86 Chapter: 6
Example 1: Square Wave bolus -
Use of a Square Wave bolus while eating a meal high in fat
Conner loves pizza. When he was using insulin shots, he began to avoid pizza because he always had
high blood glucose readings several hours after eating this high fat meal. Now that Conner is using
the Paradigm pump, he can use the Square Wave bolus feature to help with this problem. With
frequent blood glucose testing and many pizza meals, he and his healthcare professional have
determined the length of time (duration) he needs to set his Square Wave bolus to prevent the high
blood sugars after eating pizza. He set it for 3-hours.
Example 2: Square Wave bolus (gastroparesis)
Lisa has had diabetes for many years. She has been diagnosed with gastroparesis, a condition of the
digestive system that slows down the emptying of food from her stomach. This makes her
carbohydrate digestion unpredictable. Because of this, Lisa has had a lot of trouble with blood
glucose control. It has been suggested to her that she use the Square Wave bolus feature before
meals to more evenly match her insulin with her carbohydrate digestion.