I find that bolus rates are influenced most when I lose (or gain) weight. I will start seeing that my blood sugar is lower than I want it to be after corrections and/or meals.
When that happens, I’ll do an adjustment in carb ratio.
The first thing I do is record my blood sugars and use the rule of 1500 and 1800 to make sure that my boluses are at close to what is recommended. You can do an internet search on “Rule of 1500” and “Rule of 1800” to find them.
I also adjust by meal, as I have found that I need high insulin to carb ratios in the morning, and lower in the evening.
Same thing goes for correction rates.
When I start seeing that my basal / bolus rates are off (I think it is recommended that they be 50%/50%, I’ll adjust the bolus rate, lowering it by 10% overall.
Then I start watching my bolus rates again. Sometimes I need to adjust them up.
By the way, I didn’t come by all this magically, it’s in the Insulin Pumper’s Book
I find that bolus rates are influenced most when I lose (or gain) weight. I will start seeing that my blood sugar is lower than I want it to be after corrections and/or meals.
When that happens, I’ll do an adjustment in carb ratio.
The first thing I do is record my blood sugars and use the rule of 1500 and 1800 to make sure that my boluses are at close to what is recommended. You can do an internet search on “Rule of 1500” and “Rule of 1800” to find them.
I also adjust by meal, as I have found that I need high insulin to carb ratios in the morning, and lower in the evening.
Same thing goes for correction rates.
When I start seeing that my basal / bolus rates are off (I think it is recommended that they be 50%/50%, I’ll adjust the bolus rate, lowering it by 10% overall.
Then I start watching my bolus rates again. Sometimes I need to adjust them up.
By the way, I didn’t come by all this magically, it’s in the Insulin Pumper’s Book