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I was not clear with my explanation. If Jack forgets to bolus - he does a
correction when he remembers (usually when he tests 2 hrs. later and sees
he's real high). If he is high and we think its not a rebound, not a mistake
in bolusing, something we just can't figure out, then usually it's because
the infusion set is falling out, or kinked (bent), or leaking (it has a
distinct smell).
Our latest suggestion from the dietician is a hint for calculating boluses
for food a little better. She suggested adding 15% to bolus for pizza,
Chinese food,& high fat meals. Take 50% of the total bolus now. Take 50% as
a extended bolus over 6 hrs. Check yourself every 2 hrs. to see if this
works. She says some people need to adjust the percentages. She also
suggested 45 minutes of aerobic exercise 4 times a wk and strength training
3 times a wk. She is suggesting 190-195 grams of carbs a day-Jack is 14 and
5'11".
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