How to administer a bolus with Equil Insulin Pump ?

Equil® Academy

5^th lesson - Bolus Injection

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Module Content

Understanding Boluses
Effects of carbohydrates, proteins, & fats on yourblood glucose
Meal carb count determines insulin quantity and injection time
Bolus Settings
Manual Boluses
Bolus Presets
Extended Boluses
Quick Bolus (using bolus button on the
patch pump or PDA)
Canceling a Bolus

Note:

Watch the video first, you may check below extended Bolus cases & FAQ's.

check the Settings wizards on module#1 and blous calculator

1. Muto T. Digestion and absorption. Tokyo: Daiichishuppan Co, Ltd. 1988:228.

the higher the fat content of a meal, the longer it will take to leave the stomach⁽¹⁾

Normal Bolus

Taken immediately. Suitable for most meals.

Dual Bolus

Suitable for Mixed food Pastas and Pizzas

Square Bolus

Gastroparesis or Meals that last for a long time

Everyone's digestive process is the same. The only difference between people is digestion time ALWAYS CONSULT WITH YOUR DOCTOR

Examples for how to use extended bolus

Farah is attending a party and will eat fruit salad, bread and roasted meat. The bolus value was found to be 6U.How to administer the dose?

Fruit salad and bread will immediately raise blood sugar, while roasted meat will increase blood sugar after a period of time. Therefore, Farah should use a dual-bolus. Set the amount now to be 3U, and the remaining 3U to be infused over an extended time of 2 hours.

"ALWAYS CONSULT WITH YOUR DOCTOR"

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"

Know more about Equil™ Insulin Pump system

Go to 6^th module Back to 4^st module

Listed below are some of the most common questions we get from Equil users

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"

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