Last month, we asked for the percentage of insulin users who report missing at least one bolus (mealtime insulin dose) per week.
ANSWER: According to the T1D Exchange, the correct answer is 29%: 18% reported missing 1-2 boluses per week, and 11% reported missing 3 or more. Apparently, missing boluses is a very big deal. Those who miss at least 1 bolus per week have an average A1c of 9.0%. Those who miss fewer than one per week have an average A1c of 7.9%. BTW, there was no significant difference in missed boluses between those who use pumps versus those who take injections, but adolescents and young adults reported the most missed boluses. One of the best strategies we have found for avoiding missed boluses is to eat on a schedule and use an alarm clock to permit sufficient time for pre-bolusing.
Congratulations to Bekki Weston of Bellingham, Washington, USA for coming closest to the correct answer (she guessed 28%). Bekki has had LADA (latent autoimmune diabetes of adulthood) for 15 years, and manages her diabetes effectively with a CGM, multiple injection therapy, and a carb-controlled diet.
The latest batch of newfangled insulins includes some rather creative names, such as Fiasp, Lyumjev and Basaglar. Back in the day, we used a cloudy, intermediate-acting insulin that was simply called NPH. What does NPH stand for?
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