5th lesson - Bolus Injection
the higher the fat content of a meal, the longer it will take to leave the stomach(1)
Taken immediately. Suitable for most meals.
Suitable for Mixed food Pastas and Pizzas
Gastroparesis or Meals that last for a long time
Examples for how to use extended bolus
Adel is eating his breakfast, only bread. What should be the extended bolus time?
Set amount now equal to total calculated bolus, no extended bolus in this case. this is a normal bolus type
Sarah is watching an interesting movie, while eating vegetables and meat snacks
Sarah is not eating rice or high-carb foods. She will take it over an extended period of time. In such a case, she needs to set the amount now equal to ZERO, and set the extended bolus time to two hours.
"ALWAYS CONSULT WITH YOUR DOCTOR"
Frequently Asked Questions
What should I do if I need to change my reservoir during an extended bolus?
In the process of dual wave infusion, changing the reservoir will cause the plunger to rewind so the infusion of bolus will be interrupted. Make sure you check the history, then subtract the immediate dose and extended dose that have already been infused. Then, set a square bolus with extended time equal to the remaining time.
I will not eat now, but my blood glucose is 250 mg/dl. Shall I take extended bolus?
NO, if you are not planning to eat, and it is a correction bolus. Therefore, a normal bolus without extended portions should be administered.
If my postprandial (after meal) blood glucose level is high, what should I do?
In cases where the blood glucose level is high 2 hours after eating. Then increase the "amount now". Usually, the extended time is set to 2 hours. If you are eating high-fat food. Then it can be extended to 3-4 hours.
REMINDER: WE ARE DIFFRENT "ALWAYS CONSULT WITH YOUR DOCTOR"