You can reduce the amount of
bolus insulin required for food in the short term by reducing the insulin load of your diet.
We can manipulate our diet by reducing carbohydrates to reduce
the bolus insulin demand of our food.
If you are living with insulin dependent diabetes, you are likely to reduce your need for both basal and
bolus insulin by 20 - 60 %.
Following a low - carb diet, she averaged 20 units of basal insulin and 17.5 units of
bolus insulin per day while eating about 20 grams of carbohydrate.
Her basal insulin dropped from 18 units per day to 15 units per day, and her total
bolus insulin use fell from 20 units per day to approximately 15 units per day.
Within 3 months of adopting a low - fat, plant - based, whole - food lifestyle, she had increased her carbohydrate intake to approximately 250 grams per day, and reduced both her basal and
bolus insulin requirements to approximately 30 units per day.
Her basal insulin requirements had fallen to 11 units per day, and
her bolus insulin requirements had fallen to approximately 14 units per day.
By the end of the first 3 months, her basal insulin requirements had fallen to 14 units per day and
her bolus insulin requirements had fallen to about 15 units per day, even though her carbohydrate intake had significantly increased to 325 grams per day.
There are three ways insulin is used: basal insulin is long - acting or intermediate acting, and covers the glucose the liver makes in - between meals and during sleep;
bolus insulin, used for meals is usually a rapid - acting or short - acting insulin; and, correction insulin which is rapid - acting.
Not exact matches
These hormones stimulate
insulin production, but this effect is countered by their ability to slow exit of the food
bolus from the stomach, and therefore spread out the effect of glucose on
insulin production.
This particular study showed an increased
insulin response as a consequence of pre-ingesting sucralose, the artificial sweetener in Splenda ®, followed by a
bolus ingestion of real sugar.
Eating starch and therefore a
bolus of glucose will, at least to some extent, by spiking blood glucose,
insulin, and leptin, mimic the stress response.
The liver will only make what is necessary... unless it has become resistant to signals that tell it what to do, as in
insulin and leptin resistance brought about from spiking those hormones by constantly eating
boluses of glucose / starch.
24 - hour
insulin sensitivity is calculated by dividing your total carbohydrate intake by your total
insulin use (basal plus
bolus) over a 24 hour period
Insulin - dependent diabetics dose with both bolus (or burst) insulin and basal (or background) i
Insulin - dependent diabetics dose with both
bolus (or burst)
insulin and basal (or background) i
insulin and basal (or background)
insulininsulin.
For someone on a standard mixed diet, about half of their
insulin dosing will be
bolus with half as basal.
ABout half of that was for food (
bolus) and half was her background
insulin (basal).
The Diabetes Family Conflict Scale (Rubin, Young - Human, & Peyrot, 1989) consists of 15 items in which adolescents and mothers rated on a 1 (almost never) to 3 (almost always) scale how frequently they argue about specific diabetes - related tasks (e.g., «remembering to check blood sugars», «remembering to give
insulin shots or
boluses»).
The majority of the participants (68 %) were on a flexible diabetes management regimen (either
insulin pump or basal -
bolus injection regimen); the rest used conventional multiple daily injections.