i use Humalog Insulin in my pump. i used Humalog Insulin in my pen for 10 years when doing MDI's. i have always tried to bolus right before i ate. there were time when i waited until after mostly because i wasn't sure about the carb count. you know, those days when you just have to have the fries with the burger, and you know you shouldn't eat all of them, but you can't help it. they are just tooo good!! (and i know myself well enough that i should just admit that i'm going to do it and bolus for it right off the bat!!)
so i have been doing a little reading, and have found that there are some out there who actually bolus for their meal, and then wait 20 - 30 minutes to eat. i had to investigate further.
after reading some forums, and some discussion boards, and even an article by John Walsh on using Humalog in a pump, i am no further ahead in my decision on whether to try this or not.
i get that if you bolus ahead, it will be in your system and active by the time you start eating. this will apparently help with after-meal spikes. my fear would be going low before i even begin my meal. i suffer from hypoglycemic unawareness so this is a little worrisome.
i would love to hear from you guys. do you bolus before?? do you bolus after?? do you use a combo bolus? what says you??