDI w/ current short acting insulin(s) mean EXACTLY that, essentially dosing every 4 hours. Essentially dosing at/for meals & food, The four hour math must also then include any required reduction of BG. Unfortunately, a poorly written question.