From San Gabriel, California, USA:
I am trying to find a good resource for how to bolus most effectively for those "stubborn foods," such as pizza, pasta, rice, cake, etc. I understand that the dual wave is the best way to do it, but at what ratio and for how long? Is there a comprehensive list of research done in this area? Or, is there a book about this?
According to a 2005 article Optimal Insulin Pump Dosing and Postprandial Glycemia Following a Pizza Meal Using the Continuous Glucose Monitoring System, the best postprandial blood glucose values were achieved when 50% was given up front and the remaining 50% was given over an eight hour dual wave bolus. This is much longer than what we usually recommend, but we don't have any good data that we go off of either. I think three to four hours works for some and others need a longer time period. It may be one of those things that kids have to "trial and error" to figure out their optimum time.
Last Updated: Tuesday April 06, 2010 15:10:12
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
© Children with Diabetes, Inc. 1995-2016. Comments and Feedback.