Optimizing pump therapy 83

Chapter: 6

Optimizing pump therapy

Square Wave and Dual Wave boluses

Square Wave bolus delivers a bolus evenly over a period of time (30 minutes to 8-hours). This bolus
can be used for insulin delivery when you have eaten a long meal with extended snacking. It can also be
useful if you have delayed food digestion due to gastroparesis or meals high in fat. A Square Wave bolus
can be useful if a normal bolus drops your blood glucose too quickly. Since the Square Wave portion
extends over a period of time, the insulin is more likely to be available to match your individual needs.
NOTE - During delivery of a Square Wave bolus, you will not be able to do the following pump
functions: change the max bolus amount, disable or deliver dual and Square Wave boluses, do a fixed prime or rewind, change the active insulin time, run a self-test, or access the User Settings menu. All other pump functions are still available during the Square Wave bolus.
Dual Wave bolus delivers a combination of an immediate normal bolus followed by a Square Wave
bolus. The Square Wave portion is delivered evenly over a period of time. A Dual Wave bolus is useful
for meals with both rapidly and slowly absorbed carbohydrates. For example, a Dual Wave bolus would
be appropriate for fruit and crackers followed by pasta. The Dual Wave option meets both immediate
and extended insulin needs. A Dual Wave bolus is also useful for correcting elevated blood glucose
before a meal.
This graphic shows: See the following graphic for a description of the different bolus types:
TIME
123
INSULIN
NORMAL
BOLUS SQUARE WAVE
BOLUS DUAL WAVE
BOLUS
Entire bolus amount
delivered immediately.
Bolus amount delivered evenly
over specified time period.
Part of the bolus amount delivered
immediately. Remainder delivered
evenly over time period
Now
Portion
Square
Portion