From Las Vegas, Nevada, USA:
My four year old son was diagnosed with type 1 diabetes when he was 17 months old and has been on a pump with diluted Humalog for about four months. At the time he went on the pump, his doctor told us never to bolus more than once within a two hour period. However, his new endocrinologist says he can bolus every time he eats, no matter how often. The proximity to the last bolus is irrelevant. Aside from a correction bolus, how often can we safely bolus?
You can bolus whenever he eats. However, you don't want to correct him more often than every three to four hours and will need to not do a correction based on a blood sugar obtained after he's been eating.
In our practice, we only have very young children on pumps give full corrections at breakfast, lunch, dinner, and a "1/2 corrective dose" at bedtime snack. Their Humalog or NovoLog tends to have effects at least up to three to four hours after it's been given.
Original posting 22 Sep 2003
Posted to Insulin Pumps
Last Updated: Tuesday April 06, 2010 15:09:52
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