Energizer 715 - Manual (Page 109)

Optimizing pump therapy 87
Your turn: Square Wave bolus practice
Your target pre-meal blood glucose range is ______ to _______.
Check your pre-meal blood glucose. Are you within your target? _____ If yes, continue. If no, wait to
try the following test until your pre-meal blood glucose is within your target range:
TEST:
Choose a meal that is high in fat (e.g. hot dogs, pizza, cheese enchiladas). Determine your
meal bolus amount. Set the Square Wave bolus to deliver the determined amount of insulin
over 2-hours*.
(* This duration time is an example. As always, consult with your healthcare professional for
guidance.)
Check your blood glucose and record: Pre-meal ________
1 hour post meal ________
2 hours post meal ________
3 hours post meal ________
4 hours post meal ________
Did your blood glucose return to your pre-meal target within 4 hours post meal? ________*
* If you answered yes, then repeat this test with the same meal on another day to verify your results.
* If you answered no, discuss this with your healthcare professional for guidance.
Example 1: Dual Wave bolus
Set a Dual Wave bolus for a barbecue style dinner
Carol is going to a barbecue at a friend's house. Her meal consists of:
mixed green salad fruit salad a dinner roll and margarine
potato salad baked beans pork ribs with barbecue sauce.
She calculates her total carbohydrates and determines her total meal bolus amount. She knows that
she will need some insulin immediately for the fruit, barbecue sauce and dinner roll and some insulin
spread out over time for the high fat and high fiber content of the rest of the meal. Carol will
program her pump to deliver a Dual Wave bolus with ½ of the total bolus to be given immediately
and the other half over a 2- hour* duration.
(* This particular duration of time and bolus proportions is an example. As always, you should consult
with your healthcare professional for your individual needs.)