Bolus Insulin Shots

By BarryE Latest Reply 2008-06-17 09:26:59 -0500
Started 2008-06-16 15:34:19 -0500

I have noticed that other diabetics on insulin mention that they are able to adjust their bolus insulin amount based on the carbs in what they eat. My doctor has me using Novolog in the following format:

6 units at Breakfast
4 units at Lunch
6 units at Supper

He never mentioned anything about adjusting these bolus shots. Is this unusual?

2 replies

BarryE 2008-06-17 09:26:59 -0500 Report

Thanks John for the reply. Actually my doctor has not told me how many carbs per meal, and yes I am on Lantus as my basal. I just thought it strange that I am taking a set amount of units compared to others.

John Crowley
John CrowleyCA 2008-06-17 08:03:32 -0500 Report

Your doc is using an older method of diabetes management where he gives you a meal plan with a set amount of carbohydrates per meal and an insulin dose to match the carbs. (Is that right?)

That was the way we were taught in the beginning as well. But if you're on Lantus (I think I remember that you are), you don't have to be tied to a specific meal plan. You can take more or less Novolog based on what you eat. The tricky part is that the ratio of insulin to carbs can vary from person to person. My son takes one unit per every 8 grams of carbohydrates. But prior to puberty, the ratio was one unit per 15 grams of carbs.

Anyway, the point is you can definitely talk to your doc about using a ratio instead of a set dose.