Tuesday, May 29, 2012

Irony Much?

This afternoon I went to the clinic to learn more about my pump. I've been using the basic functions for the past two weeks. Today Donna Murphy (who is AWESOME!) taught me about something called a Combo Bolus.

I wrote about my problems eating pizza. Due to the protein and fat content, pizza is digested slowly. It out lasted my insulin injections and sent me high hours later. Today I learned how to give myself some of my insulin at the beginning of the meal and some over the next several hours. We also tweaked my overnight insulin so maybe, just maybe, I can wake up with a fasting blood sugar in the 90's.

It was a positive visit and I learned a lot. On my way out of the clinic I saw a basket of lollypops. Ooh! Yummy! I choose a green apple one. I slurped on it in the car as I drove home. When I got in the driveway Dexter the Dexcom alerted me to a rapid rise in blood sugar.

What? I went inside and tested. 167. How can my blood sugar be 167? It was 112 when I left the endocrinology clinic. I didn't eat anything, did I?

Wait a sec...  The lollypop I got from the endocrinology office spiked my blood sugar! Irony much?

FYI, Saf-T-Pop's have 11 grams of carbs.
FYI Part 2, Unless it says SUGAR-FREE on the label, it ain't.
FYI Part 3, The Combo Bolus is amazing. Five hours after eating a pepperoni and sausage pizza my blood sugar is 110. How cool is that?


  1. Do tell. For a "pizza-bolus" (combo), how much do you take now and how much later, and for how long. I rarely get it right, and when I do, I forget what I did.

    Oh, and as a correlary to #2: "No sugar added" and "Sugar-free" do NOT mean the same thing!

  2. Here's what I did for my Magical Pizza Bolus (YMMV). I did a 50/50 split. 50% up front and 50% over 3.5 hours. ALSO... and this may be key, I increased the amount of insulin by 10% before I started.

    I did the calculations for a normal bolus. Then I increased that amount by 10%. Then I told my pump 50% now and 50% over the next 3.5 hours.

    I spiked for a little while, but it wasn't anything a long walk couldn't fix. If you try this combo bolus, let me know how it worked. Pizza. PIZZA! YUM!

    And you are SO RIGHT about No sugar added. So funny!

  3. Oh and Sugar Free and Carb Free are not the same thing.



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