Day two has passed with similar results as day one, though I did have a few highs in there… which are to be expected since, well, you know… I am diabetic.

Something my endocrinologist said to me stuck with me when I went for my visit last week. When discussing bolusing for supper, he told me that I probably needed to be “combo” bolusing anyway because, physiologically, it makes the most sense in order to mimic a healthy pancreas. So I’ve been thinking…. Did my endo actually make sense? Did he actually suggest something beyond his usual “lets just adjust your basal and see how that works”???

Since then, I’ve been using the “Extend” feature in the pump. Depending on the meal, I deliver a percentage immediately and the rest is delivered over a period of time that I set. So, for things like pizza that we had last night, I did a 30% up front and 70% over 3 hours. It worked then, so we’ll see the next time we have it (which is typically Wednesday nights). And, instead of only doing it for supper as he suggested, I’ve also been working with lunch too, though not quite as much of an offset. I’m learning how my body needs the insulin delivered, and the t:slim makes it easy.

My next mission is breakfast. Unlike lunch and supper, breakfast hits my blood sugar like a ton of bricks. So I need to figure out how to handle it.