Now that I’ve got Charlie, I’ve been feeling more confident about trying new tricks in managing my diabetes. Specifically, I have been using the super bolus. Actually, to be more accurate, I have been using what GiR and I like to call a super correct.
From what we can guess, it’s EXACTLY like a super bolus, but it’s just used to correct a very high blood sugar. Just like a “correction bolus” is just a meal bolus without the meal, a “super correct” is just a “super bolus” without the meal.
I have found that if my blood sugar is above 200, a “2 hour super correct” does the trick. I take 2 hours of basal ahead of time as a bolus, then reduce my basal to 0 for those 2 hours. If I’m hovering in the 160-ish range, a “1 hour super correct” is fine.
HOWEVER! I will guarantee you right now that I am not doing this correctly. According to Bernard, the basal portion of the super bolus should be taken via the “fill cannula” method so as to not mess up IOB calculations. I do not do this.
My #1 biggest fear about using the fill cannula method is the fact that my Cozmo defaults to the last amount used. For example, if I use the fill cannula to deliver 1.2 units of basal, then the next time I go to fill my cannula, 1.2 will be auto-filled. Now, when I switch out my infusion set, I do this VERY FAST. I have got this down to a science, people. So, imagine with me the horror of accidentally delivering 1.2 units instead of .2. This spells serious trouble.
I know for a fact that delivering the basal portion directly via the correction mechanism really messes with my Delivery Summary. So according to my pump, I have occasionally taken a LOT of correction, when in fact some of that has been basal. Of course, my diabetes control should take into a large number of factors and not just my Delivery Summary, but that’s a discussion for another time.
So what do I do? Right now I am doing my own vague mental calculations of IOB, but that’s not very effective. I suppose I could learn to slow down and pay more attention to filling my cannula, but that will be a hard habit to break. Any tips/suggestions?