March 14th is Pi Day so my class is celebrating by having pizza pie for lunch, and then at 1:59pm, we are having pie! Sadly, when I say we, I mean they. I can eat pie, but not at that time. My mom said she’d buy me a strawberry pie so I can have a slice with my dinner. Now I see why my parents are so eager to get me on an insulin pump. If I were on a pump, I could have that slice of pie with my classmates! Here’s how it works:
- Basal rates
- Bolus doses to cover carbohydrate in meals
- Correction or supplemental doses
Basal insulin is delivered continuously over 24 hours, and keeps your blood glucose levels in range between meals and overnight. Often, you program different amounts of insulin at different times of the day and night.
When you eat, you use buttons on the insulin pump to give additional insulin called a bolus. You take a bolus to cover the carbohydrate in each meal or snack. If you eat more than you planned, you can simply program a larger bolus of insulin to cover it.
You also take a bolus to treat high blood glucose levels. If you have high blood glucose levels before you eat, you give a correction or supplemental bolus of insulin to bring it back to your target range.
It seems kind of weird wearing a pump 24 hours a day, but if it will help me live a better life, then I’m all for it. For now, I have to deal with daily injections, but as soon as my endocrinologist gives me a thumbs up, it’s pie time!