Guest guest Posted January 8, 2009 Report Share Posted January 8, 2009 Hi , We're talking about two different things: shots and pumps. With shots, you get your basal insulin by using a long-acting insulin such as Lantus, and you get your bolus insulin using rapid-acting insulin like Humalog when you eat. On a pump, you get your basal insulin by having the pump automatically deliver a very small amount of rapid-acting insulin like Humalog every few minutes, and you get your bolus insulin by programming a larger dose of Humalog to be delivered when you eat. In both multiple daily injection therapy and pump therapy the insulin that keeps your blood sugars steady while you are not eating (whether that comes from long-acting insulin or from a pump delivering its basal rate of rapid-acting insulin every few minutes) is called the basal insulin, and the insulin that you take to cover food (whether it's delivered by an insulin pen or an insulin pump) is called bolus insulin. Hope this helps. Jen Re: Re: Type 1 and colonoscopy how does the pump deal with giving you two different types of insulin. karen Re: Type 1 and colonoscopy When I was first T1 48 years ago the common thing to do for instances when the normal schedule would be interrupted was to skip the basal (long acting) and take the bolus (short acting) as needed. However, along about, oh, 20 years ago or so, they changed that to taking the basal & bolus only as needed. I can see the wisdom of both but I do find I do better using the basal & only bolusing as needed. I even " test " my basal every so often by fasting for a day, taking the basal & testing to see that it is " doing the job. " Then I know if I need to increase or decrease without really guessing. Judith Quote Link to comment Share on other sites More sharing options...
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