In episode 106 of Think Like a Pancreas—The Podcast, Jennifer Smith, RD, CDCES, sits down with author Gary Scheiner to unpack the key to a successful bolus.
Together, they break down the six key factors discussed in Chapter 7 of Think Like a Pancreas that go into every dosing decision. Learn how insulin-to-carb ratio, correction dose, glucose trend and direction, insulin on board, physical activity, and timing all work together to help create a well-timed bolus. Together, these factors form a practical, real-world approach to the math—and the mindset—behind dosing insulin well.
MEET YOUR HOST AND HER GUEST:
Jennifer Smith, RD, LD, CDCES is the Director of Lifestyle and Nutrition for Integrated Diabetes Services. She is renowned for her expertise in nutrition, diabetes education, and athletic performance. Having lived with type 1 diabetes since childhood, Jennifer offers unique insight into day-to-day diabetes management, pregnancy, sports nutrition, and technology integration.
Gary Scheiner, MS, CDCES is the owner and Clinical Director of Integrated Diabetes Services. He is an award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985. Gary is also actively involved with many diabetes related organizations as a volunteer and clinical advisor.
KEY TAKEAWAYS AND HIGHLIGHTS:
✔️ Eating for a person with type 1 diabetes requires mathematical gymnastics.
✔️The perfect bolus won’t give perfect results every time, but it will put you in a position to succeed.
CHAPTERS:
00:00 Introduction and Welcome
01:52 The Steps to Figuring out a Bolus Dose
03:36 Insulin to Carb Ratio
7:24 Bolusing for All of the Components of Your Plate
08:53 The Correction Dose
10:41 Adjusting Your Bolus Based on the Direction of Your Blood Sugar
12:00 Insulin On Board
15:26 Physical Activity
19:20 Mastering the Timing of Your Insulin
22:41 The Value of Experimentation
25:24 Recap
RESOURCES:
Think Like A Pancreas - 4th edition
https://integrateddiabetes.com/store/think-like-a-pancreas-4th-edition
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Disclaimer
The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.
