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What is your IOB duation setting? Is mine too short?

Discussion in 'Parents of Children with Type 1' started by GinaB, Jun 30, 2010.

  1. GinaB

    GinaB Approved members

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    I finally started reading Pumping Insulin and it says the IOB time should be at least 4 hours. I'm only using 2.5. What is your settig? Any insight from experienced pumpers would be greatly appreciated.
     
  2. onthego

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    I believe it makes a difference which insulin you're pumping with. We use a duration setting of 4 hrs. with Novolog. I think Humalog would be a little less.
     
  3. Nancy in VA

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    Every time I seem to think it needs to be shorter, we try and end up back at around 4. I think we're at 3.5 right now. the majority of people with Novolog / Humalog have a 4 hour effectiveness. The tail is pretty small at the end so it might be hard to recognize the "Creeping down" but we've watched on the CGMS and the first two hours, its a big effect but we do see the creeping down for the next two as it finishes up
     
  4. hawkeyegirl

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    We have it set at 3 hours (Novalog), and it's about perfect.
     
  5. Mistync991

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    we do 3 or 3.5...i change it to 3 cde changes it to 3.5 ;)
     
  6. kimmcannally

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    Our CDE told us they set Novolog for 4 hours for children and 3 hours for teens - adults.
     
  7. frizzyrazzy

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    It was 3 on cozmo. I set it to 4 on MM and then once we got the CGMS it was pretty clear it was really only 3. I could see the bg doing nothing after 3 hours.

    I think it more depends on how large of a bolus you get - I'd love to be able to have a 4 or 5 hour IOB setting for a really big bolus (over 5u) and leave it at 3 hours for normal boluses.
     
  8. Denise

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    we have ours set at 3
     
  9. chammond

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    We just changed Logan's from 4 down to 3 last week. It does seem to be helping for now.


    ETA: We use humalog!
     
    Last edited: Jun 30, 2010
  10. jilmarie

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    Mine is set to three hours with Novolog. I try to pre-bolus as much as possible, so I think this also contributes to having a shorter IOB duration setting.
     
  11. Sarah Maddie's Mom

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    2 hrs and it's novalog
     
  12. kajumom

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    We also have 3 hours on ping with novolog
     
  13. kiwikid

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    2.5 hrs with Novorapid :cwds:
     
  14. MikailasMom

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    We were at 4 hours until we shortly after we started Dexting, we found no activity past the 3 hour mark.
     
  15. Omo2three

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    3 hours for PIng
     
  16. Heather(CA)

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    3 hours works for us, I agree that two hours is too short. Sometimes the Apidra is done in two. But I would still go with 3.
     
  17. StillMamamia

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    That would be cool to be able to adjust the DIA depending on the bolus size!

    Ours is set for 4hrs. I think it's probably not right.:rolleyes:
     
  18. GaPeach

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    3.5 with Humalog and the Ping for our DD. It's works very well for us.
     
  19. fdlafon

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    I feel bad that I don't know what Jordan's is. I guess I will be looking at Jordan's tonight when I get home.

    This was obviously something that was set up at pump start, and I didn't realize that it should be adjusted. His CDE has never asked us this information either to my knowledge. What is the benefit of adjusting it?
     
  20. Lee

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    4 hours with Novalog and she is 12. We were three hours for 2 1/2 years and I loved it, I thought it was awesome, I had things figured out, etc, etc, etc...our CDE told us to try 4 hours about 9 months ago. Can I just say, I hate it! It is like having to completely relearn how IOB works! Changing it truly 100% messed me up! For the first three months, I almost changed it back about every other day! But then, we got her next A1C and it dropped .5 points AND she had less low blood sugars! So, I decided to keep trying to wrap my brain around it!

    For me, the hard part of upping the duration is deciding to treat a not truly low blood sugar based on IOB when there was a correction. I really have to give it a thought to the time of the correction and I have finally (it only took 9 months!) made a hard and fast rule to not treat for IOB after a correction if
    blood sugar is in the low end of her range after 3 hours - to wait it out and see what it does!
     

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