[Diabetes-Talk] G5 question

[Bridgit Kuenning-Pollpeter]

Funny, but it's been years since I've bolused before eating my meal. Even
before I switched to a pump, my doctor recommended bolusing after a meal.
One of the problems with bolusing before eating is what happens if you don't
want to finish your food? But if the insulin is already injected, you kind
of have to finish. Or if you want a little more after eating a first
helping, but you've already bolused, again, if you don't take more insulin,
you will likely go high. And we found I didn't drop so much when bolusing
after eating. But I see a lot of insulin independent diabetics still bolus
before eating. Curious.

Bridgit

-----Original Message-----
From: Diabetes-Talk [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of
Tom Ley via Diabetes-Talk
Sent: Sunday, February 12, 2017 9:10 PM
To: diabetes-talk at nfbnet.org
Cc: TALey at ups.com
Subject: Re: [Diabetes-Talk] G5 question

Veronica, 

Your accounts of the daily real world experiences with a CGM are similar to
mine. 

I wonder if a better way to produce healthier outcomes for the high alert on
a CGM like the Dexcom would be to let you set a number for your high
threshold, but instead of alarming once you reach that number, only alarm if
you go above and remain above that number for some period, like an hour. I
know exactly what you mean about seeing your number start to rise toward
your alert level, and in an attempt to keep it from getting there, you take
too much insulin. Timing your insulin with your food is not always straight
forward. 

For me, my food doesn't always digest at the same speed, due to Diabetes
gastroperesis. If I bolus my short acting insulin 20 minutes ahead of
eating, like everyone recommends, I sometimes go too low before the meal
begins to digest. 

So I usually wait until I've started my meal to bolus my short acting
insulin on my pump, but if the food digest normally, not slowly as usual,
then my blood sugar goes up quickly before the insulin starts to take
effect. 

With my CGM, I watch it climb toward the high alert level I've set, and to
try to avoid that alert it is tempting to take more insulin. The trouble is
many times I don't really need more insulin, I just need to wait for the
insulin I've already taken to begin to work. 

That's why I'd like to set a high number, but only have it alert me if I've
gone over it and stayed over it for an hour. 

Tom






















-----Original Message-----
From: Diabetes-Talk [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of
Veronica Elsea via Diabetes-Talk
Sent: Sunday, February 12, 2017 8:29 PM
To: 'Diabetes Talk for the Blind' <diabetes-talk at nfbnet.org>
Cc: Veronica Elsea <veronica at laurelcreekmusic.com>
Subject: Re: [Diabetes-Talk] G5 question

Good idea about the ear buds, Tom. But as I said I just turned mine off. I
had trouble living in fear of that high alarm. I also noticed, especially
during the first few months, I tended to over treat when I'd get near that
high number. Yeah I saw a better A1C but I had more lows. So I'd say I'm
still kind of learning how and when to react to what that Dexcom says and
does. I've had a few occasions during this last update where the app
accepted my calibration and then seemed to forget that it had calibrated. So
there I'd be on a bus or something and up would come the calibration alert.
But it's like any device. It just takes some time to make it mine. <grin>
Veronica


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