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Published Jan 10, 2020

#295 Defining Diabetes: Insulin Resistance

Jenny Smith and Scott Benner unravel the complexities of insulin resistance in both Type 1 and Type 2 diabetes, debunking myths and highlighting the significance of accurate diagnosis. They also introduce innovative insulin management techniques like "overbolusing," while offering insights from Scott's unique diabetes blogging journey.
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  • Overbolusing

    The concept of "overbolusing" in insulin management is introduced by as a proactive strategy to manage blood sugar spikes. He describes it as administering more insulin than immediately necessary to preemptively address anticipated spikes, likening it to a "time travel movie" where potential problems are resolved before they occur 1. acknowledges this approach, noting that it aligns with the "super bolusing" method popularized by John Walsh, author of "Pumping Insulin" 1.

    What I call overbolusing is exactly what I just explained. It's the concept of getting in more insulin than you need for the current situation, with the understanding that this current situation is going to get worse soon.

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    Scott reflects on his journey in diabetes blogging, initially believing he was pioneering new ideas, only to discover a community of like-minded individuals 2.

       

    Dosing Strategies

    Insulin dosing strategies, including overbolusing, are crucial for effective diabetes management. explains that overbolusing involves administering additional insulin to counteract expected spikes, especially when pre-bolusing isn't possible 3. This method requires understanding one's correction factor and experimenting with doses to find what works best for individual needs 4.

    You head off the spike by just dosing more earlier.

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    Scott and Jenny discuss the "super bolus" technique, which involves adjusting basal insulin to prevent post-meal spikes, highlighting the need for personalized experimentation to achieve optimal results 4.

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