#217 Diabetes Pro Tip: Pre Bolus

Strategies

In managing type 1 diabetes, understanding the nuances of insulin delivery is crucial. Scott Benner and Jenny Smith discuss the importance of interpreting continuous glucose monitor (CGM) data, emphasizing that the direction and speed of glucose changes are more critical than the actual number. Jenny explains that CGM arrows indicate the rate of glucose change, which can guide insulin adjustments to prevent spikes. Scott adds, "The least important aspect of what the Dexcom does is the number. It's the direction and the speed" 1. They also explore the concept of a super bolus, where basal insulin is added to the meal bolus to manage post-meal glucose spikes effectively 2.

   

Challenges

Overcoming challenges in diabetes management requires a proactive approach. Scott likens it to a science experiment, where each day presents a new opportunity to refine insulin strategies based on past experiences. He advises, "I did this and that happened. So next time I'll do more, less sooner, little less, little more" 3. Jenny highlights the importance of mastering bolus timing for common foods, which can simplify managing less familiar meals. Scott shares his unconventional approach of estimating insulin needs based on past experiences rather than strict carb counting, emphasizing the role of a CGM in this strategy 4.