Using a bolus calculator in determining insulin doses for meals showed to improve postprandial blood glucose, but not much effect on A1c results.
This observational study assessed metabolic control in young, active professionals with type 1 diabetes treated with continuous subcutaneous insulin infusion (CSII) with or without the use of a bolus calculator. Eighteen patients aged 19 – 51 years with diabetes duration of 6 – 22 years were included; eight patients used a bolus calculator and 10 did not. Metabolic control was assessed by glycosylated hemoglobin (Hb(A1c) measurements and blood glucose profiles.
A continuous glucose monitoring system (CGMS) was also used by three patients from each group. Mean Hb(A1c) and fasting blood glucose levels were not significantly different between the two groups, but mean post-prandial blood glucose was significantly lower in bolus calculator users than non-users.
The CGMS showed more blood glucose levels within the target range in bolus calculator users than non-users, but statistical significance was not achieved.
In conclusion, a bolus calculator may help to improve postprandial blood glucose levels in active professional type 1 diabetes patients treated with CSII, but does not have a major impact on Hb(A1c) levels.
J Int Med Res. 2008 Sep-Oct;36(5):1112-6.
Learn about the ONlY Instant Disposable In Office A1c Test: Studies have shown that by providing the A1c test in the office while the patient is present, can lower A1c by a full point. Learn about the only 99% accurate disposable A1c test that is CLIA waived and cost less than 10 dollars and reimbursed at least 21 dollars.
Help us keep this newsletter free-update your profile.