Reduce Wizard Bolus insulin.Modify ratio rations?Insulin sensitivity?both?

Mario_S's profile photo   07/11/2019 3:37 p.m.

Hello everyone.
Here, again with my doubts in these beginnings with my daughter's minimed 640g bomb.
It seems to me that at food and at dinner the Bolus Wizard is putting a little more insulin that would be adequate.
And, of course, this causes me a great doubt and that doubt causes me to consult the geniuses, and Genias, of Course, of this forum.
What day do I do?
Do I modify ratio rations?Increase or decrease?
Do I modify insulin sensitivity?Increase or decrease?
The doctor has authorized me to modify and testing, but I dare not do it, I lack security and confidence in that I am doing well.I find it difficult to do experiments with the health of the breeding.
Well, thank you.
All the best.

Mario_S's profile photo
Mario_S
07/11/2019 3:37 p.m.
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@Mario_s, greetings.Here a bomber, but not "genia."Does the girl have the same ratio/rations for all meals?From experience I know that exactly the same food/quantity at food/dinner (that is, recycle) at night I need half insulin.
If it were my case I would increase insulin sensitivity in food and dinner.

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solaria
07/11/2019 4:55 p.m.

Debut 46 â- 2012. DM1. Celiaquía e intolerancia lactosa. Anemia perniciosa.
MiniMed 640g + SmartGuard.

     

The amount of insulin in the Bolus Wizard is calculated in this way:
Insulin quantity = ratio * rations + correction
Correction = (glycemia - 100) / sensitivity - insulin_active

From here, draw your own conclusions.

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mamarvazq
07/11/2019 9:03 p.m.
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solar said:
@mario_s, greetings.Here a bomber, but not "genia."Does the girl have the same ratio/rations for all meals?From experience I know that exactly the same food/quantity at food/dinner (that is, recycle) at night I need half insulin.
If it were my case I would increase insulin sensitivity in food and dinner.

Thank you!!!

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Mario_S
07/11/2019 10:42 p.m.
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Mamarvazq said:
The amount of insulin in the Bolus Wizard is calculated in this way:
Insulin quantity = ratio * rations + correction
Correction = (glycemia - 100) / sensitivity - insulin_active

From here, draw your own conclusions.

Thank you.With both answers I already have more clear what I must do.I will test with minimal modifications to see what happens.

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Mario_S
07/11/2019 10:44 p.m.
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Hello, if I see that it goes down after the meals under a ratio, for each meal it has a different ratio.
If UBE or LOW IN MEALS MODIFY BASAL

Veronica Lopez Rosel's profile photo
Veronica Lopez Rosel
07/11/2019 11:55 p.m.
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Veronica Lopez Rosel said:
Hello, I do see that it goes down after meals under a ratio, for each meal it has a different ratio.
If ube or low in meals modify basal

The girl is going down after meals.Main ratio problem and secondary sensitivity, both in different percentage, I think.

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Mario_S
07/12/2019 10:24 a.m.
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A curiosity.How long does the bomb spend at the suspended day?My son is for 6 or 7 hours detained.It seems a lot of time and it is not that it spends a lot of time at Hip.It is normally at hiccum after 3 or 4%

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Dalu
07/12/2019 1:59 p.m.

Papa niño 3 años diagnosticado julio 2017. Uso medtronic 640 con sensor enlite. Ultima glicosilada 6,3.

Diagnosticado noviembre 2019.

     

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