5th lesson - Bolus Injection
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
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
Examples for how to use extended bolus
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"
Set amount now equal to total calculated bolus, no extended bolus in this case. this is a normal bolus type
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
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.
NO, if you are not planning to eat, and it is a correction bolus. Therefore, a normal bolus without extended portions should be administered.
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"