# Extended bolus question, if anyone is around like sort of RIGHT NOW

**URL:** https://forum.fudiabetes.org/t/extended-bolus-question-if-anyone-is-around-like-sort-of-right-now/2925
**Category:** Type 1 & LADA
**Created:** [December 22, 2017, 1:14am UTC](https://forum.fudiabetes.org/t/extended-bolus-question-if-anyone-is-around-like-sort-of-right-now/2925 "2017-12-22T01:14:00Z")
**Posts on this page:** 3
**Page:** 1

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### Author: ![Beacher](https://avatars.discourse-cdn.com/v4/letter/b/a6a055/32.png) [@Beacher](https://forum.fudiabetes.org/u/Beacher)
#### Post date: [December 22, 2017, 1:14am UTC](https://forum.fudiabetes.org/t/extended-bolus-question-if-anyone-is-around-like-sort-of-right-now/2925/1 "2017-12-22T01:14:00Z")

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OK so it’s one of those holiday nights and there are people eating a dinner I’m in the midst of cooking and I accept that there is a glass of wine nearby which complicates math BUT

I can’t bolus more than 5 U at a time (because of leaking).  
For this meal my bolus is a whopping 14.75 U.  
For this meal I know an extended bolus of 60/40 over 4 hours work nicely.  
I took 60% of 14.75 which is 8.8 and delivered 5 of it right away and the remainder over 30 minutes.  
I meant to deliver the remaining 6 U (14.75 - 8.8 near as damn it) over 4 hours but instead the habit took over and I did 5 up front and the remainder over 30 minutes.  
But I still want the effect of the 4-hour extended bolus.  
Do I eat extra carb to use up the 6U extra, and start over doing another 6U over 4 hours?  
Or do I just accept the mistake and deal with the high later?

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### Author: ![Michel](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/michel/32/387_2.png) [@Michel](https://forum.fudiabetes.org/u/Michel)
#### Post date: [December 22, 2017, 2:35am UTC](https://forum.fudiabetes.org/t/extended-bolus-question-if-anyone-is-around-like-sort-of-right-now/2925/4 "2017-12-22T02:35:54Z")

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@Beacher, I am arriving after the fire, sorry…

6 over 4 hours so 1.5 per hour. Your first hour is good, possibly your next 30 minutes. So, if it were me, I would eat extra carbs for 2.5 hours = 3.75 U, and start an extended bolus of 3.75 over 2.5 hours after the first 1.5 hours.

What did you decide to do? Would love to know how it turned out!

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### Author: ![Beacher](https://avatars.discourse-cdn.com/v4/letter/b/a6a055/32.png) [@Beacher](https://forum.fudiabetes.org/u/Beacher)
#### Post date: [December 22, 2017, 2:39pm UTC](https://forum.fudiabetes.org/t/extended-bolus-question-if-anyone-is-around-like-sort-of-right-now/2925/5 "2017-12-22T14:39:54Z")

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Thanks so much to @Thomas and @Michel for your suggestions. With an evening carb ratio of 1:8, I decided to eat 48 g additional carb to compensate for the extra 6 U. I peaked at about 9.5 (170) several hours after dinner, and then plunged to 2.5 (45) 3 hours later. Treated for that and held nicely steady around 5 (90) all night. So the extended bolus, despite the initial mistake, worked as intended and there was no delayed protein/fat rise. I suppose the later crash was just because of all that insulin, even though it theoretically was all matched with food, and since it was a mistake anyway, I’m not going to sweat it. Thanks again.
