#217 Diabetes Pro Tip: Pre Bolus

Pre Bolus Basics

Pre bolusing is a crucial strategy in managing type 1 diabetes, aiming to balance insulin action with carbohydrate intake. Scott Benner explains that pre bolusing involves administering insulin before eating to prevent blood sugar spikes, allowing insulin to start working before carbohydrates raise blood glucose levels 1. Jenny Smith adds that pre bolusing is not about the initial blood sugar number but about ensuring insulin is active when needed 2. This approach helps maintain stable blood sugar levels, reducing the risk of high spikes after meals.

   

Practical Insights

In practical terms, pre bolusing can be visualized as a tug of war between insulin and carbohydrates. Scott describes this balance as crucial for preventing blood sugar spikes, where insulin must act before carbohydrates gain momentum 3. Jenny discusses strategies like the super bolus, which involves adjusting basal insulin to manage blood sugar levels effectively 4. She emphasizes the importance of temporary basal adjustments rather than suspending insulin delivery, ensuring continuous management without abrupt changes.