Whenever you get pleasure from a high-fat, high-carb meal, what’s the most probably end result? If you’re like me, you might even see a chronic enhance in your blood sugar because it’s actually laborious to dose insulin for meals like these.
A majority of these blood sugar situations are what I typically name “sticky blood sugars”. Those the place, even in the event you bolus accurately for the preliminary blood sugar spike, your blood sugar might stand up once more some time later and it’s a must to battle to get it again down.
This occurs as a result of the excessive fats content material in your meal delays the discharge of glucose into the bloodstream, and that’s why high-fat, high-carb meals are a few of the hardest to get proper from a blood sugar perspective.
To cite the specialists from Joslin Diabetes Heart:
“Not like carbohydrate, which is digested pretty shortly, fats takes a very long time to maneuver via the gastrointestinal tract. It may possibly take 4 to six hours and generally even longer to be absolutely metabolized. This is usually a drawback for somebody taking insulin.
Speedy-acting insulins comparable to Novolog, Humalog or Apidra are lively within the physique for 3 to five hours. Whenever you eat a excessive fats meal, the insulin might begin working earlier than a major quantity of glucose reaches the blood. The insulin typically is completed working earlier than the remainder of the glucose makes an look.”
Pump vs. A number of Each day Injections
One of the vital notable variations between insulin pump remedy and a number of every day injections is the flexibility to ship an insulin bolus over an prolonged time frame.
If you’re utilizing a number of every day injections, your possibility is to take small boluses repeatedly to cowl the sluggish glucose launch. Nonetheless, if you’re utilizing a pump, you may set an quantity and length and have it delivered over time.
As at all times, it’s best to focus on the answer together with your medical group, however utilizing the Prolonged Bolus characteristic in your insulin pump could also be an excellent possibility for fixing loopy post-meal blood sugars.
What’s an Prolonged Bolus?
An Prolonged Bolus can present an excessive amount of flexibility and management when consuming sure sorts of meals, in addition to whenever you’re consuming over an extended time frame.
By utilizing an prolonged bolus, you may enter the overall quantity of carbohydrate you intend to eat, and have the choice to decide on to solely take a sure proportion of your insulin up entrance and have the remainder delivered over an prolonged time frame. This lets you higher match your insulin dose to your meals consumption.
Instance: In the event you estimate that the high-carb, high-fat meal you’re about to eat will have an effect on your blood sugar for the following 3 hours, you may set your pump to offer you 70 p.c of your bolus now and the remaining 30 p.c over the following 3 hours (these bolus numbers are examples, NOT suggestions.)
This might help keep away from excessive blood sugar when consuming high-carb and/or high-fat meals. I wish to have the occasional slice of pizza or ice cream too! 😀
As well as, if as soon as the bolus has began, you determine to not eat as a lot as you deliberate, you may cancel the undelivered portion of the bolus. In the event you determine to eat extra, you may take a further normal bolus with out interrupting your prolonged bolus.
set an Prolonged Bolus on the Tandem Insulin Pumps
This half was written in collaboration with Tandem Diabetes Care.
The place to Study Extra About Insulin Pump Remedy
To study extra about pump remedy, name (877) 801-6901 to talk to an insulin pump specialist or go to: Tandemdiabetes.com.
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