Meal and Correction Bolus
A bolus is the amount of insulin you will program into
your insulin pump just before you eat, and correct a high blood sugar.
For meal boluses, you will have to be careful about how
many carbohydrates (carbs) you eat. This is were meal planning and
carb counting classes definitely come into play.
Your doctor will help you adjust your bolus when you first
start pumping, but may have to be adjusted sometime after you begin using
insulin in your pump.
Here are some examples of boluses will affect you.
-
Meal Bolus - The amount of insulin you will take for
so many carbs. Example: Taking 1 unit of insulin for each 15
grams of Carbs.
-
Correction Bolus - The amount of insulin to help drop
your blood sugar in case it is high. Example: 1 unit of insulin
for each 30 points above your normal sugar range.
I started pumping by bolusing 1 unit of insulin for each
15 grams of carbs. This changed about a week after I started
pumping. I still pump 1 unit for each 15 grams of carbs for lunch
and dinner, but for breakfast, I use 1 unit for each 10 grams of
carbs. Keeping track of your blood sugar and reporting these sugars
to your doctor will help him or her determine any changes they see fit.