- Relationship to Diabetes
- Type 1
Does anyone use a meter with an insulin bolus advisor and if so which one?
The real benefit is that smart meters keep track of insulin on board which is harder to keep track of in your head.Never have and can't see the point for me.
I eat low carb and stick with a 1:10 ratio and therefore the maths is easier than inputting it into a machine but even if it was 1:8 I usually only use 2 or 3 units so it is not exactly taxing and doesn't make a significant difference anyway. The hard part is figuring out how many carbs or protein equivalent carbs there will be. I do that more by looks and experience than an actual calculation, so a 2 egg omelette or a large quarter pounder or steak will be 1.5-2 extra units 2 hours after eating or thereabouts. As others say, you then have to factor in subtractions for previous exercise etc which the meter has no knowledge of or a new tendency to drop low in the evening and need less carbs or an addition of 1.5 or 2 units for Foot on the Floor. It is just easier to store that info in my head and then tick a few mental boxes as I do the sums.
The Aviva Expert does have an exercise function that you set up with a % of insulin you need to increase or decrease by, also one for stress, illness and maybe others but I can't remember as only used the bolus calculator for the first 2 months after getting it xxAs others say, you then have to factor in subtractions for previous exercise etc which the meter has no knowledge of
The real benefit is that smart meters keep track of insulin on board which is harder to keep track of in your head.
Yes I agree the benefit isn’t really in calculating the bolus dose for food. For the parts where I take insulin for protein or adjust based on feels I don’t go to all that hassle you described I just adjust the suggested dose up or down as I feel is necessary. Later on if I’m higher than expected I can see how much insulin I took and have still acting (you can’t get that memory feature for apidra half unit pens that I know of) and adjust the correction accordingly to avoid lows later on.Because I use small amounts of insulin and rarely stack it doesn't matter to me how much insulin is still on board and I can check to see when I last injected if I can't remember. I just can't understand the benefit and I would struggle to use it because I would have to actually quantify my protein intake, whereas I tend to just look at it and see 1 unit or 2 units for the protein or more often than not, I see my libre rising and think "that's the protein kicking in, I better inject for it now. I would have to weight the meat, find the protein content, work out 40% of that protein to convert it to carb equivalents to input for the meter to then give me the insulin units that I just converted carbs from and then inject it 2 hours later. I just can't see it working for me.
I struggle to remember to set my sports tracker away when I go for exercise or input when I eat my meals into my Libre (except when I'm hypo). Just can't see me feeding more information into a machine when I already have the information in my head. I also don't get test strips for these fancy meters anyway so the point is moot.
Gill - if it helps you - use it.
If it doesn't and confuses you more - don't - but tell your diabetes clinic that you've had to stop using it and why you've stopped.