#258 Defining Diabetes: Pre Bolus
Juicebox Podcast: Type 1 Diabetes
Scott Benner
4.8 • 1.7K Ratings
🗓️ 6 September 2019
⏱️ 10 minutes
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Summary
Defining Diabetes: Pre Bolus
Scott and Jenny Smith, CDE define the terms that are at the center of your type 1 diabetes care
Show notes for people who are Bold with Insulin
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About Jenny Smith
Jennifer holds a Bachelor's Degree in Human Nutrition and Biology from the University of Wisconsin. She is a Registered (and Licensed) Dietitian, Certified Diabetes Educator, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. You can reach Jenny at jennifer@integrateddiabetes.com
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Transcript
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| 0:00.0 | Defining diabetes is made possible by Dexcom, Omnipod, and Dancing for Diabetes. |
| 0:05.0 | Please remember that nothing you hear on the Juice Box Podcast should be considered |
| 0:08.0 | advice, medical, or otherwise, to always consult a physician before becoming bold with insulin |
| 0:12.0 | or making any changes to your medical plan. |
| 0:18.8 | I want to define Pre-Bolus Jenny because I believe that if you just pre-Bollis you can knock about a point off your A1C. |
| 0:27.0 | It's not the first step when I talk to people, the first step is always, we need to get your basal insulin right, but pre-bullicing is incredibly |
| 0:36.4 | important. People don't do it for what I think of is probably two basic reasons. One is no one ever explained to him what it was, which is fascinating. And the second one is they'll say, I don't eat on a schedule. I'm a free loving person. I'm all cool and hip and everything about my life is free and easy and it's hard for me to tie myself down man. |
| 0:58.0 | Like like that's kind of it, right? |
| 1:00.0 | Then they'll complain about their blood sugar being high for five hours in the fight they were and I was like we just need five seconds worth of focus about 15 minutes before you eat. |
| 1:08.2 | So let's define pre-BOLA first. |
| 1:11.2 | So pre-BOLA thing essentially is when you take insulin at a set time before, keyword there, |
| 1:17.8 | before actually starting to take your first bite of food. |
| 1:21.2 | It allows time for our poorly named rapid acting insulin to get more |
| 1:30.4 | active in the system because food, specifically carbs, have very quick impact. |
| 1:37.0 | The saliva in your mouth starts to break things down so that when it gets to your |
| 1:42.4 | gut it's going to be easier even to break down. |
| 1:48.0 | So taking insulin before you start to eat, goal being about 15 minutes, give or take, |
| 1:56.0 | but a 15 minute rule of thumb to start with |
| 1:58.6 | if you've never been doing it |
| 2:00.0 | and you're hearing this and like, |
| 2:01.6 | oh, let's give that a try. |
| 2:03.4 | 15 minutes is a good rule of thumb. |
... |
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