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The Question
06/03/09 11:39 AM

"I am a grandmother (type 1) and have a 7 year old grandson who is also type 1. Why the difference in the timing of our boluses?"
Asked By: dmarvell  
Category: Children's Issues

Background Info Hide
I acquired diabetes because I had my pancreas removed (pancreatic cancer in family). i am on an insulin pump (medtronic) and my grandson is on the pod form of insulin pump. Whenever I keep him and it is mealtime, I make mistakes because we are different. I need some help so that I can keep him more frequently and feel more confident. HELP PLEASE

Expert Answers (1)

06/03/09 07:36 PM

Greetings Grandmother! Usually concerning 'timing' of boluses: as adults, we usually know the amount of carbohydrate that we intend to eat and therefore bolus for a certain amount of carbohydrate prior to eating. With a child, it is always uncertain how much the child will actually eat. So it is safer to bolus following the meal. That way, that caregiver can help the child count the actual carbohydrate grams eaten and bolus accordingly. Please let us know if this answers your question. If not, write us back and hopefully I can answer more adequately with more information! Thanks for writing 'Ask the Expert"
Answered By: Edy Chambers
Accreditations: MS, RD, LD, CDE, CPT
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