Is it ok not to bolus?

By HRG617 Latest Reply 2013-03-30 21:08:15 -0500
Started 2013-03-24 20:07:03 -0500

I maintain my target numbers through just my basal insulin/pump. Is it ok not to bolus?

13 replies

deafmack 2013-03-27 08:54:10 -0500 Report

Yes, if your number are okay. I remember reading about two brothers who are now in their 80's and one of them only used basal insulin because he would bike 20 miles each day and thus only kept bolus insulin on hand for days when he biked less.

HRG617 2013-03-26 10:52:09 -0500 Report

I test like 7 times a day. I would do more if test strips weren't so expensive. My last a1c was 6.1. Go to the doctor today to see if it has come down. That was two months ago

Type1Lou 2013-03-30 13:24:43 -0500 Report

Great A1c results…trying to get mine back down there (last one was 6.8). Sounds like you're working hard with a good diabetes team to help you manage.
Keep up the good work!

Dr John
Dr John 2013-03-26 09:50:36 -0500 Report

You must have at least 45 grams of carbs per meal. Your meal should always contain more carbs than fat otherwise ketosis and ketoacidosis can occur.


Type1Lou 2013-03-30 13:29:22 -0500 Report

I beg to differ…even though I am not a doctor. Shouldn't your carb intake depend on your age, body weight, height, and activity level? I am 64 years old, 5'3" tall, weigh 120 lbs and am moderately active. I try to follow a low-carb diet of no more than 120 grams of carb per day. My last A1c is 6.8, so there is room to improve. A 6'3" active young man's carb requirements would surely be higher than mine. Dr Richard Bernstein advocates a low-carb approach in his book "Diabetes Solution"; even the experts appear to disagree.

Dr John
Dr John 2013-03-30 21:08:15 -0500 Report

These are the ADA guidelines: 45-60 grams of carb per meal. Of course it varies with weight.

Personally, my meals are 45 grams of carbs per meal. My A1C is 4.9.

The body and especially the brain require carbs to function. Carbs are not a fairy tale.


Anonymous 2013-03-27 08:52:00 -0500 Report

Dr. John, Can you tell me the source of your information. I understand Ketosis happening but if you are on insulin to match the number of carbs you have eaten there is no way that DKA can happen. I am just curious where you get your idea about ketosis and DKA happening if you don't eat more carbs than fat.

Type1Lou 2013-03-25 16:47:42 -0500 Report

If you are able to maintain target numbers without bolusing, that is awesome. How often are you testing? What was your last A1c?

HRG617 2013-03-25 13:54:58 -0500 Report

Well I think I am still honeymooning and I don't eat alot of carbs so I was curious if it was safe but I still maintain good numbers. Thanks for the reply

Gwen214 2013-03-25 16:13:48 -0500 Report

Sometimes I don't bolus, and my numbers stay normal too. It depends what I eat. If I don't eat carbs, then I don't bolus.

manapua72 2013-03-24 22:37:45 -0500 Report

Wow that's awesome that you are able to do that … Yet the question you pose is best answered by your doctor …, I'm a pumper and I bolus everytime I eat carbs etc …